A child with attention-deficit hyperactivity disorder (ADHD) ...

[bcretired]

A child with attention-deficit hyperactivity disorder (ADHD) wants to play soccer. Which of the following is appropriate for the school nurse to do?
 
  1. Encourage the child to play soccer.
   2. Discourage the child from playing a team sport like soccer.
   3. Ask the child's mother to get permission from the child's physician to play soccer.
   4. Recommend that the child become active in an individual sport, rather than a team sport.

Question 2

The nurse knows that the mother of a 6-year-old needs more teaching about her son's diagnosis of ADHD when she states:
 
  1. I will give him his ADHD medication with his meals
   2. I will stick to the same routine each day after school.
   3. I will let him do his homework while he is watching his favorite television show.
   4. I will take my child to the physician every three months for a weight and height check.

[Beatricemm]

Answer to Question 1

1
Rationale:
1. The child should be encouraged to play soccer. Participation in a team sport will assist the child with ADHD to expend some energy while cooperating with others and following game rules. Participating in a team sport can help promote self-esteem in the child with ADHD and encourage connectedness with other children.
2. The child should be encouraged to play soccer. There is no reason for a child with ADHD not to play sports.
3. The mother would not need physician approval for her son to play soccer. Vigorous physical activity is encouraged for all children with ADHD.
4. Some of the benefits of participating in a team sport would not be available with individual sports.

Answer to Question 2

3
Rationale:
1. Giving ADHD medication with meals will help counteract anorexia associated with this medication.
2. Maintaining the same daily routine helps the child know expectations, and a nighttime routine helps counteract insomnia.
3. This child should do homework in a quiet environment, away from distractions.
4. Children with ADHD should be screened regularly for height and weight to monitor growth.

[bcretired]

Thanks for the timely response, appreciate it

[LVPMS]

Excellent