When a 5-year-old diagnosed with attention deficit hyperactivity disorder (ADHD) bounces out of a chair and slaps another child, what is true about forming therapeutic relationships with children who exhibit impulsive behavior?

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Question 1 of 5

When a 5-year-old diagnosed with attention deficit hyperactivity disorder (ADHD) bounces out of a chair and slaps another child, what is true about forming therapeutic relationships with children who exhibit impulsive behavior?

Correct Answer: C

Rationale: Acceptance and trust (C) are foundational in therapeutic relationships, providing security to impulsive children, fostering cooperation. (A) is partial, (B) is beneficial but less core, and (D) is ideal but not the primary principle here.

Question 2 of 5

When a 5-year-old is disruptive, the nurse says, 'You must take a time-out.' The expectation is that the child will:

Correct Answer: C

Rationale: A time-out expects the child to pause and regain self-control (C), a standard behavior management technique. (A) is too long, (B) too specific, and (D) impractical.

Question 3 of 5

The nurse is caring for an autistic child who has been hospitalized. The child rocks continuously, but the rocking does not seem to present any risk to the child's safety. The nurse should take which action?

Correct Answer: B

Rationale: If rocking is safe and self-soothing, as common in autism, allowing it (B) respects the child’s coping mechanism. Holding (A) or time out (C) may escalate distress, and distraction (D) may not address the underlying need.

Question 4 of 5

The nurse is providing community education about autism to a group of parents. The nurse concludes that teaching has been effective if the parents describe which of the following as common behavioral signs of autism?

Correct Answer: A

Rationale: Indifference to physical affection (A) is a common autism sign, reflecting social interaction deficits. Imaginative play (B) and language (C) are often delayed, and clinginess (D) is more typical of anxiety.

Question 5 of 5

The nurse is conducting an in-service education session about the relationship between anxiety and bulimia nervosa. The nurse best describes the relationship by saying, 'When the client has bulimia nervosa, an increase in the anxiety level will generally result in:'

Correct Answer: C

Rationale: In bulimia nervosa, anxiety often triggers binging and purging (C) as a maladaptive coping mechanism. Control (A) aligns with anorexia, overeating (B) lacks purging, and high-risk behaviors (D) are less specific.

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