Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

What should be the RPN's priority action if a child with ADHD has been staying awake late and shows signs of restlessness?

1. Suggest the child's mother remove the video games

2. Teach the child relaxation techniques prior to bedtime

3. Inquire about the child's medication schedule

4. Request a medication review with the child's physician

The correct answer is: Inquire about the child's medication schedule

In this scenario, the most appropriate priority action for the RPN involves inquiring about the child's medication schedule. This approach is critical because children with ADHD often require pharmacological interventions to manage their symptoms effectively. Any inconsistencies, such as missed doses or irregular administration times, can lead to heightened symptoms like restlessness and difficulty sleeping. Assessing the medication schedule allows the RPN to determine if the child's current treatment regimen is being followed correctly and whether it may need adjustments. If the child’s ADHD medication is not being taken as prescribed, it could directly contribute to their restlessness and difficulty sleeping. Identifying and addressing issues related to medication adherence is key in managing ADHD symptoms effectively. While the other options could potentially contribute to a solution, they may not address the immediate underlying issue of the child’s medication management. For example, suggesting the removal of video games may address a behavioral factor but may not tackle the medical aspect. Similarly, teaching relaxation techniques could be beneficial, but it does not directly assess the role of medication. Lastly, requesting a medication review with the physician might be necessary, but it would come after understanding the current adherence and schedule of the child's medications. Therefore, prioritizing the inquiry about the medication schedule is essential for ensuring comprehensive care and