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ADHD Comprehensive Exam Questions
And Correct Answers
a
(Rationale
Teenagers may have problems with their self-esteem, due to the difficulties with academics
and relationships caused by ADHD. There should be consequences for low grades, but the
nurse's effort should go toward assisting the client to be successful. Parents need to be
supported by healthcare providers as they identify problems and seek assistance to define the
best solutions for the client. Clients with ADHD perform best when in an environment with
the fewest distractions.) - answers✔✔Which is the best intervention for the nurse to
implement when caring for a 16-year-old client with attention-deficit/hyperactivity disorder
(ADHD)?
a Provide opportunities to increase self-esteem.
b Allow the client to study in a family room with the television on.
c Initiate negative consequences for low academic scores.
d Allow the parents to work out problems on their own.
c
(Rationale
A physical examination will rule out neurological diseases and other health problems that
may mimic ADHD or affect its treatment. There are no physical characteristics of ADHD that
can be found with a physical exam. ADHD is diagnosed from a careful psychosocial history
and questionnaires. The nurse is equally as qualified as the healthcare provider to provide
strategies to help the client focus. Other mental health issues are diagnosed by a mental health
specialist using interviews and questionnaires, not a physical exam.) - answers✔✔The school
nurse is arranging an appointment for a physical examination of an 11-year-old client
recently diagnosed with attention-deficit/hyperactivity disorder (ADHD). The client's parent
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12/11/2024 10:01AM
states, "Our child was evaluated at home and here at school, and now we have to make
another appointment for a physical? Why?" Which is the best response by the nurse?
a "We need to see whether your child has the physical characteristics that go along with the
behaviors of ADHD to correctly diagnose ADHD."
b "The healthcare provider will be able to give you better strategies for helping your child
focus at home and at school."
c "We need to rule out neurological diseases and other health problems in your child that may
affect treatment of ADHD."
d "The physical exam will find out whether your child has other mental health issues, such as
depression, anxiety, learning disorder, or conduct disorder."
c,e
(Rationale
Many adult clients with ADHD have inattentiveness as their primary manifestation and do
not have problems with hyperactivity or impulsivity. Appropriate goals for the client include
achieving maximum work performance potential and completing tasks. The client does not
have impulsivity problems, so remaining free from injury is not a priority. This client has a
strong social network, so the client likely respects boundaries and interacts well with peers
and family, rendering these goals unnecessary.) - answers✔✔The nurse is planning care for
an adult client diagnosed with attention-deficit/hyperactivity disorder (ADHD). The client
has a strong social network and does not display much impulsivity but has problems with
inattentiveness. Which goal is the priority for the nurse to include in the plan of care?
Select all that apply.
a The client will demonstrate age-appropriate social interactions with peers and family.
b The client will remain free of injury.
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c The client will be able to complete tasks.
d The client will respect the boundaries of others.
e The client will achieve work performance to maximum potential.
a,b,d,e
(Rationale
The three required findings for a diagnosis of ADHD are limited attention span, an inability
to stay on an assigned task, and excessive motor activity with the inability to sit still for more
than a few minutes. Clients with ADHD are frequently labeled as poor achievers with
difficulty learning. Conduct disorder would be suspected in a client who deliberately destroys
other people's property.) - answers✔✔A parents group asks the nurse what they would look
for if they suspected their child has attention-deficit/hyperactivity disorder (ADHD). Which
observations would the nurse have the parents report for further assessment?
Select all that apply.
a Having difficulty with learning at school
b Inability to stay on an assigned task to completion
c Deliberately destroys other people's property
d Limited attention span when speaking with parent
e Excessive motor activity
a
(Rationale