A boy, age 8, was diagnosed with attention deficit/hyperactivity disorder. From the data col-lected about the child, which statement best supports the diagnosis? The child:

1. Cries when separated from his mother or father
2. Refuses to pick up toys as instructed by his parents
3. Is fascinated with spinning and moving toys and objects
4. Is unable to concentrate long enough to complete his school work


ANS: 4
Being unable to concentrate on tasks for even short periods of time is a hallmark for ADHD. 1. This is a characteristic of separation anxiety. 2. This is an example of oppositional behavior. 3. This is a characteristic of autism.

Nursing

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A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug therapy, including INH and rifampin. A priority assessment by the nurse will be to monitor which combination of laboratory test results?

A) Serum alanine transaminase, aspartate transaminase, and bilirubin B) Red blood count, white blood count, and differential C) Thyroid-stimulating hormone, thyroxine, and triiodothyronine levels D) Fasting blood sugar and 2-hour postprandial blood sugar

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An adult client is complaining of vision changes and difficulty speaking because the tongue is larger. The client also states that his shoes no longer fit. Based on these symptoms, the client is most likely to be diagnosed with:

1. acromegaly. 2. cretinism. 3. gigantism. 4. Graves' disease.

Nursing

The nurse reviews for a family how the development of synthetic recombinant antihemophilic factor has improved the management of hemophilia A because this drug: (Select all that apply.)

a. Eliminates the need for frequent transfusions b. Can be administered by the family at home c. Prevents hemorrhage d. Reduces the cost of care of the hemophiliac e. Reduces the risk of HIV and hepatitis A and B transmission

Nursing

The father was told he had metastatic pancreatic cancer too advanced for any treatment. What might the nurse do to be helpful to the father and the family?

A. Assist the family in finding a physician who can offer hope and possible treatment. B. Help the family deal with anxiety and uncertainty about how long the father will live. C. Share information about hospice and family needs at the end of life. D. Try to help the family find meaning in their situation.

Nursing