A nurse has prepared teaching materials for the parents of a child newly diagnosed with ADHD. The information will focus on which medication likely to be prescribed?
Paroxetine (Paxil)
Imipramine (Trofanil)
Carbamazepine (Tegretol)
Methylphenidate (Ritalin)
The Correct Answer is D
A. Paroxetine (Paxil) is an SSRI antidepressant and is not a first-line treatment for ADHD.
B. Imipramine (Trofanil) – This tricyclic antidepressant is rarely used for ADHD and is not considered standard therapy.
C. Carbamazepine (Tegretol) – This is an anticonvulsant used for seizure disorders and mood stabilization, not ADHD.
D. Methylphenidate (Ritalin) is a central nervous system stimulant and is the most commonly prescribed medication for ADHD. It helps increase attention span, decrease impulsivity, and reduce hyperactivity, which is why teaching for parents would focus on this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "My family will be better off without me" is an indirect or covert suicidal statement (passive ideation) that suggests the patient believes others would be better off if they were gone. Such remarks require immediate assessment of suicide risk (ask directly about thoughts, intent, plan, access to means) and appropriate safety interventions.
B. "Life is not worth living" is an explicit expression of hopelessness and indicates suicidal ideation, but it is more overt than covert. It still warrants urgent assessment, but the question asked specifically for the covert message.
C. "I wish I were dead" is a direct statement of suicidal desire (overt) rather than a covert hint.
D. "I have a plan that will fix everything" is the most concerning because it indicates a specific plan (high lethality risk), but it is overt rather than covert.
Correct Answer is D
Explanation
A. Referral of a formerly suicidal patient to a support group is a form of tertiary prevention, aimed at preventing recurrence and promoting recovery after an event.
B. Psychiatric hospitalization of a suicidal patient is considered secondary prevention, targeting individuals at immediate risk to prevent harm.
C. Suicide precautions for 24 hours for newly admitted patients is secondary prevention, focused on intervening during a high-risk period.
D. Helping school children learn to manage stress and be resilient is primary prevention, aimed at preventing the onset of suicidal behaviors before any signs or risk factors appear.
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