The PMHNP has diagnosed a 9-year-old boy with attention deficit hyperactivity disorder (ADHD) and is prescribing medication. As she discusses the medication with the mother, she can see the mother is becoming visibly anxious. What does the PMHNP do next?
Do not prescribe the medication.
Stop and address the mother's anxiety.
Continue her discussion and then ask if the mother has any questions.
Tell the mother not to worry, because this medication is going to work for her son.
The Correct Answer is B
Choice A reason: Avoiding prescribing the medication does not address the parent’s concerns and may compromise treatment.
Choice B reason: Addressing the parent’s anxiety ensures informed consent, builds trust, and improves adherence to treatment. Clarifying concerns can alleviate misconceptions and provide psychoeducation about ADHD medications.
Choice C reason: Continuing without addressing the observed anxiety may increase parental resistance and reduce engagement in treatment.
Choice D reason: Minimizing concerns or reassuring without explanation may invalidate the parent’s feelings and reduce collaboration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A transverse fracture is actually a horizontal break straight across the bone, not diagonal. Describing it as diagonal is incorrect and may lead to misclassification of fracture types.
Choice B reason: A greenstick fracture occurs when the bone bends and cracks on one side without breaking completely, which is commonly seen in children due to their flexible bones. This definition is correct.
Choice C reason: Comminuted fractures occur when the bone is shattered into three or more pieces, often due to high-energy trauma. This description is accurate.
Choice D reason: Segmental fractures involve the same bone being fractured in two distinct locations, creating a free-floating segment of bone between the fracture sites. This definition is correct.
Correct Answer is C
Explanation
Choice A reason: Generalized anxiety disorder involves persistent and excessive worry about a variety of everyday issues rather than specific social situations. This patient’s anxiety is context-specific (social interactions), which does not meet the criteria for generalized anxiety disorder.
Choice B reason: Agoraphobia involves fear or avoidance of places or situations where escape might be difficult, often involving crowds or public spaces. Her avoidance is social in nature, not related to leaving home or public spaces, so this diagnosis does not fit.
Choice C reason: This is the correct answer. Social anxiety disorder (social phobia) is characterized by intense fear or anxiety in social situations due to potential scrutiny or embarrassment. The patient’s avoidance of social events, fear of saying or doing something embarrassing, and relief when she attends indicate classic features of social anxiety disorder.
Choice D reason: Panic disorder is defined by recurrent unexpected panic attacks and persistent concern about having additional attacks. The patient does not report sudden, recurrent panic episodes but rather anticipatory anxiety about social evaluation, making panic disorder an inappropriate diagnosis.
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