The nurse is participating in an IEP (Individualized Education Plan) for an 8-year-old male child diagnosed with Attention Deficit Hyperactivity Disorder. The nurse identifies which statement by the parent indicates more education is needed?
“We are paying closer attention to behaviors and have been setting rewards for things like getting homework done.”
“I will make sure my child is listening to the teacher. The teacher just needs to get him to focus then these problems at school would go away.”
“Using the peace sign to show my child they need to calm down seems to be working.”
“It is sometimes challenging to ignore those ‘little behaviors’ so he will focus on his homework.”
The Correct Answer is B
A: This statement indicates that the parents are actively involved in managing their child’s ADHD by paying attention to behaviors and using a reward system. This approach is consistent with behavioral management strategies recommended for children with ADHD.
B: This statement reflects a misunderstanding of ADHD. It suggests that the teacher alone can resolve the child’s focus issues, which is not accurate. ADHD requires a comprehensive approach involving both home and school strategies. The parent needs more education on how ADHD affects their child’s ability to focus and the importance of collaborative efforts between parents and teachers.
C: This statement shows that the parents are using a non-verbal cue (the peace sign) to help their child calm down, which is a positive strategy for managing ADHD symptoms. It indicates an understanding of using visual signals to support behavior management.
D: This statement acknowledges the challenges of managing minor behaviors but shows an understanding of the importance of focusing on the child’s homework. It reflects realistic expectations and the need for consistent strategies to help the child stay on task.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A: Speaking loudly can escalate the patient’s agitation and is not recommended. A calm and soothing tone is more effective.
B: Ensuring adequate space between the nurse and the patient helps maintain safety and reduces the risk of physical harm.
C: Approaching the patient in a calm manner helps de-escalate the situation and provides reassurance to the patient.
D: Locking the patient in their room can increase their agitation and feelings of isolation. It should only be considered if the patient poses an immediate threat to themselves or others and other de-escalation techniques have failed.
E: Providing a detailed explanation of unit policies is not appropriate in the moment of crisis. The focus should be on immediate de-escalation and ensuring safety.
Correct Answer is C
Explanation
A: Telling the patient their behavior is upsetting the milieu and asking them to stay in their room may escalate the situation by making the patient feel dismissed and isolated.
B: Avoiding addressing the behavior and giving PRN pain medication without discussing the patient’s concerns does not address the underlying issue and may reinforce the behavior.
C: Listening empathetically to the patient and collaborating with them to manage pain is the most effective approach. It shows the patient that their concerns are being heard and that the nurse is willing to work with them to find a solution, which can help de-escalate the situation.
D: Calling for the security team to make frequent rounds may increase the patient’s agitation and sense of being controlled, which can escalate the situation further.
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