Eight-year-old randy has behavioral difficulty in school and is overly aggressive with the other children. his parents seem to ignore his problems and blame the school and the other children. his parents are convinced that randy has attention-deficit/hyperactivity disorder. when they take him to a child psychiatrist, the psychiatrist is reluctant to give the diagnosis after observing the unhealthy interactions between the family members and between the parents. the psychiatrist's reluctance to give this diagnosis is based on the related to the cause and diagnosis.

What is one limitation of the myplate guidelines

Aclient, prescribed dextroamphetamine for attention deficit hyperactivity disorder (adhd), has developed a common adverse effect of the medication since beginning therapy. which initial intervention should the client be encouraged to implement? a. increase fiber intake. b. take an over-the-counter (otc) laxative daily. c. take metronidazole. d. take diphenoxylate hydrochloride.

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy