Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
31. A nurse provides health teaching to the parents of a school-age child diagnosed with attention deficit-hyperactivity disorder (ADHD). What should the nurse include in the teaching plan?
. One parent should be responsible for discipline.
. Prescription bottles should be stored where the child can access for self-care.
. The home's televisions and radios should be kept at a low to moderate volume.
. Participation in outdoor sports should be avoided.
. Medications should be taken daily only as needed.
Test-Taking Tip
When the stem of the question does not ask for a priority answer, go through the options and ask whether each statement is a true or false recommendation. Select all the true answers as these should be part of a general teaching plan.
Content Area: Child Health, Behavioral; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because consistency with limit-setting by both parents will help the child with ADHD to meet behavioral expectations. Answer 2 is incorrect because storing ADHD medications puts the child at risk for sharing medications with friends or for potential overdose. The parents can better foster the child's independence in self-care by providing access to the medication in an observed setting, such as at breakfast time. Answer 3 is correct because excess environmental stimulation can increase the hyperactivity and distractibility of a child with ADHD. Answer 4 is incorrect because exercise can greatly benefit the child with ADHD by providing an outlet for extra energy. Answer 5 is incorrect because ADHD medications such as Ritalin should be taken daily to achieve therapeutic blood levels, not on an "as needed" basis.