Attention Deficit/Hyperactivity Disorder

A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to

• Provide as much structure as possible for the child
• Ignore the child’s overactivity
• Encourage the child to engage in any play activity to dissipate energy
• Remove the child from the classroom when disruptive behavior occurs

The parents of Suzanne, a child with attention deficit hyperactivity disorder, tell the nurse they have tried everything to calm their child and nothing has worked. Which action by the nurse is most appropriate initially?

• Actively listen to the parents’ concern before planning interventions
• Encourage the parents to discuss these issues with the mental health team
• Provide literature regarding the disorder and its management
• Tell the parents they are overracting to the problem

A school nurse is giving educational forum on attention deficit hyperactivity disorder (ADHD) to the local school board. Which of the following behaviours is most common in children with ADHD?

• Lethargy
• Long Attention Spans 
• Short Attention Spans
• Preoccupation With Body Parts 

_{A mother calls the clinic to report that her son has recently started medication to treat attention deficit/hyperactivity disorder (ADHD). The mother fears her son is experiencing side effects of the medicine. Which of the following side effects are typically related to medications used for ADHD?} 

• Poor Appetite, Sleepiness
• Insomnia, Poor Appetite, Agitation
• Sleepiness and Insomnia 
• Agitation and insomnia 

The parents of a child diagnosed with attention deficit hyperactivity disorder (ADHD) report that their child has difficulty taking turns when playing games. The healthcare provider will document this finding as which of these behavioral problems?

• Impulsiveness
• Hyperactivity 
• Agression
• Inattentiveness

A kindergartener is disruptive in class. This child is unable to sit for expected lengths of time, inattentive to the teacher, screams while the teacher is talking, and is aggressive toward other children. The nurse plans interventions designed to:

• promote integration of self-concept
• provide inpatient treatment for the child
• reduce loneliness and increase self-esteem
• improve language and communication skills

An acting out hyperactive 9 year old is started on a behaviour modification program that uses tokens for acceptable behaviour. When playing a game that he is losing, he begins to kick the other children under the table and call them names. Which is the most appropriate behaviour modification the nurse should use?

• Ignore the child's behaviour
• Place the child in a short time out
• ake the child’s daily allotment of tokens away
• Engage the child in a conversation about good sportsmanship