lemme
what is fussy and temperamental and have poor sleeping patterns
a key feature of ADHD is
what is the consistency of the child's behavior - every day, in almost all situations, and with almost all caregivers (the child will demonstrate the problematic behaviors)
toddlers are described as
what is "always on the go" and "into everything" & at times dismantling toys and cribs
t or f:
since Laney has ADHD, she is considered to be "less likable"
t or f:
"ADHD does not persist into adulthood"
what is f
who must conduct the evaluation for ADHD
what is a qualified specialist such as: pediatric neurologist or a child psychiatrist: to avoid overdiagnosis of adhd
Approximately 70% to 75% of adults with ADHD have at least one coexisting psychiatric diagnosis, which are the most common ones
what is social phobia, bipolar disorder, major depression, and alcohol dependence
what increases one's risk of having ADHD, by four to five times more than that of the general population
what is having a first-degree relative with ADHD
goal of treatment in ADHD
what is managing symptoms, reducing hyperactivity and impulsivity, and increasing the child’s attention so that he or she can grow and develop normally.
when stimulant medications are not effective or their side effects are intolerable, what is the second choice for treatment
what is antidepressants
what should a nurse teach a parent, with a child who has been prescribed a stimulant, to help the child maintain an adequate dietary intake?
what is the child should be eating a good breakfast with the morning dose and substantial nutritious snacks late in the day and at bedtime
the essential feature of ADHD
what is experiencing nervousness, restlessness, depression, lack of friends, and low frustration tolerance
what is the frontal lobe
studies have shown decreased blood perfusion of the _______ _____ in children with ADHD & ______ ________ _______ in young adults with a hx of childhood ADHD
what is frontal cortex, frontal cortical atrophy
someone taking atomoxetine should have what done periodically
what is liver function tests (this med can cause liver damage)
Parents should be educated on strategies that can help their child master appropriate behaviors. Which of the following are considered effective approaches/strategies? SATA.
a. consistent rewards and consequences for behavior
b. offering consistent praise
c. using time-out
d. giving verbal reprimands
e. using point systems for positive and negative behavior
what is a, b, c, d, e
a. allowing the child to talk to the doctor first
b. allowing the child to use a stethoscope to take care of a doll
c. drawing pictures of their family
d. walking around the room to look at all the tools that might be used on them during their assessment
what is b
A nurse is attempting to talk to or reason with a child engaged in a dangerous activity, yet the child's ability to pay attention or listen is impaired. What might be required from the nurse in this situation, if the education is ineffective?
what is physical intervention (if the child is running into the street or attempting to jump from a high place). "When the incident is over and the child is safe, the adult should talk to the child directly about the expectations for safe behavior. Close supervision may be required for a time to ensure compliance and to avoid injury."
A nurse should educate parents that it will take time for their child to catch up with other children of the same age, because why?
what is these children are often not diagnosed until the second or third grade = they may have missed much basic learning for reading and math
A parent presents to the pediatrician with a child who is demonstrating "odd" behaviors. Which of the following behaviors would the nurse describe as correlating with the child's ADHD diagnosis? SATA.
A. prolonged attention span
B. high level of distractibility
C. labile moods
D. ability to complete tasks
E. excessive talking
what is b, c, e
Which statement made by the parent indicates a need for further teaching, after their child has just recently been diagnosed with ADHD?
a. "my child & I will read bedtime stories together before I lay my child down at night."
b. "my child may fidget constantly, but I understand this as a normal finding in a child with ADHD."
c. "I should expect my child to still be able to successfully complete homework assignments."
d. "my child will blurt out answers in class, and I don't care if anyone has anything to say about it, because they are just too smart to keep the answers to themselves"
what is a
these children "cannot tolerate sedentary activities such as listening to stories"
A nurse is screening an adult for ADHD, which of the following questions would be appropriate for the nurse to ask the client? SATA
a. "How often do you have trouble wrapping up the final details of a project once the challenging parts have been done?"
b. "when you have a task that requires a lot of thought, how often do you avoid or delay getting started?"
c. "why do you often interrupt others when they are busy?"
d. "you often finish sentences for others, can you tell me why you feel the need to finish their sentences for them?"
e. "how often do you have difficulty taking turns when that is required?"
what is a, b, e
A nurse is engaging in activity with a child who has recently been diagnosed with ADHD. Which of the following nursing interventions would be appropriate? SATA.
A. gradually ↑ the number of environmental stimuli
B. give instructions slowly, using simple language and concrete directions
C. ask the client to repeat instructions before beginning tasks
D. state expectations for task completion clearly and loudly
E. initially, remind the client to perform tasks or assignments
what is a, b, c
which of the following, if any, are considered risk factors for ADHD? SATA.
a. male relatives that suffer from alcoholism
b. lower socioeconomic status
c. parental deprivation
d. low birth weight
e. female relatives with somatization disorder
what is a, b, c, d, e