The nurse is working with a 15-year-old girl and her parents on a treatment plan for her diagnosis of attention-deficit/hyperactivity disorder (ADHD). The nurse should be sure to:
a. Encourage the parents to seek teachers for their daughter who are going to be lenient with assignment schedules because of her diagnosis.
b. Remind the parents to determine ahead of time consequences/punishment that they will give their daughter when she is not listening to them and/or teachers.
c. Teach the parents how to structure and enforce limits on their daughter's behavior that are appropriate to her condition.
d. Inform the client and her parents that medications typically used for ADHD are very safe and have few side effects.
C
Consistent limit setting is helpful to teens with ADHD because it is difficult for them to set limits for themselves. Encouraging lenient teachers violates this principle. The parents should seek teachers who are understanding of their daughter's condition but remain consistent in setting limits in their course. Positive reinforcement for appropriate behavior is more effective than punishment, and many medications for ADHD react with other medications and sometimes have serious side effects.
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As a nurse is performing passive range of motion (PROM) exercises with a client, it is important for the nurse to do which of the following?
a. Keep the bed rails up at all times. b. Describe the PROM to be performed for each joint. c. Start at the client's feet and legs, and work upward. d. Repeat each PROM exercise at least 10 times.
The nurse is preparing to administer a first dose of clopidogrel (Plavix) to a patient. As part of the history, the nurse learns that the patient has a previous history of peptic ulcers, diabetes, and hypertension
The nurse understands it will be necessary to notify the provider and obtain an order for a. a proton pump inhibitor (PPI) medication. b. frequent serum glucose monitoring. c. increased antihypertensive medications. d. nonsteroidal antiinflammatory medications.
The greatest risk to a child of adolescent parents comes from the:
1. Increased family stressors resulting in domestic violence 2. Lack of appropriate parenting resources and role models 3. Statically high potential for physical and emotional abuse 4. Parents inability to provide health care and economic support
A patient has incontinence. The nurse asks you to do the following. Which should you question?
a. Record all voidings. b. Follow the person's bladder training pro-gram. c. Have the person wear garments that have buttons and zippers. d. Decrease the person's fluid intake before bedtime.