A nurse is picking up her child from nursery school when the day care teacher says to her, “One of the boys we care for does not seem able to sit still and listen, but is always running around and getting into things.
His parents are not worried. His mother said her brother was the same way when he was a kid. Since you are a nurse, do you have any ideas on how I can calm him down?” Which of the following would be the most appropriate response by the nurse?
a.
“I’m not a pediatric nurse; I really don’t know what to tell you.”
b.
“I’m sorry you’re concerned, but being impulsive and very physically active is quite normal for 3- to 4-year-old children.”
c.
“Tell the parents he has to see the doctor as he’s not doing well in nursery school.”
d.
“Why not suggest that it’s time for him to have a complete assessment and suggest the physician call you for an update on how he is doing in nursery school?”
ESSAYBID ANSWER
ANS: D
The three major characteristics of attention-deficit hyperactivity disorder/attention-deficit disorder (ADHD/ADD) are inattention, hyperactivity, and impulsivity. Although parents may notice symptoms and signs, it is often teachers who recognize the behaviors consistent with ADHD/ADD and suggest referral for assessment and treatment. Suggesting a referral is the most appropriate response for the nurse because of the symptoms that have been reported.
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