Which of the following is included in the diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD)?

Choice A rationale
The nurse’s response of asking the client, “How do you feel about being discharged?” is the most therapeutic. This open-ended question encourages the client to express their feelings and concerns about being discharged. It allows the nurse to assess the client’s readiness for discharge and to provide appropriate education or referrals if needed. It also demonstrates empathy and respect for the client’s feelings, which are key components of a therapeutic relationship.
Choice B rationale
Telling the client, “I will send you a note in a few weeks,” is not the best response. While it may seem like a kind gesture, it could potentially blur the boundaries of the therapeutic relationship. Nurses must maintain professional boundaries with clients to ensure that the focus remains on the client’s needs and not the personal feelings or needs of the nurse.
Choice C rationale
Saying, “I know you will do well living out in the community,” is an assumption and does not invite the client to share their feelings or concerns. It’s important for the nurse to encourage the client to express their feelings about discharge and to provide support and education based on the client’s individual needs.
Choice D rationale
Asking the client, “Aren’t you excited about being discharged today?” is a closed-ended question that assumes the client is excited about discharge. This type of question does not encourage the client to share their feelings or concerns. It’s important for the nurse to use open-ended questions to encourage the client to express their feelings about discharge.

Choice A rationale
Verbigeration refers to the constant repetition of certain words or phrases, which is not described in the scenario.
Choice B rationale
Pressured speech is a common symptom of bipolar disorder and other mental health conditions. It typically occurs when a person is experiencing manic episodes. During this time, a person may feel compelled to speak quickly, erratically, and without stopping.
Choice C rationale
Neologism refers to the creation of new words or phrases that only have meaning to the individual using them. This is not described in the scenario.
Choice D rationale
Perseveration refers to the repetition of a particular response, such as a word, phrase, or gesture, despite the absence or cessation of a stimulus. This is not described in the scenario.