The mother of an adolescent receiving methylphenidate (Concerta) for attention-deficit hyperactivity disorder tells the nurse that her son is better and asks why she can't just get refills on the prescription. What is the best response by the nurse?
1. "Just drop by and I will get a prescription for you without seeing your son."
2. "We can't do that; maybe you can find another doctor's office that will do it."
3. "The law does not allow us to give you refills on this medication."
4. "The medication can be addictive so your son needs a monthly medical evaluation."
Correct Answer: 4
Rationale: Telling the mother the reason for monthly evaluations is a therapeutic response that is correct and answers the mother's question. Schedule II medications cannot be refilled without the client being seen by the physician. Telling the mother about the law is accurate, but it is a non-therapeutic response; the mother needs an explanation. Referring the mother to another office is non-therapeutic and implies that other medical offices violate the law.
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