A child with attention deficit hyperactivity disorder (ADHD) has hyperactivity, distractibility, and impaired play. The health care provider prescribed methylphenidate (Concerta). The desired behavior for which the nurse should monitor is:

a. increased expressiveness in communicating with others
b. improved ability to participate in play with other children
c. ability to identify anxiety and implement self-control strategies
d. improved socialization skills with other children and authority figures


ANS: B
The goal is improvement in the child's hyperactivity, distractibility, and play. The remaining options are more relevant for a child with a pervasive developmental or anxiety disorder.

Nursing

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The nurse knows that medication teaching has been ineffective when the client with an anxiety disorder states, "My SSRI isn't working. I've been on it for:

1. One week." 2. Four weeks." 3. 12 weeks." 4. Eight weeks."

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A nurse should warn a client about which of the following adverse reactions that can occur after the administration of influenza vaccine (Fluzone)? Select all that apply

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