NURSING 432 FA Davis Dickerson. Answers and Rationale - Coppin State University.Your responses and feedback are displayed below. For more information
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1.
Do you find yourself constantly “on the go” or talking all the time?
Rationale Relevancy
Your
Answer
Being “on the go,” constantly in motion, and talking all the
time are key indicators of the hyperactivity component of
ADHD. Collin has denied these symptoms, substantiating that
he primarily has concerns with maintaining attention and
focus. Irrelevant Irrelevant
Client’s Mother: Collin has always been very active. We used to call him our “perpetual
motion machine.” He just has a lot of energy.
Client: I don’t like to sit around and be bored. I like to do things.
2.
When did you begin experiencing difficulty?
Rationale Relevancy
Your
Answer
ADHD symptoms must have lasted for at least 6 months;
therefore, the provider must establish the correct timeline
for the onset or first realization of symptoms. Relevant Relevant
Client’s Mother: Collin has always been very active and an “in your face” kind of kid.
However, the last year has become increasingly difficult.
Client: The teacher always picks on me.
3.
Is it hard for you to get organized to do your homework, such as making sure you have all of
your books and the supplies needed to do the work?
Rationale
Relevanc
y
Your
Answer
Establishing whether the client can organize himself to do work
is important as this is a supportive diagnostic criterion of ADHD.
Individuals with ADHD often appear not to be listening even
when they are spoken to directly. This is another supportive
diagnostic criterion to establish a diagnosis of ADHD. Relevant Relevant
Client: (Initially, does not hear the question, so it has to be repeated.) Ask my mom. I
never have everything I need. I’ll have the pencils and paper and forget the textbook at
school. Or, I’ll have the textbook and forget the assignment sheets that the teacher gave
me. Or, I’ll lose the assignment sheet or the book and can’t remember what I did with
them. It’s like I’m too dumb to keep up with anything. My school binder and notebooks are
disorganized. I have papers falling out and often cannot find important notes or
assignments.
4.
Do you find that teachers or your parents easily annoy you?
Rationale Relevancy
Your
Answer
Disobedient and hostile behavior toward authority figures
is associated with oppositional defiant disorder, not
ADHD. Irrelevant Irrelevant
Client: No, I seem to annoy them though.
5.
What have you been told about Collin’s diagnosis?
Rationale Relevancy
Your
Answer
Assessing the client/family knowledge level is important
in order to provide appropriate client teaching. Relevant Relevant
Client’s Mother: They told us that Collin has ADHD. I have read a little about it but I am
not sure about the diet that he should be on.
Client: Maybe I should just try harder to listen and sit still.
6.
Do you find that even when you do your homework you are making mistakes that you later
consider to be careless or silly errors?
Rationale
Relevanc
y
Your
Answer
Individuals with ADHD often admit to making careless mistakes
when performing schoolwork or chores. These mistakes later
might seem very obvious to the individual, but at the time they
were required to focus on the task at hand they were unable to
concentrate effectively to perform accurately. Relevant Relevant
Client: Yes, I study my spelling words, but when we have the test, I just make dumb
mistakes.
7.
Do you have feelings that drive you to run away from home, skip school, or not come home
at night when your parents are expecting you?
Rationale Relevancy
Your
Answer
Staying out at night without permission, running away from
home, and truancy from school are behaviors associated
with conduct disorder, not with ADHD. [Show Less]