A 10-year-old with Attention Deficit-Hyperactivity Disorder (ADHD) evaluated at the mental health clinic is exhibiting hyperactivity and distractibility. After 5 weeks of methylphenidate, the nurse should monitor for which desired outcome? (SELECT ALL THAT APPLY)

The correct answers are A, D, and E. A child with ADHD can benefit from methylphenidate in terms of improved focus and reduced hyperactivity. Answer A is correct because working on an arithmetic quiz for 20 minutes without getting out of their seat indicates improved focus. Answer D is correct because completing a jigsaw puzzle with a friend demonstrates improved social interaction and focus. Answer E is correct because decreased manipulative behaviors indicate reduced hyperactivity. Choices B and C are incorrect as they do not directly relate to the desired outcomes of methylphenidate in managing ADHD symptoms.