The mother of an 8-year-old boy brings the child to the psychiatric-mental health nurse practitioner for an evaluation. She states that she thinks her son has ADHD. The mother says the boy’s father is reluctant to try medication and believes the boy just needs to “focus.” The mother wants to try medication and somehow show the father that it will help her son. Which of the following is a tool that could be used to objectively measure behavior changes prior to and during medication administration?
Conners-Wells’ Adolescent Self-Report Scale for Teenagers
Child Behavior Checklist
Conners Teacher Rating Scale (CTRS)
Conners Parent Rating Scale
The Correct Answer is D
Choice A reason: The Adolescent Self-Report Scale is designed for older children and adolescents to self-report behaviors and is not suitable for an 8-year-old.
Choice B reason: The Child Behavior Checklist is a broad measure of behavioral and emotional functioning but may not provide specific ADHD-related behavior tracking.
Choice C reason: The Conners Teacher Rating Scale is completed by teachers and can track school behavior, but does not assess behavior at home, which is critical for parent-observed medication effects.
Choice D reason: The Conners Parent Rating Scale provides a validated measure of ADHD symptoms at home, allowing objective tracking of behavior changes before and during medication use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: PTSD is diagnosed when symptoms persist for at least one month after the traumatic event, making it premature at two weeks.
Choice B reason: Acute stress disorder occurs within 3 days to 4 weeks after a trauma, with symptoms including flashbacks, anxiety, and intrusive thoughts. The timeline and symptomatology in this case are consistent with acute stress disorder.
Choice C reason: Adjustment disorder involves emotional or behavioral symptoms in response to stressors but typically lacks the intrusive and re-experiencing features seen here.
Choice D reason: Dissociative identity disorder involves disruption of identity with two or more distinct personality states and is not related to trauma response in this context.
Correct Answer is A
Explanation
Choice A reason: During the phallic stage (ages 3-6) of Erikson’s psychosocial development, children explore their bodies and demonstrate curiosity about sexual differences. Such behaviors are developmentally normal and do not indicate pathology.
Choice B reason: There is no evidence to suggest that normal exploratory behavior at this age predicts future sexual orientation.
Choice C reason: Mild, developmentally typical exploration of the body is not indicative of sexual abuse; inappropriate concern would pathologize normal behavior.
Choice D reason: Body dysmorphic disorder is unrelated to typical sexual curiosity in early childhood and usually manifests later in adolescence or adulthood.
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