A nurse is caring for a child who is taking methylphenidate. the nurse should monitor

A child with ADHD may be treated with CNS stimulants such as amphetamine mixtures or methylphenidate.

Monitor the growth of any child on CNS stimulants, provide medication with or after meals, and educate families to administer these medications in the morning to avoid insomnia.

To learn more, see our full article about ADHD medications.

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- Inability to communicate with others
- Feelings of absence of self-worth
- Lack of motivation to perform daily tasks
- Command hallucinations *
42. A nurse in an ER is caring for a female adolescent who has a diagnosis of bulimia nervosa and had a fainting episode during a ballet performance. Which of the following statements by the parent acknowledges the client’s diagnosis?
- She works so hard at ballet. Will she be able to perform?
- She won’t let me take the trash from her room. I’m concerned about what she has in there *
- She told me she was tired, so I did her chores for her today
- She is happier with her appearance now that she’s lost some weight
43. A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse should identify that which of the following treatment options can offer interdisciplinary services for the client at home?
- Community mental health center
- Mental health day program
- Partial hospitalization program
- Assertive community treatment *
44. A school nurse is assessing a school age child who experienced the traumatic loss of a parent 8 mo ago. Which of the following findings should the nurse identify as an indication that the child is experiencing PTSD?
- Clinging behaviors directed toward a teaching
- Increased time spent sleeping
- Intense focus on school work
- Lack of interest in an upcoming holiday *
45. A nurse is counseling an adolescent who has anorexia nervosa and reports excessive laxative use and a fear or gaining weight. The client states, “I’m so fat I can’t even stand to look at myself.” Which of the following therapeutic response demonstrates the nurse’s use of summarizing?
- You’ve discussed several concerns about your weight. Let’s go back and talk about your belief that you are fat
- You’re saying that you think you are fat and are using laxatives because you are afraid of gaining weight *
- You don’t want to look at yourself because you think you are fat
- You and I can work together to overcome your fears of gaining weight 
46. A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan of care?
- Encourage the client to participate in group therapy
- Instruct the client to avoid napping during the day
- Offer the client high-calorie finger foods frequently
- Decrease the client’s daily fiber intake 
47. A nurse is planning care for a client who has generalized anxiety disorder. At which of following levels of anxiety should the nurse plan to teach the client relaxation techniques?
- Panic
- Moderate 
- Severe
- Mild 
48. A nurse is admitting a client who has major depressive disorder and a new prescription for tranylcypromine. Which of the following OTC meds that the client reports taking should alert the nurse to potential adverse reaction?
- Lansoprazole
- Naproxen
- Magnesium hydroxide
- Phenylephrine *
49. A nurse in an ER is caring for four clients. Which of the following clients is the nurse required to report as potential victim of abuse?
- School age child who has bruises on the knees
- Older adult client who is bedbound and had stage IV pressure ulcer *
- An adolescent who has vaginal candida infection
- Young adult who is pregnant and has a sprained ankle 
50. A charge nurse on a mental health unit is discussing client rights with a newly licensed nurse. Which of the following statements should the charge nurse make?
- Clients can’t refuse to take meds if they are admitted involuntarily
- You can notify a client’s family if they are admitted involuntarily
- Clients who are admitted involuntarily maintain the right to give informed consent for procedures *
- You can remove a client’s privileges if they are admitted involuntarily and refuse to attend therapy sessions 
51. A nurse is assisting a client who has terminal illness adjust to progressive loss of independence. Which of the following statements by the client indicates acceptance of her illness?
- I am going to order a wheelchair for when I’m unable to walk *
- I am going to stop paying my bills since I won’t be around much longer
- I wish you would go take care of somebody who actually needs you
- I am sure I’m going to be able to continue to care for myself without help 
52. A nurse is discussing a 12 step program with a client who has alcohol use disorder and is in an acute care facility undergoing detoxification. Which of the following information should the nurse include in the teaching?
- The program will help the client accept responsibility for the disorder 
- The client should obtain a sponsor before discharge for an increased chance of recovery *
- The client will need to identify individuals who have contributed to the disorder
- The program will need a prescription from the client’s provider prior to attendance
53. A nurse is education the parent of a child who has a new diagnosis of autism spectrum disorder. Which of the following manifestations of this disorder should the nurse include in the teaching?
- Fear of abandonment
- Motor and verbal tics
- Hostile behavior
- Language delay *
54. A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statements should the nurse make?
- It appears as though you would like to open the door *
- You will feel more comfortable after you’ve been here for a while
- It is okay to not want to be here
- You really shouldn’t be pushing on the door 
55. A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm others on the unit. Which of the following interventions should the nurse include in the plan?
- Document the client’s behavior Q8H
- Limit the client’s fluid intake to 50 mL/Hr
- Renew the prescription for the client Q4H *
- Toilet the client 4H
56. A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for which of the following findings as an adverse effect of methylphenidate?
- weight gain
- tinnitus
- Tachycardia *
- Increased salivation 
57. A nurse is planning discharge teaching with a family member of a client who has a new diagnosis of depression. Which of the following information relapse should the nurse include?
- Additional acute episodes of depression are unlikely following inpatient care
- Early identification of changes such as decreased social involvement is important *
- Medication compliance will prevent further need for inpatient hospitalization
- It is helpful to regularly reinforce to the client that things will get better 
58. A nurse is reviewing the medication administration record for a client who is experiencing adverse effects of chlorpromazine. The nurse should administer benztropine to relieve which of the following adverse effects?
- Blurred vision
- Orthostatic hypotension
- Dry mouth
- Acute dystonia *
59. A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse except?
- Sedation
- Rhinorrhea *
- Bradycardia
- Hypothermia 	
60. A nurse is assessing a family’s dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issue?
- An adolescent family member who questions parental authority 
- A family with three generations in the same household
- Older children who are responsible for their younger siblings *
- Two adults and their children from prior relationships in the same household

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