HESI RN Case Studies-Attention Deficit Hyperactivity Disorder (ADHD)

What information is important for the rn to obtain about Joe’s accidents
-explanation of previous accidents
-precipitating events to the accidents
-what joe means by the word “accident”
-has joe intentionally tried to harm himself
What are hallmark characteristics of ADHD?
-pattern of impulsiveness
-interruptive and intrusive in peer relationships
The nurse recognizes which statement by joe supports his diagnosis of adhd?
“i get bored easily”
how should the nurse respond to joe’s statement?
acknowledge the client’s frustrution
the nurse recognizes which statement by joe supports his previous diagnosis of adhd?
“I quickly break up with lot of girlfriend”

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Which activities should the nurse recognize as having a high priority in a safety assessment for joe?
-history of motor wehicle violations
-recreational activities
-sexual activity
-drug and alcohol use
Which issue should the nurse assign the highest priority in joe’s problem list?
at risk for injury
which nursing interventions should the rn implement to meet joe’s biopsychosocial needs?
-printed handouts
-internet resources
how should the nurse respond to joe’s statement?
“treatment involves more than taking medication”
what are important biological parameters for the nurse to assess after a client has started taking…
-painful and prolonged erection
-blood pressure and heart rate
-numbness in fingers and toes
-weight
given joe’s inattentiveness and short attention span, what is the most important…
interventions should be time-limited
which nursing diagnosis should the nurse address when planning for joe’s care?
impaired social interaction related to poor communication
what information should the nurse include in the teaching plan?
-abuse of methylphenidate (concerta) may lead to dependence
-methylphenidate (concerta) is a controlled substance
how should the nurse respond to joe’s question
unknown
joe asks the nurse when he should take his medication. how should the nurse respond?
in the morning
how should the nurse respond to the mother’s statement?
“the person taking the medication has to be responsible for taking it correctly”
how should the nurse respond?
“stimulants are the gold standard for treating adhd”
which problem has priority for the nurse when helping joe…
intrusiveness
after observing joe exhibit behaviors that indicate has self-esteem may have suffered as a result of his adhd, which…
-encourage the client to list three of his positives attributes
-practice attentive listening when joe is talking
the nurse can measure improvement in joe’s social skills by which statement?
“i have had the same girlfriend for 6 months now”
when assessing joe for improvement in his self-esteem, what…
“tell me about the things that have improved this semester”
how should the nurse respond to joe’s comment?
‘what changes are of concern to you?”
what is the first behavior the nurse should ask about when assessing joe’s sleep problem?
medication schedule
how should the nurse respond to joe’s question?
“psychotherapy that focuses on adhd may help eliminate medication”
what should the nurse assess at joe’s follow up visit?
-nutritional status
-mood/anxiety disorders
-coping mechanisms
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