A mother expresses concern that her school-age child may need to be started on medication for ADHD. When asked to describe the child's behaviors that lead to this concern, the mother makes these statements
Which would the nurse interpret as a potential indicator of ADHD?
1. "When I ask him to do his chores, he finishes his game before he starts."
2. "His teacher says that he isn't able to complete assignments that require him to sit and write for 5 to10 minutes at a time. He doodles on his paper or badgers others in the classroom instead of working on his assignment."
3. "In the last month, he has twice forgotten to ask me to give him his lunch money for the day."
4. "When I tell him to clean the house, he doesn't clean under furniture or under the rim of the toilet. He only dusts some of the furniture, but not all of it."
Correct Answer: 2
Rationale 1: Clients with ADHD either forget to perform the chore or fail to finish the chore.
Rationale 2: Clients with ADHD avoid tasks that require mental effort for a long period of time and fail to finish schoolwork; they have trouble keeping attention on a task.
Rationale 3: Clients with ADHD often forget things needed for daily activities, not just occasionally.
Rationale 4: Cleaning the house without accuracy in details would be normal for a school-age child. Clients with ADHD would be more apt to start and not finish, or to forget to clean at all.
Global Rationale: Clients with ADHD avoid tasks that require mental effort for a long period of time and fail to finish schoolwork; they have trouble keeping attention on a task. Clients with ADHD either forget to perform the chore or fail to finish the chore. Clients with ADHD often forget things needed for daily activities, not just occasionally. Cleaning the house without accuracy in details would be normal for a school-age child. Clients with ADHD would be more apt to start and not finish, or to forget to clean at all.
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