Chapter Study Guide
MULTIPLE CHOICE QUESTIONS
Select the best answer for each.
1. A child is taking pemoline (Cylert) for ADHD. The nurse must be
aware of which side effect?
a. Decreased thyroid-stimulating hormone
b. Decreased red blood cell count
c. Elevated white blood cell count
d. Elevated liver function tests
2. Teaching for methylphenidate (Ritalin) should include which
information?
a. Give the medication after meals.
b. Give the medication when the child becomes overactive.
c. Increase the child’s fluid intake when he or she is taking the
medication.
d. Check the child’s temperature daily.
3. The nurse would expect to see all the following symptoms in a child
with ADHD, except
a. distractibility and forgetfulness.
b. excessive running, climbing, and fidgeting.
c. moody, sullen, and pouting behavior.
d. interrupting others and inability to take turns.
4. The nurse is teaching a 12-year-old with intellectual disability about
medications. Which intervention is essential?
a. Speak slowly and distinctly.
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b. Teach the information to the parents only.
c. Use pictures rather than printed words.
d. Validate client understanding of teaching.
5. Which is used to treat enuresis?
a. Imipramine (Tofranil)
b. Methylphenidate (Ritalin)
c. Olanzapine (Zyprexa)
d. Risperidone (Risperdal)
6. The nurse is assessing an adult client with ADHD. The nurse expects
which to be present?
a. Difficulty remembering appointments
b. Falling asleep at work
c. Problems getting started on a project
d. Lack of motivation to do tasks
7. The nurse recognizes which as a common behavioral sign of autism?
a. Clinging behavior toward parents
b. Creative imaginative play with peers
c. Early language development
d. Indifference to being hugged or held
MULTIPLE RESPONSE QUESTIONS
Select all that apply.
1. A 7-year-old child with ADHD is taking clonidine (Kapvay). Common
side effects include
a. appetite suppression.
b. dizziness.
c. dry mouth.
d. hypotension.
e. insomnia.
f. nausea.
2. A teaching plan for the parents of a child with ADHD should include
a. allowing as much time as needed to complete any task.
b. allowing the child to decide when to do homework.
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c.
d.
e.
f.
giving instructions in short simple steps.
keeping track of positive comments that the child is given.
providing a reward system for completion of daily tasks.
spending time at the end of the day reviewing the child’s behavior.
CLINICAL EXAMPLE
Dixie, 7 years old, has been brought by her parents to the mental health
center because she has been very rough with her 18-month-old brother.
She cannot sit still at school or at meals and is beginning to fall behind
academically in the first grade. Her parents report that they have “tried
everything,” but Dixie did not listen to them. She cannot follow directions,
pick up toys, or get ready for school on time.
After a thorough examination of Dixie and a lengthy interview with the
parents, the psychiatrist diagnoses ADHD and prescribes methylphenidate
(Ritalin), 10 mg in the morning, 5 mg at noon, and 5 mg in the afternoon.
The nurse meets with the parents to provide teaching and answer questions
before they go home.
1. What teaching will the nurse include about methylphenidate?
W
stimulant
Hyperactivity , given after meals daytime
2. What information will the nurse provide about ADHD?
,
unknown
,
etiology
,
meds
help
control
symptoms
3. What suggestions for managing the home environment might be
helpful for the parents?
4.
step-by-step instructions quiet place
gently
play
What referrals can the nurse make for Dixie and her parents?
teach her to
,
Dixies teacher
principal
,
for
,
guidance
should
counselour
know
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homework