What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin) for attention deficit hyperactivity disorder (ADHD)?
a. Dystonia, akinesia, and extrapyramidal symptoms
b. Bradycardia and hypotensive episodes
c. Sleep disturbances and weight loss
d. Neuroleptic malignant syndrome
ANS: C
The most common side effects are gastrointestinal disturbances, reduced appetite, weight loss, urinary retention, dizziness, fatigue, and insomnia. Weight loss has the potential to interfere with the child's growth and development. The distracters relate to side effects of conventional antipsychotic medications.
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When teaching the client with gastritis, the nurse should include which of these instructions?
a. "Avoid eating at bedtime." b. "Drink as much decaffeinated tea and coffee as you like." c. "Drink only milk products and antacids until the pain subsides." d. "Eat anything you want as long as you take your medications on time."
After implementing health promotion activities and plans to prioritize health problems, the community must evaluate the effectiveness of the interventions. Which groups would be involved in this process?
A) Hospital and clinic personnel who administered health care needs B) Those consumers who were directly affected by the services provided C) Health care providers, consumers, community leaders, and politicians D) Health care providers at the community level
A psychiatric nurse observes a new mother participating in a group therapy session
The new mother says, "I hate being a mother! I wish that my baby would just disappear!" A 34-year-old mother of three states, "You need to stop talking like that! How would you feel if your mom said that about you?" What role is the 34-year-old group member playing? A) Aggressor B) Initiator C) Gatekeeper D) Blocker
James Taylor, a 22-year-old psychiatric patient with schizophrenia, is refusing his antipsychotic medication. He states, "I don't like the dopey way it makes me feel. I feel like I'm walking under water when I take it
" The nurse explains to him, "Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better." This conversation between a patient and a nurse is an example of a conflict between which two types of ethical principles? A) Autonomy and justice B) Paternalism and veracity C) Justice and nonmaleficence D) Autonomy and beneficence