Question

the nurse is assessing a 6-year-old with attention deficit/hyperactivity disorder (adhd). the nurse observes the boy making repeated clicking noises and notes he has a slight grimace. the nurse recommends the boy receive further evaluation for:

Answer 1

A child with ADHD displaying behaviors such as making clicking noises and grimacing may be showing signs of a comorbid condition like Tourette syndrome, which involves repetitive movements or sounds known as tics. Further evaluation is recommended to diagnose and treat any additional disorders.

Step-by-step explanation:

The nurse is observing a 6-year-old boy with attention deficit hyperactivity disorder (ADHD) and notices he is making repeated clicking noises and has a slight grimace. This behavior may indicate that the child could benefit from further evaluation for a comorbid disorder. ADHD is a neurodevelopmental disorder characterized by the difficulty in maintaining attention, executive functioning difficulties, impulsivity, and hyperactivity. However, comorbidity is common in individuals with ADHD, meaning they may have additional disorders such as obsessive compulsive disorder (OCD), depression, or other mental health conditions.

Considering the observed behaviors of the boy, the nurse recommends further evaluation for Tourette syndrome (TS), a condition that can be associated with ADHD and is characterized by repetitive movements or unwanted sounds (tics) that can't be easily controlled, such as blinking, shrugging, or making clicking noise and facial grimaces.