The mother of a 4-year-old tells the nurse that her son spends his day in constant motion. The
mother tries to get him interested in playing with his toys, but he is easily distracted and does not
seem to listen.
He talks appropriately but excessively. He gets out of bed in the morning before his
mother. She reports that one morning he broke the screen on the TV. She enrolled him in preschool,
but the teacher was unable to handle him. The suggestion was made that he should be evaluated at
the mental health clinic. The nurse can assess that the child's problem is most consistent with the
DSM-IV-TR criteria for
a. pervasive developmental disorder.
b. mental retardation.
c. oppositional defiant disorder.
d. attention deficit hyperactivity disorder.
D
The excessive motion, distractibility, and excessive talkativeness are seen in attention deficit
hyperactivity disorder (ADHD). The behaviors presented in the scenario do not suggest the other
possible choices. Developmental delays would be seen if pervasive developmental disorder or
mental retardation were present. Oppositional defiant disorder would include serious violations of
the rights of others.
You might also like to view...
Which vitamin turns urine yellow in color?
a. Vitamin B2 b. Vitamin B3 c. Vitamin B1 d. Vitamin B6
A client has blindness related to conversion disorder. To help the client eat, the nurse should
a. establish a "buddy" system with other clients who can feed the client at each meal. b. expect the client to feed self after explaining the arrangement of the food on the tray. c. see to the needs of other clients in the dining room, then feed this client. d. direct the client to locate items on the tray independently and feed self unassisted.
Which of the following parameters would be most useful in calculating drug dosages for a child?
a. Height b. Weight c. Age d. Body surface area
The nursing instructor will need to provide further instruction to the student who uses which of these statements when describing the differences between cognitive and psychosocial development in children?
a. "The preschooler develops the ability to play in small groups." b. "The toddler may participate in parallel play." c. "The school-aged child still requires total assistance in all activities for safety." d. "The toddler period is a time of potential frustration manifested by temper tantrums."