A nurse is teaching the parents of a school-age child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?

Expect hyperactivity as a common adverse effect.

Give the dose in the morning to help prevent insomnia.

Avoid crowds due to the increased risk for infection.

Limit caloric intake to prevent excessive weight gain.

Answer and Explanation

The Correct Answer is B

The correct answer is b.

Choice A Reason:

Expect hyperactivity as a common adverse effect. This statement is incorrect. Atomoxetine is a non-stimulant medication used to treat ADHD and does not typically cause hyperactivity. Instead, it helps improve attention and reduce hyperactivity and impulsiveness. Common side effects of atomoxetine include nausea, vomiting, upset stomach, constipation, dry mouth, loss of appetite, mood changes, feeling tired, dizziness, urination problems, or impotence.

Choice B Reason:

Give the dose in the morning to help prevent insomnia. This statement is correct. Atomoxetine should be taken in the morning to help prevent insomnia, as taking it later in the day can interfere with sleep. The medication can be taken with or without food, and if a second dose is prescribed, it is typically taken in the late afternoon or early evening.

Choice C Reason:

Avoid crowds due to the increased risk for infection. This statement is incorrect. Atomoxetine does not increase the risk of infection, and there is no need to avoid crowds while taking this medication3. Common side effects do not include an increased risk of infection.

Choice D Reason:

Limit caloric intake to prevent excessive weight gain. This statement is incorrect. Atomoxetine is more likely to cause weight loss rather than weight gain. It can decrease appetite, which may lead to weight loss in some patients. Therefore, limiting caloric intake is not necessary while taking atomoxetine.

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Correct Answer is C

Explanation

Choice A Reason: Childhood Depression

Childhood depression is characterized by persistent sadness, irritability, and a lack of interest in activities. While it can lead to behavioral issues, it does not typically include the aggressive and antisocial behaviors described in the scenario. The symptoms of childhood depression include changes in sleep patterns, appetite, and energy levels, but these do not align with the client’s history of running away and abusive behavior towards parents.

Choice B Reason: Oppositional Defiant Disorder (ODD)

ODD is marked by a pattern of angry, irritable mood, argumentative, defiant behavior, or vindictiveness. While children with ODD may be defiant and hostile towards authority figures, the behaviors described in the scenario, such as running away and engaging in illegal activities like prostitution, are more severe and align more closely with Conduct Disorder. ODD does not typically involve the violation of societal norms to the extent seen in this case.

Choice C Reason: Conduct Disorder

Conduct Disorder is characterized by a repetitive and persistent pattern of behavior that violates the rights of others or major age-appropriate societal norms or rules. This includes aggressive behavior towards people and animals, destruction of property, deceitfulness or theft, and serious violations of rules. The client’s history of running away, abusive behavior towards parents, and involvement in illegal activities like prostitution strongly suggests Conduct Disorder. This diagnosis is supported by the presence of multiple behavioral issues that are severe and pervasive.

Choice D Reason: Autism Spectrum Disorder (ASD)

ASD is a developmental disorder that affects communication and behavior. Individuals with ASD may have difficulty with social interactions, exhibit repetitive behaviors, and have restricted interests. While ASD can sometimes be associated with challenging behaviors, it does not typically include the antisocial and aggressive behaviors described in the scenario. The client’s history of running away and abusive behavior is not characteristic of ASD.

A. Stable and satisfactory relationships. B. Little tolerance for being alone. C. Predictability. D. Controlled anger.

Correct Answer is B

Explanation

Choice A Reason:

Stable and satisfactory relationships. This statement is incorrect. Individuals with borderline personality disorder (BPD) often struggle with maintaining stable and satisfactory relationships. They may experience intense and unstable relationships characterized by extreme fluctuations between idealization and devaluation of others. This instability is a hallmark of BPD and can lead to significant interpersonal difficulties.

Choice B Reason:

Little tolerance for being alone. This statement is correct. One of the defining characteristics of BPD is a profound fear of abandonment and an intense need for companionship. Individuals with BPD often have little tolerance for being alone and may go to great lengths to avoid real or imagined abandonment. This fear can lead to frantic efforts to maintain relationships, even if they are unhealthy or abusive.

Choice C Reason:

Predictability. This statement is incorrect. People with BPD typically exhibit unpredictable and impulsive behaviors. Their emotional responses can be intense and rapidly changing, making their behavior difficult to predict. This unpredictability can further complicate their relationships and daily functioning.

Choice D Reason:

Controlled anger. This statement is incorrect. Individuals with BPD often struggle with controlling their anger. They may experience intense and inappropriate anger, which can be difficult to manage and may result in aggressive or self-destructive behaviors. This difficulty in controlling anger is another key feature of BPD.

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A nurse is teaching the parents of a school-age child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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