A pediatric patient starts methylphenidate for ADHD. What health-teaching statement is appropriate?

• A. Counseling should be combined with medication.
• B. Diet changes alone are sufficient.
• C. Medication replaces therapy.
• D. Sleep should be eliminated to enhance attention.

Answer: (A)

Combining medication with counseling and behavioral strategies is essential when treating ADHD in a child. Methylphenidate can improve attention and reduce hyperactivity, but it doesn’t teach the child organizational skills or coping strategies or address environmental factors. Counseling supports families and schools in implementing routines, behavior management, and accommodations, and helps ensure adherence and early recognition of side effects. Health teaching should cover how to use the medication safely, watch for effects like appetite changes or sleep problems, and maintain regular meals and a stable sleep schedule. Dosing earlier in the day helps minimize insomnia. Diet changes alone won’t control ADHD, and therapy doesn’t replace the medication. Sleep should be preserved to support attention and mood.