ADHD
This type of disorder ADHD is classified as
Neurodevelopmental
The nurse is caring for a child with ODD who is yelling and refusing directions. What is the priority nursing action?
A. Confront the child publicly
B. Engage in power struggle
C. Provide clear, calm limits
D. Send the child home
What is C. Provide clear, calm limits?
Which behaviors are consistent with restricted/repetitive patterns seen in ASD? Select all that apply.
A. Hand flapping
B. Insistence on same routine
C. Intense focus on specific objects
D. Cooperative group play
E. Repetitive motor movements
A, B, C, E
A 13-year-old with Conduct Disorder states, “They’ll all be sorry.” The patient is pacing and clenching fists. What is the nurse’s priority action?
A. Offer PRN medication immediately
B. Initiate one-to-one observation and ensure safety
C. Document the statement
D. Tell the patient to calm down
What is B. Initiate one-to-one observation and ensure safety?
A 2-year-old does not make eye contact and does not respond to their name. The nurse suspects this disorder.
What is Autism Spectrum Disorder?
Name Two Risk factors for ADHD
Fetal drug exposure (nicotine, alcohol, illicit drugs)
Birth complications
Low birth weight
Lead poisoning
Child abuse
Preexisting neurologic conditions
A parent of a child with ODD states, “He argues constantly and refuses to follow rules.” What is the nurse’s best response?
A. “You need stricter discipline.”
B. “Consistency in rules and consequences is important.”
C. “He will grow out of it.”
D. “You should ignore all behaviors.”
What is B. Consistency in rules and consequences is important?
A child with ASD becomes distressed when routine changes. What is the best nursing intervention?
A. Force flexibility
B. Provide advance warning of changes
C. Ignore the behavior
D. Use punishment
What is B. Provide advance warning of changes?
The nurse is caring for an adolescent with Conduct Disorder. Why is monitoring for depression and suicidal ideation important?
A. CD always includes depression
B. Internalized anger may present as depression
C. Antipsychotics cause suicide
D. It is not necessary
B. Internalized anger may present as depression
Giving simple, concrete instructions and reducing stimuli are interventions for this disorder.
What is ADHD?
The nurse is planning care for a child with ADHD who is hyperactive and impulsive. This is the priority nursing intervention.
A. Provide group activities
B. Reduce environmental stimuli
C. Encourage competitive games
D. Allow free play to release energy
What is B. Reduce environmental stimuli?
Ex: Reducing stimuli helps decrease impulsivity and hyperactivity.
Which finding would support a diagnosis of ODD rather than Conduct Disorder?
A. Cruelty to animals
B. Stealing from peers
C. Frequent temper loss and arguing with adults
D. Destruction of property
C. What is frequent temper loss and arguing with adults?
Rationale:
ODD = defiance and negativity
Conduct Disorder = violation of rights and serious rule-breaking
An adolescent with ASD is prescribed an antipsychotic. The nurse understands the medication is primarily used to:
A. Improve language development
B. Cure autism
C. Reduce aggression and irritability
D. Improve IQ
C. Reduce aggression and irritability
Untreated Conduct Disorder may develop into this adult personality disorder.
What is Antisocial Personality Disorder?
A child with depression is irritable, declining in school performance, and complaining of stomachaches. What is the nurse’s priority assessment?
A. Diet history
B. Suicide risk
C. Peer relationships
D. Sleep schedule
What is B. Suicide risk?
A child with ADHD is unable to complete homework assignments. What is the best nursing recommendation?
A. Punish incomplete work
B. Assign longer study sessions
C. Break tasks into small steps with rewards
D. Remove all extracurricular activities
What is C. Break tasks into small steps with rewards?
Which factors increase the risk of ODD? Select all that apply.
A. Inconsistent discipline
B. Parental rejection
C. Family conflict
D. High academic achievement
E. Marital discord
What is A, B, C, E?
This class of medications may be used to reduce aggression and irritability in ASD?
What are antipsychotics?
A 14-year-old with Conduct Disorder threatens another patient. What is the nurse’s priority action?
A. Discuss feelings later
B. Ensure safety of others
C. Document the behavior
D. Call the parents
What is B. Ensure safety of others?
Exposure to nicotine, alcohol, or illicit drugs during pregnancy increases risk for this disorder.
What is ADHD?
The nurse is teaching parents about ADHD risk factors. Which statements indicate understanding? Select all that apply:
A. “Low birth weight increases risk.”
B. “Lead poisoning can be a factor.”
C. “Strict discipline causes ADHD.”
D. “Prenatal alcohol exposure increases risk.”
E. “ADHD is caused by bad parenting.”
What are A, B, and D?
A child with ODD says to the nurse, “You can’t make me do anything!” What is the best response?
A. “Yes I can. You must follow directions.”
B. “If you don’t comply, you’ll lose privileges.”
C. “You may choose to complete your work now or during free time.”
D. “Why are you being so difficult?”
C. “You may choose to complete your work now or during free time.”
Autism Spectrum Disorder involves impairment in these three major domains.
What are social interaction, communication, and restricted/repetitive behaviors?
The nurse is assessing a child for Conduct Disorder. Which findings support the diagnosis? Select all that apply.
A. Cruelty to animals
B. Truancy
C. Stealing
D. Occasional temper tantrums
E. Destruction of property
What are A, B, C, and E?
Cruelty to animals, destruction of property, and stealing are hallmarks of this disorder.
What is Conduct Disorder?