A nurse is assessing a child who is suspected of having attention deficit hyperactivity disorder. Which of the following would the nurse identify as reflecting impulsiveness in the child?

Correct Answer: D

Rationale: The correct answer is D: Risk-taking behavior. Impulsiveness is a key characteristic of ADHD, and risk-taking behavior is a clear manifestation of impulsiveness in children with ADHD. Children displaying risk-taking behavior often act without considering consequences or engaging in dangerous activities. In contrast, choices A, B, and C are more indicative of hyperactivity and inattention rather than impulsiveness. Inability to wait his turn (A) is related to impulse control, restlessness (B) is associated with hyperactivity, and difficulty completing a task (C) is linked to inattention. Therefore, choice D is the most appropriate reflection of impulsiveness in a child with ADHD.

Correct Answer: C

Rationale: The correct answer is C: a combination of behavior therapy training that includes the child, the family, and the school. This is the most appropriate response because multisystemic treatment is a comprehensive approach involving various aspects of the adolescent's life. It targets behavior through therapy and involves not only the child but also the family and school to address underlying issues and promote positive change. Incorrect options: A: Immediate assessment for oppositional defiant disorder - This option focuses solely on a diagnosis and does not address the holistic approach of multisystemic treatment. B: Very upsetting, but just typical for teenagers - This option dismisses the seriousness of the situation and does not provide a constructive solution. D: A course of prescription medication - This option suggests a medical intervention, which is not typically the first-line approach for managing behavioral issues in adolescents.

Correct Answer: B

Rationale: The correct answer is B because "falling out" is a culture-specific syndrome known as "ataque de nervios" commonly found in Latin American cultures. This syndrome is characterized by sudden collapse, uncontrollable crying, trembling, and loss of vision despite the eyes being open. The other choices describe different culture-specific syndromes but do not match the specific symptoms associated with "falling out." Choice A describes a syndrome induced by witches, Choice C describes illness caused by hexing and witchcraft, and Choice D describes illness caused by a fixed stare, none of which align with the symptoms of "falling out."

Correct Answer: C

Rationale: The adult's statements indicate feelings of inadequacy and lack of confidence, which align with Erikson's stage of Autonomy versus shame and doubt. In this stage, individuals develop a sense of independence and self-assurance. The adult's expressions of self-doubt and disempowerment suggest an unresolved conflict from this stage. A: Initiative versus guilt - This stage pertains to developing a sense of purpose and direction in actions, not relevant to the adult's statements. B: Trust versus mistrust - This stage focuses on building trust in relationships, not directly related to the adult's self-perception issues. D: Generativity versus self-absorption - This stage involves contributing to society and future generations, not reflective of the adult's self-depreciating thoughts.

Correct Answer: A

Rationale: The correct answer is A: physical, emotional, and spiritual well-being. A holistic approach to health considers the individual as a whole being, addressing not just physical health but also emotional and spiritual well-being. This approach recognizes the interconnectedness of these aspects in promoting overall health and wellness. Emotional and sexual contact (B) is too narrow and does not encompass the full spectrum of holistic care. Healthy work environment (C) is important but does not cover all aspects of holistic well-being. Financial success and postsecondary education (D) are important but are not directly related to a holistic approach to health.