A mother tells the nurse, "My son has ADHD and so does my sister's daughter. They are the same age, but they are on two different drugs. Why is that?" Which information should the nurse provide?
Standard Text: Select all that apply.
1. "All the drugs used to treat ADHD are basically the same."
2. "Children often have severe reactions to ADHD drugs and have their therapy changed."
3. "The choice of drug can be guided by different dosing schedules."
4. "Some children just do better on one drug or the other."
5. "Girls don't respond to medications as well as boys."
Correct Answer: 3,4
Rationale 1: This is not a correct statement regarding drugs for ADHD.
Rationale 2: Severe reactions are rare, and it is not appropriate to alarm the mother regarding this possibility.
Rationale 3: This is a correct statement and may be the reason these two children are on different medications.
Rationale 4: This is a true statement. Children react differently to the drugs and may try more than one drug before their symptoms are controlled.
Rationale 5: This is not a true statement. Medication therapy works for both genders.
Global Rationale: Prescribing specific medication may be determined by dosing schedule and may be the reason these two children are on different medications. Children react differently to the drugs and may try more than one drug before their symptoms are controlled. Not all drugs used to treat ADHD are the same. Severe reactions are rare, and it is not appropriate to alarm the mother regarding this possibility. Medication therapy works for both genders in same fashion.
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