The nurse is working with the parents of a child with attention-deficit hyperactivity disorder. The child is on methylphenidate (Ritalin)

Which of the following actions by the nurse would be most helpful in getting the parents to comply with the medication regimen? a. Talk to the parents about the benefits of the medication more than the side effects associated with the medication.
b. Talk with the parents about several children who have been helped by taking Ritalin.
c. Explore the parents' feelings and concerns about the medication.
d. Contract with the parents to try the child on Ritalin for a month and reevaluate at that time.


C

Feedback
A Incorrect: Caregivers will monitor medication administration for their child; therefore, awareness of side effects is essential. Talking about the benefits predominately is not appropriate.
B Incorrect: Talking about several children who have been helped by taking Ritalin is not the most helpful intervention. The nurse needs to know the caregivers' feelings and concerns about their child taking the medication.
C Correct: The nurse works with the family to encourage compliance and explores their feelings and concerns that might impede this. Some caregivers fear they are "drugging" their child by giving the medication. Others are concerned that giving their child a stimulant medication will lead to drug addiction in later life. There is compelling evidence that early medication treatment with stimulants in childhood significantly reduces the risk for subsequent substance use disorders.
D Incorrect: This is not an appropriate nursing intervention. This type of decision should be made between the physician and caregivers.

Nursing

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