A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

Is the child having any other complaints?

Are you crushing the sustained-release tablet?

When does the child take the last dose of medication?

Is the child taking any over-the-counter medications?

Answer and Explanation

The Correct Answer is C

Choice A reason: Other complaints are important but do not directly address the issue of sleep disturbance due to ADHD medication.
Choice B reason: Crushing a sustained-release tablet can release the medication too quickly, but it is not related to the timing of the medication aﬀecting sleep.
Choice C reason: This is the correct choice. The timing of ADHD medication is crucial as stimulants can cause sleep issues if taken too late in the day.
Choice D reason: While over-the-counter medications can aﬀect sleep, the timing of ADHD medication is more likely to be the cause of sleep problems.

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Correct Answer is A

Explanation

Choice A reason: This choice is incorrect as it dismisses the client's feelings and implies a timeline for grief, which can impede communication.

Choice B reason: This choice is appropriate as it oﬀers support and presence, which can facilitate communication.

Choice C reason: This choice is empathetic and acknowledges the client's feelings, promoting communication.

Choice D reason: This choice is open-ended and invites the client to share more, which can enhance communication.

A. "You may want to consider moving to a group home, since you will not be free of the troublesome symptoms." B. "While you may not be completely symptom-free, you should still see an increase in your quality of life by continuing with the treatment plan." C. "Why are you not seeing the value of this treatment plan for recovery?" D. "The medical model of recovery works to eliminate all symptoms. Maybe you should see a medical doctor."

Correct Answer is B

Explanation

Choice A reason: Suggesting a move to a group home based on symptom presence may not be appropriate. Quality of life can be improved in various living situations, and the decision should be individualized.

Choice B reason: This statement is supportive and realistic, acknowledging that while symptoms may persist, quality of life can still improve with ongoing treatment.

Choice C reason: This question could be perceived as confrontational. It's important to discuss the treatment plan's value in a way that is supportive and understanding.

Choice D reason: The medical model aims to reduce symptoms, but it is not always possible to eliminate them entirely. Recovery involves managing symptoms and improving quality of life.

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A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

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