Bobby is an 8-year-old patient who is to receive Amoxicillin 250 mg every 8 hours. You have 250 mg/5 mL. How many teaspoons will you tell his mother to administer every 8 hours?

Choice A reason: One-to-one observation is the priority after a suicide attempt, as the adolescent’s recent action indicates high risk of recurrence due to serotonin dysregulation and prefrontal cortex deficits. Continuous monitoring prevents self-harm by ensuring immediate intervention, addressing the acute neurobiological risk of impulsivity and suicidal ideation in this critical period.

Choice B reason: Encouraging peer interaction supports long-term mental health but is secondary in an acute post-suicide attempt phase. The adolescent’s serotonin imbalances and heightened impulsivity increase self-harm risk, requiring immediate safety measures over social engagement, which could overwhelm or trigger distress in a neurobiologically vulnerable state.

Choice C reason: Attending a support group aids long-term recovery by fostering social connection and coping skills. However, post-suicide attempt, the adolescent’s acute risk, driven by serotonin dysregulation and prefrontal dysfunction, prioritizes safety. Groups may be premature, as emotional instability could exacerbate distress, making observation the immediate need.

Choice D reason: Administering antidepressants addresses underlying depression but takes weeks to affect serotonin levels. Post-suicide attempt, immediate safety is critical due to ongoing impulsivity and neurobiological instability. Observation prevents harm during this high-risk period, making medication secondary until the acute crisis is stabilized.

Choice A reason: Expecting dementia clients to consistently ask for needed items is incorrect, as short-term memory loss from hippocampal degeneration impairs their ability to articulate needs. Cognitive deterioration disrupts executive function and communication, making this assumption inaccurate and reflecting a misunderstanding of dementia’s neurobiological impact on memory and expression.

Choice B reason: Assuming ambulatory dementia clients can independently perform activities of daily living is incorrect. Dementia’s progressive neuronal loss, particularly in the cortex and hippocampus, impairs planning and execution of tasks like dressing or hygiene, despite physical mobility. This reflects a misunderstanding of cognitive versus motor function in dementia’s pathology.

Choice C reason: Expecting dementia clients to know meal times is incorrect, as temporal disorientation from hippocampal and prefrontal cortex damage impairs memory and time perception. Cognitive deterioration disrupts routine recall, making this assumption inaccurate. It fails to recognize the neurobiological basis of memory deficits central to dementia’s progression.

Choice D reason: Not recognizing family is a common dementia symptom, as long-term memory impairment from cortical and hippocampal neurodegeneration disrupts autobiographical memory. This reflects accurate understanding of dementia’s progressive impact on memory systems, where familiar faces become unrecognizable, aligning with the disease’s neurobiological effects on recognition and recall.