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)

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Key features include severe weight loss, distorted body image, restrictive eating, and preoccupation with food (e.g., cooking for others but eating very little). Wearing loose layers to hide weight is also typical.

B. This disorder involves recurrent episodes of eating large amounts of food, often rapidly, which is not described here.

C. This category is used when symptoms do not fully meet criteria for anorexia or bulimia; the patient’s presentation fits anorexia nervosa criteria.

D. Bulimia involves bingeing and compensatory behaviors like vomiting or laxative use; no binge episodes are described in this case.

A. is attempting to obtain attention by manipulating staff. B. has symptoms of alcohol withdrawal delirium. C. may have sustained a head injury before admission. D. is having an acute psychosis.

Correct Answer is B

Explanation

A. The patient’s symptoms are physiological and neurological, not intentional behaviors for attention.

B. Alcohol withdrawal delirium (delirium tremens) typically occurs 48–72 hours after the last drink and includes tremors, agitation, anxiety, diaphoresis, tachycardia, hallucinations, and nightmares—all present in this patient.

C. Although head injury can cause confusion and agitation, the timing of symptoms following alcohol withdrawal aligns more closely with delirium tremens.

D. Acute psychosis can present with hallucinations, but in this case, the onset following alcohol cessation and accompanying autonomic hyperactivity point toward alcohol withdrawal delirium.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 95 pounds and has a loss of 35 pounds. Which medical diagnosis is most likely?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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