What is the priority outcome for a 6-year-old patient who had been started on methylphenidate (Ritalin)?
1. The patient will avoid altercations with peers.
2. The patient will be able to complete age-appropriate chores at home.
3. The patient will use age-appropriate play with peers.
4. The patient will maintain weight within norms for this age group.
3
Rationale 1: Avoiding altercations with peers does not address a decrease in ADHD-related behaviors.
Rationale 2: Completing age-appropriate chores at home does not address the interaction and play with peers, which is crucial during this developmental stage.
Rationale 3: Children with attention-deficit hyperactivity disorder have difficulty engaging in play with peers due to their distractibility, impulsiveness, and hyperactivity. Methylphenidate (Ritalin) increases their focus and decreases their distractibility, impulsiveness, and hyperactivity. Age-appropriate play with peers is fundamental to healthy development with school-age children.
Rationale 4: Maintaining weight does not address the interaction and play with peers, which is crucial during this developmental stage.
Global Rationale: Children with attention-deficit hyperactivity disorder have difficulty engaging in play with peers due to their distractibility, impulsiveness, and hyperactivity. Methylphenidate (Ritalin) increases their focus and decreases their distractibility, impulsiveness, and hyperactivity. Age-appropriate play with peers is fundamental to healthy development with school-age children. Avoiding altercations with peers does not address a decrease in ADHD-related behaviors. Completing age-appropriate chores at home does not address the interaction and play with peers, which is crucial during this developmental stage. Maintaining weight does not address the interaction and play with peers, which is crucial during this developmental stage.
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