Pediatric Nursing Q 180
Which of the following statements about Attention deficit hyperactivity disorder (ADHD) in children is false?
A. Black parents tend to be less sure of potential causes of and treatments for ADHD than white parents, and they are less likely to connect ADHD to their child's school experiences.
B. Because of its frequent genetic etiology, ADHD in a child is likely foreshadowed by ADHD in other family members.
C. The chances of successful treatment are adversely affected if the parent responsible for implementing the treatment has untreated ADHD.
D. More than 40% of respondents in the recent National Stigma Study-Children (NSS-C) believe that children will face rejection in school for receiving mental health treatment and that negative ramifications will continue into adulthood. More than half expected psychiatric medications to cause a zombie-like effect.
E. The Multimodal Treatment Study of Children with ADHD suggests that pharmacological treatment of ADHD is as effective as behavioral therapy alone.
Correct Answer: E. The Multimodal Treatment Study of Children with ADHD suggests that pharmacological treatment of ADHD is as effective as behavioral therapy alone.
Multimodal treatment involves multiple methods of treatment that work together to help a child with ADHD. The main components of this approach are medications, behavioral therapy, and education.
Option A: In order to diagnose ADHD, it is very important to take a relevant history of the concerned individual. ADHD is diagnosed in children based upon their history where the children face difficulty in at least 6 of the 9 symptoms as mentioned in DSM 5.
Option B: It is one of the most heritable conditions in terms of psychiatric disorders. There is a much greater concordance in monozygotic twins than dizygotic twins. Siblings have twice the risk of having ADHD than the general population.
Option C: The general rule of thumb is that 50% of patients “grow out of” ADHD, especially with treatment, and another 25% do not need treatment into adulthood. This is theorized twofold; first that stimulants help improve the development of the frontal lobe over time, and second that adults often choose careers that don’t require sustained attention.
Option D: Untreated ADHD can cause persisting dysfunction and devastating consequences included but not limited to long-term inability to work, increased car accidents, and increased substance abuse.