The nurse is assessing a school-age patient who is exhibiting fidgeting and non-stop talking. The patient’s parents state, “We are afraid he is going to hurt himself because he doesn’t think before he acts.” Based on these assessment findings, the nurse plans care for which disease process?
a. Autism spectrum disorder
b. Oppositional-defiant disorder
c. Intermittent explosive disorder
d. Attention-deficit/hyperactivity disorder
d. Attention-deficit/hyperactivity disorder
This patient is exhibiting symptoms of attention-deficit/hyperactivity disorder, and it would be appropriate to plan care based on this diagnosis. Autism spectrum disorder, oppositional-defiant disorder, and intermittent explosive disorder do not manifest with the clinical manifestations noted by the nurse and the parents during the physical assessment process.
You might also like to view...
A civilian patient admitted with frostbite burns to her feet is receiving pain medication and fluid replacement and is being monitored for any signs of organ dysfunction. What rationale would the nurse provide for this conservative management?
1. Frostbite injuries are not as serious as thermal or chemical burns. 2. The extent of the injury is not obvious. 3. Little is known about other methods to treat frostbite. 4. Aggressive frostbite management is only done in specialty military hospitals.
The nurse at a public health infant immunization clinic is acting as a preceptor for a nursing student. To assess the student's understanding of vaccinations, the nurse asks the student where the hepatitis B vaccine should be administered
The student would be correct to respond that the hepatitis B vaccine should be administered in the a. dorsogluteal muscle in an adult. b. anterolateral thigh in infants. c. ventrogluteal muscle in adolescents. d. deltoid of toddlers.
What is descriptive of the nutritional requirements of preschool children?
a. The quality of the food consumed is more important than the quantity. b. The average daily intake of preschoolers should be about 3000 calories. c. Nutritional requirements for preschoolers are very different from requirements for toddlers. d. Requirements for calories per unit of body weight increase slightly during the preschool period.
Accurate recording of the food consumption of a patient with diabetes is important because
A) the diet and insulin are balanced to maintain the patient's protein level. B) a diabetic patient should consume at least 2600 calories per day. C) the diabetic diet may be balanced by insulin or diabetic drugs. D) diabetics must take in adequate amounts of sugar and protein.