It is important to note that the specific manifestations of ADHD can vary among individuals, and not all clients will exhibit the same symptoms to the same degree. A comprehensive assessment is necessary to evaluate the client's specific challenges and develop an appropriate plan of care. When assessing an adolescent client with attention deficit hyperactivity disorder (ADHD), the nurse should expect the following findings:
Inattention: The client may have difficulty paying attention to details, sustaining attention during tasks or activities, listening attentively, following instructions, organizing tasks, and often seems forgetful or easily distracted.
Hyperactivity: The client may display excessive motor activity, such as fidgeting, squirming, or restlessness. They may have difficulty staying seated, constantly be on the move, and have a tendency to interrupt or intrude on others.
Impulsivity: The client may have difficulty controlling impulses, such as blurting out answers before a question is complete, interrupting others during conversations or activities, and having difficulty waiting for their turn.
Poor academic performance: The client may experience difficulties in academic settings, including poor concentration, inconsistent or incomplete work, and problems with organization and time management.
Behavioral challenges: The client may exhibit disruptive or impulsive behaviors, such as difficulty following rules, being oppositional, and engaging in risky behaviors.
Social difficulties: The client may struggle with social interactions, experiencing challenges in making and maintaining friendships, difficulty taking turns or sharing, and problems with self-regulation in social settings.
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