The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?

Parent's report about belravior.

Current grade report.

Self-report about treatment progress.

Past grade report.

Answer and Explanation

The Correct Answer is A

A) Parent's report about behavior:
The parent’s report about the adolescent's behavior is crucial for evaluating the effectiveness of methylphenidate in managing ADHD symptoms. Parents observe the child’s behavior in various settings and can provide detailed information on improvements or ongoing challenges with attention, hyperactivity, and impulsivity. This feedback is essential in assessing whether the medication is having the desired effect and if any adjustments are needed.

B) Current grade report:
While academic performance is an important aspect of evaluating the impact of ADHD medication, it is not the sole indicator of effectiveness. Grades can be influenced by multiple factors, including teaching methods, learning environment, and personal circumstances, so they provide only part of the picture.

C) Self-report about treatment progress:
Self-reports from adolescents can offer valuable insights into their own perception of how well the medication is working. However, younger individuals might not always accurately assess or communicate the effects of the medication, especially in the context of ADHD, where self-awareness can be limited.

D) Past grade report:
Past grade reports can provide historical context and help in comparing changes over time. However, they do not provide immediate feedback on the current effectiveness of the medication. Current behaviors and symptoms, as reported by parents, are more directly relevant to assessing the current impact of the medication.

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Correct Answer is C

Explanation

A) Women, Infant, and Children program:
The Women, Infant, and Children (WIC) program provides nutritional assistance to low-income pregnant women, new mothers, and young children. It is not designed for general health insurance needs and is not applicable to a 66-year-old retiring from employment.

B) Consolidated Omnibus Budget Reconciliation Act provisions:
The Consolidated Omnibus Budget Reconciliation Act (COBRA) allows employees and their families to continue their health insurance coverage for a limited period after leaving employment. While COBRA can provide temporary coverage, it may not be the most appropriate long-term solution for a retiree who will likely need ongoing health insurance coverage beyond the COBRA continuation period.

C) Medicare:
Medicare is a federal health insurance program specifically designed for individuals aged 65 and older. Since the client is 66 years old and retiring, Medicare is the most appropriate agency to refer to for health insurance needs. Medicare provides comprehensive health coverage for seniors and is suited to their age group.

D) Medicaid:
Medicaid provides health coverage for low-income individuals and families, including some older adults with limited income and resources. However, for a 66-year-old client who is retiring and is likely eligible for Medicare, Medicaid may not be the primary insurance option unless the client has specific low-income needs that qualify them for additional assistance. Medicare is the primary program for seniors.

A. The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity. B. The Community Health Improvement Process is used for issues in high risk populations. C. The Institute of Medicine includes "access" as one of its priority recommendations. D. The committee for "Healthy People 2030" has identified "access" as a national goal.

Correct Answer is D

Explanation

A) The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity:
While the CDC provides valuable data and insights on various health issues, it may not directly frame "access to health services" as a key reason for addressing the issue in the broader context of health improvement strategies. The focus here is on the broader, more comprehensive goals rather than specific CDC findings.

B) The Community Health Improvement Process is used for issues in high-risk populations:
The Community Health Improvement Process is a method used to address health issues, but this statement does not directly explain why improving access to health services is crucial. It focuses more on the process rather than the rationale behind improving access.

C) The Institute of Medicine includes "access" as one of its priority recommendations:
The Institute of Medicine (now the National Academy of Medicine) has indeed highlighted the importance of access to health services. However, the most compelling reason for emphasizing access is its inclusion in national health goals, which underscores its broad importance.

D) The committee for "Healthy People 2030" has identified "access" as a national goal:
This statement provides the best response because it highlights that improving access to health services is a national health goal outlined in "Healthy People 2030." This demonstrates the significant importance placed on access to health services at a national level and aligns with broader public health objectives, making it a strong justification for addressing the issue in the workshop.

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The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 66-year-old client is retiring and will no longer have health insurance through a place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs?

Correct Answer is C

Explanation

While presenting a workshop titled, "Improving Access to Health Services" to community leaders, the community health nurse is asked by a city council member to explain the reason for addressing this issue. Which statement provides the best response?

Correct Answer is D

Explanation

The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?

A newly hired school nurse conducts a "windshield" survey of the geographic area served by the school, Which method is best for the nurse to use to objectively validate the findings obtained?

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