A nurse is developing a plan of care for a school-age child who has ADHD. Which of the following interventions should the nurse include in the plan?

A. Institute consequences for deliberate behaviors: While consequences can help manage behaviors, focusing on punishment alone is not the most effective approach for ADHD. Positive reinforcement is often more beneficial.
B. Encourage thought stopping techniques: Thought-stopping techniques help children with ADHD manage impulsive behaviors and improve focus. They teach self-regulation by interrupting unwanted thoughts.
C. Administer olanzapine: Olanzapine is an a typical antipsychotic, not a treatment for ADHD. Stimulants like methylphenidate or amphetamines are typically used for ADHD management.
D. Provide a stimulating environment: A stimulating environment can worsen distractions for children with ADHD. A structured, quiet environment helps improve focus and reduces impulsivity.

A. Encourage the client to take naps during the day: While daytime napping may help the client rest, it is unlikely to directly prevent nighttime wandering. It might even interfere with nighttime sleep, potentially increasing wandering behavior.
B. Install locks at the bottom of the exit doors: Installing locks at the bottom of exit doors is an effective safety intervention. It can prevent the client from wandering outside while still allowing caregivers to monitor and assist the client if needed.
C. Place the client's mattress on the floor: Placing the mattress on the floor might prevent injury if the client falls out of bed, but it does not address the core issue of nighttime wandering. Additional measures are needed to manage wandering safely.
D. Place rubber-backed throw rugs on tile floors: Rubber-backed throw rugs can help prevent slipping but do not directly address the issue of wandering. This intervention may be useful for fall prevention but not for preventing the client from wandering at night.