The parents of a child with ADHD bring the child for a follow-up visit. During the visit, they tell the nurse that the child receives his first dose of methylphenidate (Ritalin) at about 7:30 AM every morning before leaving for school.
The teacher and school nurse have noticed a return in the child's overactivity and distractibility just before lunch. The child's second dose is scheduled for about 12 noon. Which of the following might the nurse suggest as a possible solution to control the child's symptoms a bit more effectively?
A) Giving the second dose at 1 PM or later.
B) Switching to a longer acting preparation.
C) Splitting the early morning dose in half.
D) Switching to another class of medication.
Question 2
A client who has a major depressive episode tells the nurse that for the past 2 weeks, he has been hearing voices and at times thinks that someone is following him.
History reveals that he had these alternating symptoms before along with times when he has experienced neither of these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which of the following?
A) Paranoid schizophrenia
B) Undifferentiated schizophrenia
C) Brief psychotic disorder
D) Schizoaffective disorder
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