NU 681 Final Exam Questions and Complete Solutions
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Course
NUR 681
Institution
NUR 681
Clinical manifestations that fall under the "Abnormal social play, solitary play, and no friendships" category No eye contact. • No social smile. • Regression in language or social skills. • Repetitive body movements. • Ritualistic behaviors; need for sameness. • Preoccupation with an obj...
NU 681 Final Exam Questions and
Complete Solutions
Clinical manifestations that fall under the "Abnormal social play, solitary play, and no
friendships" category ✅No eye contact.
• No social smile.
• Regression in language or social skills.
• Repetitive body movements.
• Ritualistic behaviors; need for sameness.
• Preoccupation with an object.
• Tantrums when ritual is disrupted.
• Rocking behaviors.
early intervention services ✅Speech therapy, occupational and physical therapy,
behavior modification strategies.
physical side effects in children who use medication to treat and manage ADHD
✅Decreased appetite, weight loss.
Insomnia.
Tachycardia.
Increased blood pressure.
Nervousness.
Headache.
Dizziness.
Irritability.
Rebound moodiness.
Leukopenia/anemia.
Skin rash.
Abnormal liver function tests.
Exacerbations of tics and Tourette's syndrome.
NP in managing a child with ADHD ✅Office assessment identifying parental concerns
and child's behavior patterns.
• Establish rapport with psychiatrist or psychologist to identify treatment plan.
• Include parents, child, and school personnel in the treatment plan.
• Monitor effects of stimulant medication to ensure desired treatment plan
outcomes.
• Follow-up should include biannual physical examinations and appropriate
laboratory studies, including hemoglobin because anemia is a side effect.
• Emotional support measures for child and parents.
• Monitor weight, height, and BMI every 3 months. School nurses can assist
between the regularly scheduled 6-month office visits. Stimulant therapy may
cause weight loss. Gains in height may be slowed.
, comorbidities of ODD and conduct disorder display in those children suspected to have
or are diagnosed with ADHD ✅-Negative, hostile, defiant behaviors lasting at least 6
months (oppositional defiant disorder [ODD]).
-Violation of home/school rules (conduct disorder).
learning disabilities can manifest as comorbidities as those with ADHD ✅Impairing
levels of inattention, disorganization, and hyperactivity-impulsivity. Inattention and
disorganization refers to the inability of the child to stay on task, appearing not to listen,
and losing materials, while hyperactivity-impulsivity refers to overactivity, fidgeting,
inability to remain seated, intruding into other individuals' activities, and the inability to
wait
nonpharmacologic treatments - lifestyle and behavioral interventions, specifically - can a
clinician instruct patients with migraines to consider incorporating into their daily
routines ✅a. Relaxation techniques, biofeedback, stress management.
b. Rest; quiet, dark room; applying ice packs to forehead or neck.
c. Lifestyle/behavioral interventions.
• Maintaining routine sleep pattern with adequate sleep hours.
• Regular routines, meal, exercise, school attendance.
• Staying hydrated.
• Avoidance/discontinuation of caffeine.
• Avoidance/discontinuation of overuse of abortive medications.
• Stress reduction.
history would a clinician obtain when attempting to diagnose a patient with migraines
✅a. Description of current and previous headaches, when started.
b. Headache frequency, duration, associated symptoms.
c. What medications have been taken and are currently being taken.
d. Family and medical history.
e. Pain location, quality, and severity: How disabling?
f. Social history: Psychological symptoms.
g. Precipitating factors.
ways to help calm a crying baby? ✅Check to see if your baby's diaper needs
changing.
Swaddle your baby in a large, thin blanket (ask your nurse or child's doctor to show you
how to do it correctly) to help her feel secure.
Feed your baby slowly, stopping to burp often.
Offer your baby a pacifier.
Hold your baby against bare skin, like on your chest, or cheek-to-cheek.
Rock your baby using slow, rhythmic movements.
Sing to your baby or play soft, soothing music.
Take your baby for a walk in a stroller.
Go for a ride with your baby in the car (remember to always use a car seat)
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