A nurse is planning care for a 4-year-old child who has been admitted to the hospital. Which of the following toys should the nurse plan to provide the child?

A. Active psychiatric disorder: The presence of an active psychiatric disorder, such as depression or anxiety, is the most significant risk factor for suicide. Mental health disorders can severely affect an adolescent's emotional and psychological well-being, increasing the risk of suicidal thoughts and behaviors.

B. Availability of firearms: While access to firearms increases the risk of successful suicide, it is a secondary risk factor compared to the presence of a psychiatric disorder, which is more directly linked to the development of suicidal ideation.

C. Family conflict: Family conflict is a risk factor for emotional distress and can contribute to suicidal thoughts, but it is less significant than having an active psychiatric disorder, which directly impacts the adolescent's mental health.

D. Homosexuality: While LGBTQ+ youth are at higher risk for suicide due to factors like discrimination and lack of support, the presence of an active psychiatric disorder remains a more critical and direct risk factor for suicide.

A. "You should give your child's last daily dose of the medication before 6 o'clock in the evening." Methylphenidate is a stimulant, and giving it too late in the day can cause insomnia. Administering the last dose before 6 PM helps minimize sleep disturbances.

B. "You will need to give your child the medication after meals." Methylphenidate is typically given before meals to enhance its absorption and effectiveness. Taking it after meals is not recommended as it can delay absorption.

C. "You will need to have your child's blood glucose level checked monthly." There is no need for regular blood glucose monitoring unless the child has other conditions like diabetes. Methylphenidate does not typically affect blood glucose levels.

D. "You should not give your child the medication on weekends." Continuous use of methylphenidate is generally recommended to provide consistent symptom control, including on weekends. “Drug holidays” may be considered in specific cases but should be discussed with a healthcare provider.