01-09-2010, 12:48 PM
The patient is a 7-year-old boy brought in for evaluation
by his father. He has been concerned with
his son™s behavior. At school conferences, he has
been told that his son will not stay in place and
moves around the room despite being informed
about the rules. He neither listens at home nor at
school when given feedback. For example, he continues
to have difficulty waiting in line, completing
his homework, and cleaning up his toys,
regardless of numerous consequences. In department
stores, he will run around and grab at items,
and this has resulted in his breaking merchandise
on many occasions. The father states that his son
has been this way œsince he could walk and is
worried about his son™s future.
After further history is obtained and consultation
with the school is initiated, a definitive
diagnosis is made. The recommendation to
begin a stimulant is presented to the father, but
he has concerns regarding that treatment
choice. How should he be counseled regarding
the use of this medication?
(A) It may cause paradoxical sedation.
(B) It only improves behavior and not
school performance.
© It requires regular BP monitoring.
(D) It should be taken daily, throughout the
year.
(E) It will increase the risk of future addiction.
by his father. He has been concerned with
his son™s behavior. At school conferences, he has
been told that his son will not stay in place and
moves around the room despite being informed
about the rules. He neither listens at home nor at
school when given feedback. For example, he continues
to have difficulty waiting in line, completing
his homework, and cleaning up his toys,
regardless of numerous consequences. In department
stores, he will run around and grab at items,
and this has resulted in his breaking merchandise
on many occasions. The father states that his son
has been this way œsince he could walk and is
worried about his son™s future.
After further history is obtained and consultation
with the school is initiated, a definitive
diagnosis is made. The recommendation to
begin a stimulant is presented to the father, but
he has concerns regarding that treatment
choice. How should he be counseled regarding
the use of this medication?
(A) It may cause paradoxical sedation.
(B) It only improves behavior and not
school performance.
© It requires regular BP monitoring.
(D) It should be taken daily, throughout the
year.
(E) It will increase the risk of future addiction.