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Pharmacology for the Primary

Nursing

Quiz 41 :

Medications for Attention Deficit/Hyperactivity Disorder

Quiz 41 :

Medications for Attention Deficit/Hyperactivity Disorder

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An adult patient reports feeling unfocused all the time,loses things,and has difficulty completing tasks and says that this is interfering with family relations and work.The symptoms have been present as long as the patient can remember,although there is no previous documentation of attention-deficit/hyperactivity disorder (AD/HD)in this patient's medical history.The primary care nurse practitioner (NP)should:
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Multiple Choice
Answer:

Answer:

B
Although childhood AD/HD is a prerequisite for diagnosis in an adult,it is increasingly recognized that many adults have the disorder without having been diagnosed as children.The NP should evaluate the patient's symptoms and treat if indicated.The patient does not have symptoms of depression.Methylphenidate should not be given unless the patient meets the diagnostic criteria.

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The parent of an 8-year-old child recently diagnosed with AD/HD verbalizes concerns about giving the child stimulants.The primary care NP should recommend:
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Multiple Choice
Answer:

Answer:

D
Atomoxetine is not a stimulant medication but is thought to be as effective as stimulant medications.It is the only nonstimulant treatment approved by the U.S.Food and Drug Administration for AD/HD that has been shown to be safe,well tolerated,and efficacious in the treatment of children.

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The parent of a 4-year-old child is concerned that the child may have AD/HD and wants to know if medications can be given.The primary care NP should tell the parent that:
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Multiple Choice
Answer:

Answer:

D
Most AD/HD medications are not approved for use in children younger than 6 years.Children can be diagnosed with AD/HD at age 4.Alternative therapies are not necessarily used.

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A patient who has recently begun working at night reports having difficulty staying awake at work.The primary care NP should consider prescribing:
Multiple Choice
Answer:
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A child has been taking methylphenidate 5 mg at 8 AM,12 PM,and 4 PM for 30 days after a new diagnosis of AD/HD and comes to the clinic for evaluation.The child's mother reports that the child exhibits some nervousness and insomnia but is doing much better in school.The primary care NP should suggest:
Multiple Choice
Answer:
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A primary care NP sees a child for an annual well-child check-up.The child has been taking methylphenidate for AD/HD for 3 months.The NP should discontinue the medication if which symptom is present?
Multiple Choice
Answer:
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A child is diagnosed with AD/HD after being expelled from school for disruptive behaviors.The child's parents are reluctant to start medication because of the stigma attached.The primary care NP should suggest:
Multiple Choice
Answer:
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A child is taking methylphenidate (Ritalin)for AD/HD.The child's parent calls the primary care NP to report increased behavior problems and delusional thinking.The NP should:
Multiple Choice
Answer: