A nurse is teaching the parents of a child who has ADHD about methylphenidate. Which of the following statements should the nurse include in the teaching?
This medication might increase the amount of saliva your child produces.
Administer the medication at bedtime.
Your child might gain weight while taking this medication.
Restrict your child’s intake of caffeine while she is taking this medication.
The Correct Answer is D
The correct answer is d. Restrict your child’s intake of caffeine while she is taking this medication.
Choice A Reason:
This statement is incorrect. Methylphenidate does not typically increase saliva production. In fact, it is more commonly associated with dry mouth as a side effect. Therefore, informing parents that the medication might increase saliva production would be misleading and not based on the known side effects of the drug.
Choice B Reason:
This statement is incorrect. Methylphenidate should generally be administered in the morning or early afternoon to avoid insomnia, as it is a stimulant and can interfere with sleep if taken too late in the day. Administering the medication at bedtime would likely cause sleep disturbances, which is counterproductive for managing ADHD symptoms.
Choice C Reason:
This statement is incorrect. Methylphenidate is more commonly associated with weight loss rather than weight gain. The medication can suppress appetite, leading to reduced food intake and potential weight loss. Therefore, it is important to monitor the child’s weight and nutritional intake while on the medication, but weight gain is not a typical concern.
Choice D Reason:
This statement is correct. Caffeine is a stimulant and can exacerbate the side effects of methylphenidate, such as increased heart rate, jitteriness, and anxiety. Therefore, it is advisable to restrict the child’s intake of caffeine while taking this medication to avoid these potential interactions and side effects. This includes limiting consumption of caffeinated beverages like coffee, tea, and certain sodas.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason: My boyfriend is too passionate for me
This statement indicates that the client is still placing some blame on their boyfriend’s behavior rather than recognizing the assault as a violation of their autonomy and consent. It suggests that the client may not fully understand that the responsibility for the assault lies with the perpetrator, not with their boyfriend’s level of passion. This mindset can hinder the healing process and indicates that the client may still be struggling with self-blame.
Choice B Reason: Next time I won’t wear such a sexy dress
This statement reflects a common misconception that the victim’s clothing or behavior can provoke sexual assault. It indicates that the client is still internalizing blame for the assault, believing that their attire was a contributing factor. This belief can be detrimental to recovery, as it perpetuates the myth that victims are responsible for the actions of their assailants.
Choice C Reason: I know it was not my fault
This statement is a strong indicator of progress in therapy. Recognizing that the assault was not their fault shows that the client is beginning to understand that the responsibility lies solely with the perpetrator. This realization is crucial for healing, as it helps to alleviate feelings of guilt and self-blame, allowing the client to move forward in their recovery.
Choice D Reason: I’ll just go on double dates from now on
This statement suggests that the client is still trying to find ways to prevent future assaults by changing their behavior rather than recognizing that the fault lies with the perpetrator. While taking precautions can be a part of feeling safe, it should not be based on the belief that the client could have prevented the assault by altering their actions.
Correct Answer is D
Explanation
The correct answer is d. Splitting.
Choice A Reason: Denial
Denial is a defense mechanism where an individual refuses to accept reality or facts, blocking external events from awareness. While denial can be present in various mental health conditions, it does not specifically explain the client’s sudden shift from idealizing to devaluing the nurse.
Choice B Reason: Separation-individuation
Separation-individuation refers to a developmental process where an individual differentiates themselves from others, particularly caregivers, and develops a sense of self. This concept is more relevant to early childhood development and does not directly explain the client’s behavior in this context.
Choice C Reason: Reaction formation
Reaction formation is a defense mechanism where an individual expresses feelings or behaviors that are opposite to their true feelings or desires. While this can occur in borderline personality disorder, it does not fully capture the client’s extreme shift in perception from positive to negative.
Choice D Reason: Splitting
Splitting is a hallmark characteristic of borderline personality disorder. It involves viewing people or situations in black-and-white terms, as either all good or all bad, with no middle ground. The client’s outburst, shifting from idealizing the nurse to seeing them as hateful, is a classic example of splitting. This defense mechanism helps individuals with borderline personality disorder manage their intense emotions and fears of abandonment.
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