Question

For each assessment finding, click to specify if the finding is consistent with attention deficit hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than 1 disease process.

Assessment Findings
Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
A nurse is caring for a school-age child.
Nurses' Notes
First visit:
A child is brought to the clinic accompanied by guardians. The guardians have received feedback from the child's teacher that the child has become disinterested in schoolwork and has difficulty paying attention during class. The child often loses their school supplies.
The guardians report that the child demonstrates these behaviors at home as well. The child refuses to participate in household chores, keeps their room untidy, does not clean up when told to, and is generally careless and disinterested.
On assessing, the child is found to be talkative, restless, and easily distracted.
2 weeks later:
The child's guardians report that the child seems to be doing better at school. The child is improving at paying attention during class and completing assignments on time.
Vital Signs
First visit:
Blood pressure 94/56 mm Hg
Heart rate 90/min
Respiratory rate 24/min
Temperature 37.2° C (99° F)
SaO2 99% on room air
2 weeks later:
Blood pressure 98/60 mm Hg
Heart rate 88/min
Respiratory rate 22/min
Temperature 37° C (98.6° F)
SaO2 99% on room air
Provider Prescriptions
Atomoxetine 10 mg PO daily with breakfast for 5 days, then increase dose to 18 mg PO daily with breakfast

Answer 1

The assessment findings mentioned in the question are consistent with attention deficit hyperactivity disorder (ADHD). The symptoms described align with the characteristics of ADHD, such as impulsivity, inattention, and hyperreactivity to sensory input. The progress noted suggests improvement with the prescribed medication.

Step-by-step explanation:

The assessment findings mentioned in the question are consistent with attention deficit hyperactivity disorder (ADHD). Here's how each finding aligns with ADHD:

1. Intellectual impairment: This could be a result of difficulties with executive functioning, a common symptom of ADHD.
2. Interrupting others: Impulsivity is a characteristic of ADHD, which can cause a person to interrupt or speak out of turn.
3. Impaired language skills: Difficulty with language skills, such as trouble with proper articulation or difficulty finding words, can be associated with ADHD.
4. Hyperreactivity to sensory input: ADHD can lead to hypersensitivity or overreacting to sensory stimuli.
5. Losing necessary things: Poor organization and forgetfulness are common symptoms of ADHD, leading to an increased likelihood of losing things.

Based on the progress noted, the symptoms described seem to improve with the prescribed medication, Atomoxetine. It's important to note that accurate diagnosis and treatment should be done by a healthcare professional.