The nurse is caring for an adolescent client diagnosed with attention-deficit/hyperactivity disorder (ADHD), who is prescribed methylphenidate (Ritalin) therapy. The client reports and questions the nurse why they have lost 10 pounds in 2-months. Which of the following should be the appropriate response by the nurse?

The pharmacological action of Ritalin causes a decrease in appetite.

Side effects of Ritalin cause nausea; therefore, caloric intake is decreased.

Increased ability to concentrate allows the client to focus on activities rather than food.

Hyperactivity seen in ADHD causes increased caloric expenditure.

Answer and Explanation

The Correct Answer is A

A. The pharmacological action of Ritalin causes a decrease in appetite. Methylphenidate (Ritalin) is a stimulant medication commonly prescribed for ADHD. One of its well-documented side effects is appetite suppression, which can lead to weight loss. This is the most accurate and direct explanation for the weight loss observed in the adolescent client.

B. Side effects of Ritalin cause nausea; therefore, caloric intake is decreased. While nausea can occur with methylphenidate, it is not the primary reason for weight loss. The main mechanism is appetite suppression rather than a direct reduction in caloric intake due to nausea. This response is less accurate than option A.

C. Increased ability to concentrate allows the client to focus on activities rather than food: While methylphenidate can improve concentration, this explanation does not directly address the physiological cause of weight loss. It is the decrease in appetite due to the drug's effects on neurotransmitters that leads to weight loss, not the increased focus on activities .

D. Hyperactivity seen in ADHD causes increased caloric expenditure: Hyperactivity itself can lead to higher caloric expenditure, but this is not directly related to the weight loss caused by methylphenidate. The primary reason for the weight loss in this case is the appetite suppression due to the medication, not increased activity .

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Trauma-informed care is a form of therapy that encourages the avoidance of discussing past traumatic events: This statement is incorrect. Trauma-informed care does not avoid discussing trauma but rather approaches it in a sensitive and supportive manner.

B. Trauma-informed care focuses solely on treating physical injuries caused by traumatic events: Trauma-informed care encompasses much more than physical treatment. It addresses the psychological, emotional, and social impact of trauma.

C. Trauma-informed care is a framework that emphasizes understanding the impact of trauma and how to provide sensitive and supportive care: This is correct. Trauma-informed care involves recognizing the prevalence and impact of trauma, understanding trauma symptoms and reactions, and providing care that avoids re-traumatization and promotes healing.

D. Trauma-informed care is a treatment approach that aims to erase traumatic memories from an individual's mind: This is incorrect. Trauma-informed care does not aim to erase memories but rather to support individuals in processing and coping with traumatic experiences.

A. Physical activity level B. Financial status C. Social isolation D. Dietary habits

Correct Answer is C

Explanation

A. Physical activity level: Physical activity is important for overall health and can have positive effects on mental health by reducing the risk of depression and cognitive decline. However, while it is a significant factor, it is not the most strongly associated factor with mental health in older adults compared to social isolation.

B. Financial status: Financial stability can impact access to healthcare and overall quality of life, but it is not the primary factor influencing mental health. While financial stress can contribute to mental health issues, social factors tend to have a more direct and profound impact.

C. Social isolation: Social isolation is a major risk factor for mental health problems in older adults, including depression, anxiety, and cognitive decline. Lack of social interaction can lead to feelings of loneliness and increase the risk of mental health disorders, making it the most critical factor to consider. This choice is correct.

D. Dietary habits: Good nutrition is essential for maintaining physical and mental health, and poor dietary habits can contribute to various health issues. However, social isolation has a more direct impact on mental health outcomes in older adults compared to diet alone.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The Nursing Instructor is attempting to describe to their student nurses the concept of trauma-informed care. Which of the following statements best describes this concept?

Correct Answer is C

Explanation

A nurse has been moved to an older adult Mental Health Unit for her shift. Which factor is most associated with mental health in older adults?

Correct Answer is C

Explanation

A nurse is caring for a client diagnosed with autism spectrum disorder (ASD). Which of the following assessment findings should the nurse recognize to be associated with ASD?

A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following points should the nurse include in the discussion as a health risk of heroin use?

A nursing instructor is teaching about donepezil (Aricept). A student asks, "How does this work? Will this cure Alzheimer's disease (AD)?" Which appropriate statement will the instructor make?

A nurse is assessing a client who has paranoid personality disorder. Which of the following findings should the nurse expect?

A nurse is caring for a client in an adolescent unit. What is the nurse's priority when caring for a client with Asperger's disorder?

A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?

A nurse manager is providing staff education about working with clients who have a history of anger and aggression. Which of the following Information should the nurse manager include in the teaching? (Select all that apply.)

A nurse is speaking with the parents of a 4-year-old child who has a terminal illness. The parents tell the nurse they have taken their son's name off the list for little league baseball next season. Which of the following responses should the nurse make?