The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with atention-deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrate an understanding of the education?

Select all that apply.

The nurse should recognize that the statement "high-calorie formula encourages increased growth" is an appropriate understanding of interventions for an infant with FTT. High-calorie formula can help infants who are not gaining weight adequately to increase their calorie intake and promote growth.

Breast milk provides adequate nutrition for most infants, but in cases of FTT, the infant may require a higher calorie intake than breast milk can provide. Regular syringe feedings and fruit juice are not recommended interventions for FTT. Syringe feedings can cause aspiration and fruit juice does not provide the appropriate balance of nutrients needed for an infant's growth and development.

Answer: B, D, F

Rationale:

A) Understanding that nonstimulant medications show little benefit in treatment: This is inaccurate, as nonstimulant medications like atomoxetine can be effective for ADHD, especially in children who may not tolerate stimulants. Nonstimulants are often considered a viable alternative or adjunctive treatment.

B) Designating an established area for study: Creating a dedicated study space can help a child with ADHD focus on tasks and minimize distractions, which is beneficial for completing homework and improving concentration in a structured environment.

C) Anticipating being automatically entered into a specialized education plan: An Individualized Education Plan (IEP) or 504 Plan for ADHD is not automatic and typically requires evaluation and recommendation from school staff. The plan is individualized based on the child’s specific needs.

D) Knowing that medication is not always the best approach to treatment: Recognizing that treatment can involve behavioral interventions, counseling, and environmental adjustments, in addition to or instead of medication, reflects a balanced understanding of ADHD management.

F) Maintaining a consistent home schedule: Consistent routines help children with ADHD manage expectations and reduce stress, enhancing their ability to focus and transition smoothly between activities.