The history of a child newly diagnosed with attention deficit ...

[washai]

The history of a child newly diagnosed with attention deficit hyperactivity disorder reveals that the child is experiencing sleeping difficulties. Which agent would the nurse most likely use?
 
  A) Methylphenidate
  B) Atomoxetine
  C) Bupropion
  D) Clonidine

Question 2

A nurse is counseling a parent whose child has a communication disorder. Which of the following would the nurse emphasize when educating the parent on this disorder?
 
  A) Providing the child with nonverbal activities
  B) Initiating conversations with the child frequently
  C) Stopping the child's conversation if stuttering begins
  D) Asking the physician for medication to improve the child's speech

[jomama]

Answer to Question 1

Ans: B
A sleep history should be taken before medications are prescribed. If problems exist, atomoxetine should be considered before psychostimulants such as methylphenidate. Bupropion is a second-line agent used. Clonidine, an alpha agonist, may be prescribed if symptoms do not improve with atomoxetine, psychostimulants, or second-line agents.

Answer to Question 2

Ans: B
For a child with a communication disorder, interventions focus on fostering social and communication skills and making referrals for specific speech or language therapy. Modeling appropriate communication in spontaneous situations with the child can be a useful intervention for some children. Nonverbal activities or stopping the child if stuttering begins would not foster the development of communication skills. Medication therapy is not used for communication disorders.