An adult with attention deficit hyperactivity disorder (ADHD) says, "I've always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can't keep a job."
The nurse managing care should first consider:
a. Aversive therapy to extinguish negative behaviors
b. Cognitive therapy to help address internalized beliefs
c. Group therapy to allow comparison of feelings with others
d. Vocational counseling to identify needed occupational skills
ANS: B
Cognitive therapy and knowledge of ADHD will make it possible for the patient to reframe the past and present in a more positive and realistic light and to challenge internalized false beliefs about self. Aversive therapy would not be useful for the patient. Group therapy may be valuable later to allow for the testing of new coping behaviors in a safe environment. Vocational counseling can help the patient explore suitable career options while pursuing treatment.
You might also like to view...
Which clients would the nurse consider as candidates for an enteral access device?
Select all that apply. 1. The client who is NPO in preparation for surgery 2. The client with an absent cough and gag reflex 3. The postoperative client who returns to the unit following bowel resection who is unconscious secondary to sedation 4. The client who has dysphagia and is unable to eat orally 5. The client who overdosed on an oral medication
You are the nurse caring for a 51-year-old male who has just been diagnosed with stage IV colon cancer
You note the patient now has an increased blood pressure and heart rate. His respiratory rate has increased. You spend time talking with this patient and you note that his vital signs are now back in the normal range. What would you note has happened? A) Cortisol levels are decreasing. B) Endocrine activity has increased. C) The patient is adapting to noxious stressors. D) The sympathetic response has been activated.
The nurse compares the nutrient requirements of an adolescent with those of a pregnant client. Which nutrient should the nurse identify as having different requirements for these populations?
a. Iron b. Calcium c. Folic acid d. Vitamin C
Aspiration is:
a. Loss of appetite b. Breathing of fluid, food, vomitus, or an object into the lungs c. Backward flow of food from the stomach into the mouth d. Swelling of body tissues with water