BHU NO - 2015
Mental Health Nursing
Easy
The most effective psychotherapy for a 9 year old child diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) is?
Appeared in: BHU NO - 2015
Explanation
- Behavior therapy is the most recommended and evidence-based psychosocial treatment for school-aged children with ADHD.
- It focuses on modifying the child's physical and social environment to help them learn new, more appropriate behaviors and improve self-regulation.
- Key strategies include positive reinforcement for desired behaviors, clear rules, structured routines, and consistent consequences for negative behaviors.
- Parent training in behavior management is a critical component, empowering caregivers to effectively manage the child's behavior at home.
Why Other Options Were Wrong
- Option A: Play therapy is generally unstructured and focuses on emotional expression, which does not directly address the core neurodevelopmental symptoms of ADHD like inattention and impulsivity.
- Option B: Milieu therapy involves structuring the entire living environment, typically in an inpatient or residential setting. It is not a specific, targeted outpatient therapy for a child with ADHD living at home.
- Option D: While helpful for addressing family stress and communication problems that arise from ADHD, family therapy does not directly target the child's core behavioral and attentional deficits.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Psychosocial interventions for Attention Deficit Hyperactivity Disorder (ADHD) in children as background academic context rather than a clinical decision trigger.
- Nurses play a crucial role in educating parents and teachers about implementing behavioral strategies, helping to set up reward systems (like token economies), and monitoring the child's progress.
- A key nursing intervention is to emphasize the importance of consistency in applying behavioral techniques across all settings (home, school, community) to achieve the best outcomes.
- Behavioral interventions are recommended as adjuncts to medication in school-aged children and can sometimes reduce the dose of medication needed.
How to Approach the Question
- First, identify the key elements of the question: the patient's age (9 years old), the diagnosis (ADHD), and the task (find the 'most effective' psychotherapy).
- Recognize that ADHD is a neurodevelopmental disorder with core symptoms of inattention, hyperactivity, and impulsivity. The most effective therapy will directly target these behaviors.
- Evaluate each option's primary focus. Behavior therapy focuses on changing behavior, play therapy on emotions, milieu therapy on the total environment, and family therapy on family dynamics.
- Compare the focus of each therapy to the core problem of ADHD. Behavior therapy's goal of modifying specific behaviors through reinforcement and structure directly aligns with managing ADHD symptoms.
- Recall or deduce from clinical knowledge that evidence-based guidelines for school-aged children with ADHD strongly recommend behavioral interventions as a first-line or adjunctive treatment.
- Conclude that behavior therapy is the most direct and evidence-supported choice among the options provided.
Concept Tested & Keywords
- Concept Tested: Psychosocial interventions for Attention Deficit Hyperactivity Disorder (ADHD) in children.
- Stem keywords: psychotherapy, 9 year old child, Attention Deficit Hyperactivity Disorder, ADHD
- Lead-in keywords: most effective
- Clinical cues: Age: 9 year old child (school-aged)
- Clinical cues: Diagnosis: ADHD
Question ID
QMtoNzZvHyLeQyaBOGUp1r
Reference Book
E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 274-276
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 441-443
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 12131-12133
Practise the full BHU NO - 2015
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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