A patient tells a nurse, "I think I may have adult attention deficit disorder." Which of the following data given by the patient would support this self-diagnosis? (Select all that apply.)
a. "I have trouble getting things done on time. For example, I missed renewing my driver's license."
b. "I have trouble focusing if there are any distractions in my environment."
c. "My daily life's a mess. I can never seem to get everything done."
d. "I'm even-tempered and rarely overreact or have mood swings."
e. "I've worked the same job for 5 years and receive good evaluations."
ANS: A, B, C
Distractibility, inability to stay focused on tasks, poor memory, poor organizational skills, and lack of follow-through are characteristics consistent with adult attention deficit disorder (ADD). Even-temperedness does not suggest ADD. The individual with ADD would be more likely to overreact to everyday situations and have a volatile temperament. Working the same job for 5 years with good evaluations is inconsistent with the characteristics of an individual diagnosed with ADD. The individual with ADD would be more likely to work for only a short time, have difficulty with supervisory relationships, and be seen as shirking work.
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