Cues

Subjective
He is easily
distracted. He is
unable to sustain
attention to complete
the task.
Sometimes he is
physically overactive
and engages in
dangerous activities
without even
considering the
consequences.
Objective
very active
do not listen/ attend to
the instructions
given
talks excessively
fidgets with hands and
feet
blurts out answers
before questions
have been
completed

Nursing
Diagnosis
Impaired social
interaction
related to
intrusive and
immature
behavior as
evidenced by
easy
distractibility,
limited attention
span, reports of
hyperactivity,
decreased
attention on
instructions,
excessive talks
and answers
before questions
have been
completed.

Outcome Criteria

Nursing Intervention

After 1 month of
nursing
intervention, the
client will be able
to improve social
interaction as
evidenced by:
Identification of
barriers that
impair social
interaction;

Demonstrate
and report
improved
attention span
and increase
ability to
improve tasks.
Peers report of
focused and
positive
interaction with
peers and other
members of
work group.

Independent
Develop trusting
relationship and
convey acceptance
separate from the
unacceptable behavior.
Assist client to
decrease stimulation
and distraction by a
altering environment to
reduce distraction

Involve the child in a

music-based program,
if available. rationale:

Rationale
Unconditional
acceptance
increases feelings
of self- worth.
Decrease in
environmental
distractive stimuli
will decrease
clients
distractibility and
increase
attention span.
There is a direct
correlation
between the
musical portion of
the brain and the
language area,
and the use of
this program may
result in better
communication
skills

Dependent
Administer the following medication as
ordered:
Collaborative
Collaborate with
A psychologist
psychologist.
understands how
the mind works,

Consult a psychiatrist.

Setting up a meeting
with the classroom
teacher.

Advise the mother to

cooperate and help
with the interventions
done to the child.

but cannot
prescribe
medications.
Thus, he or she
will have the
authority to refer
the patient to
either a medical
doctor or a
psychiatrist.
Psychiatrists have
the ability to
prescribe
medication or
other treatment
appropriate for
the child.
To discuss how
you can work
together to
support your
child continue
to meet on a
regular basis to
discuss updates
and progress.
A cooperating
mother will help
the condition less
challenging to
handle.