Which activities should the nurse include in the plan of care for a child diagnosed with attention deficit/hyperactivity disorder (ADHD) to improve behavior and learning? Select all that apply

1. Asking the mother to seek a prescription for methylphenidate (Ritalin) for the child
2. Placing the child's desk at the back of the room to reduce distractions
3. Developing a consistent routine for the classroom
4. Limiting the decorations in the classroom
5. Determining areas where the child performs well and using these areas to promote self-esteem


3, 4, 5
Explanation:
1. It is not the nurse's or teacher's place to suggest medications for this child.
2. The child's desk should be placed at the front of the room to promote attention.
3. Consistency is important for the child with ADD/ADHD and reduces impulsive behavior.
4. Decorations are distracting and should be limited.
5. This is appropriate and will help reduce "acting out" behaviors.

Nursing

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