41. The school nurse assesses a 10-year-old girl who excessively cleans and categorizes. Her parents report that she has always been orderly, but since her brother died of cancer 6 months ago, her cleaning and categorizing have escalated. Initially, the client accepted the abuse, thinking it was because her father had been laid off, but the abuse continued after he got a job 4 months ago. She fears that her mother will not believe her and her father will reject her if they discover she has revealed the abuse. The nurse should first:
1. Inform the mother in a face-to-face meeting without the girl present. 2. Call the father, confront him, and then call the police to have him arrested. 3. Meet with both parents together. Include the daughter in the meeting so she can speak for herself. 4. Report the alleged abuse to Child Protective Services that day, and then provide for the child's safety.
Billings, Diane M.; Hensel, Desiree (2013-03-01). Lippincott's Q&A Review for NCLEX-RN (Lippincott's Review for Nclex-Rn) (Kindle Locations 44885-44887). Wolters Kluwer Health. Kindle Edition.
45. When collaborating with the health care provider to develop the plan of care for a child diagnosed with attention deficit hyperactivity disorder (ADHD), the treatment plan will likely include which of the following?
1. Antianxiety medications, such as buspirone (BuSpar), and homeschooling. 2. Antidepressant medications, such as imipramine (Tofranil), and family therapy. 3. Anticonvulsant medications, such as carbamazepine (Tegretol), and monthly blood levels. 4. Psychostimulant medications, such as methylphenidate (Ritalin), and behavior modification.
Billings, Diane M.; Hensel, Desiree (2013-03-01). Lippincott's Q&A Review for NCLEX-RN (Lippincott's Review for Nclex-Rn) (Kindle Locations 44907-44912). Wolters Kluwer Health. Kindle Edition.