You learn that an older child diagnosed with ADHD uses nicotine in the form of smoking. Concerning the effects of nicotine usage on the symptoms of ADHD, you would MOST expect the child to report that smoking:
a. counteracts the therapeutic effects of prescribed stimulant medication
b. helps control ADHD symptoms
c. doesn't seem to affect the child's ADHD symptoms one way or the other
d. triggers worsening of the ADHD symptoms
B
The nurse would expect a child who is diagnosed with ADHD and uses nicotine to report that the nicotine helps control ADHD symptoms. Studies do suggest that nicotine may have significant benefits in controlling symptoms of ADHD. The line between ADHD and smoking is particularly strong in girls, and there is some evidence for a genetic association between the two. Nicotine may have significant benefits in controlling symptoms of ADHD, although its therapeutic use for this purpose has not been proposed or accepted. On the other hand, alternative substances that act on nicotine receptors are currently being considered as potential treatments for ADHD.
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An older adult male who paints houses for a living has had a myocardial infarction (MI). Which intervention should the nurse implement to prevent adverse health effects from his occupational history?
a. Provide low-cholesterol diet meals. b. Avoid substances that are hepatotoxic. c. Promote coughing and deep breathing. d. Analyze the electrocardiogram's rhythm.
A school nurse at a high school suggests that all students have an educational unit on newborn care in their required health class. Which of the following provides the best rationale for this suggestion?
a. Because all adults should be knowledgeable in basic child care b. Because the first year of life is the most hazardous until old age c. To help convince students not to engage in sexual intercourse d. To demonstrate the incredible responsibilities in parenthood
A small critical care unit forms a team of nurses to implement bedside rounds at shift change
The nurses have researched the efficacy of bedside rounds and have determined that this evi-dence-based practice will lead to improved communication of patient status. Which type of change does this demonstrate? a. First-order change b. Second-order change c. Emergent change d. Organizational change
The nursing instructor asks students how they would assess the fifth vital sign. Which student would be correct? "I would:
1) Have the client rate her pain on a scale of 0 to 10." 2) Ask the client when she had her last bowel movement." 3) Take the client's pulse oximetry reading." 4) Interview the client about history of tobacco use."