What is the nurses priority focused assessment for side effects in a child taking methylphenidate (Ritalin) for attention deficit hyperactivity disorder (ADHD)?

Correct Answer: C

Rationale: The most common side effects are gastrointestinal disturbances, reduced appetite, weight loss, urinary retention, dizziness, fatigue, and insomnia. Weight loss has the potential to interfere with the childs growth and development. The distracters relate to side effects of conventional antipsychotic medications.

Correct Answer: D

Rationale: The correct answer is D) continuously rocks in place for 30 minutes. This behavior is most associated with autism spectrum disorder (ASD) due to its characteristic of repetitive and stereotypical movements often seen in children with ASD. Rocking is a form of self-stimulation or stimming commonly observed in individuals with autism as a way to regulate sensory input or manage anxiety. Option A) having occasional toileting accidents is not specific to autism spectrum disorder but can be seen in various developmental stages. Option B) being unable to read children's books is more related to cognitive development or language delays, not specifically indicative of autism spectrum disorder. Option C) crying when separated from a parent is a common behavior in young children and may not be an exclusive sign of autism spectrum disorder. In an educational context, understanding the specific behaviors and characteristics associated with psychobiological disorders like autism spectrum disorder is crucial for healthcare providers to provide appropriate care and support for individuals with these conditions. Recognizing these behaviors early can lead to timely interventions and therapies that can improve outcomes and quality of life for individuals with ASD.

Correct Answer: B

Rationale: The behaviors by the bullying child create emotional pain and present the risk for physical pain. The nurse should first listen to the childs complaints and validate the child for reporting the events. Later, school authorities should be notified. School administrators are the most appropriate personnel to deal with the bullying child. The behavior should not be ignored; it will only get worse.

Correct Answer: D

Rationale: The correct answer is option D, the 3-year-old who is mute, passive toward adults, and twirls while walking, as this child demonstrates behaviors indicative of a neurodevelopmental disorder. This child's lack of speech, passive behavior, and repetitive movements suggest possible signs of autism spectrum disorder (ASD) or another related neurodevelopmental disorder. Option A, the 4-year-old who stuttered for 3 weeks after the birth of a sibling, is more likely a transient response to a significant life event, such as the birth of a sibling, rather than a persistent neurodevelopmental disorder. Option B, the 9-month-old who does not eat vegetables and likes to be rocked, describes behaviors that are within the range of typical development for an infant and do not specifically point to a neurodevelopmental disorder. Option C, the 3-month-old who cries after feeding until burped and sucks a thumb, is displaying common infant behaviors related to feeding and self-soothing and do not suggest a neurodevelopmental disorder. Educationally, understanding the early signs and symptoms of neurodevelopmental disorders is crucial for educators and caregivers to recognize and support children who may require additional assistance or specialized interventions. By being able to differentiate typical behaviors from concerning behaviors, educators can advocate for early intervention and appropriate support services for children with neurodevelopmental disorders, ultimately promoting their overall well-being and academic success.

Correct Answer: A

Rationale: Some dated terminology contributes to the stigma of mental illness and misconceptions about mental illness. Its important for the nurse to use current terminology. 'Bullying,' 'Autism spectrum disorder,' and 'Intellectual development disorder' are current and appropriate, while 'Mental retardation' is outdated and 'Autism' is less specific than 'Autism spectrum disorder.'