A physician orders mixed amphetamine salts (Adderall) for a child diagnosed with attention deficit-hyperactivity disorder (ADHD). Which information about this medication should the nurse provide to the parents?

A. Strattera will be a life-long intervention for clients diagnosed with this disorder: Atomoxetine may be used long-term, but treatment duration varies based on symptom control and individual response. It is not automatically a life-long intervention for all clients.

B. Strattera, unlike methylphenidate (Ritalin), is a selective norepinephrine reuptake inhibitor: Atomoxetine works by selectively inhibiting the reuptake of norepinephrine, improving attention and reducing hyperactivity and impulsivity. This mechanism differs from stimulant medications like methylphenidate, which increase dopamine and norepinephrine activity in the central nervous system.

C. When taking Strattera, a client should not be taking Ritalin or any other stimulant: While caution is advised when combining medications, atomoxetine can be used under medical supervision with other agents if clinically indicated. Absolute avoidance is not universally required.

D. Strattera, unlike methylphenidate (Ritalin), is a central nervous system depressant: Atomoxetine is not a CNS depressant; it is a non-stimulant ADHD medication that increases norepinephrine levels. It does not have sedative or depressant effects on the central nervous system.

A. The client will verbalize positive statements about healthy weight and body image: Verbalizing positive self-perception and realistic body image directly addresses the cognitive and emotional aspects of altered body image. It reflects progress toward acceptance and improved self-esteem.

B. The client will not express a preoccupation with food: Reducing food preoccupation relates to eating behaviors rather than directly addressing distorted body image. While important, it does not measure the client’s perception of self.

C. The client will cease strenuous exercise programs: Limiting excessive exercise addresses compensatory behaviors but does not target the client’s distorted body image. Exercise modification supports safety and weight restoration but is not a cognitive outcome.

D. The client will consume adequate calories to sustain normal weight: Adequate caloric intake focuses on physical health and weight restoration, which supports treatment, but it does not directly evaluate the client’s perception or acceptance of body image.