Which strategies should the school nurse recommend implementing in the classroom for a child with attention deficit hyperactive disorder (ADHD) ? (Select all that apply.)

A) Schedule heavier subjects to be taught in the afternoon.
B) Accompany verbal instructions by written format.
C) Limit number of breaks taken during instructional periods.
D) Allow more time for testing.
E) Reduce homework and classroom assignments.

Children with ADHD need an orderly, predictable, and consistent classroom environment with clear and consistent rules. Homework and classroom assignments may need to be reduced, and more time may need to be allotted for tests to allow the child to complete the task. Verbal instructions should be accompanied by visual references such as written instructions on the blackboard. Schedules may need to be arranged so that academic subjects are taught in the morning when the child is experiencing the effects of the morning dose of medication. Regular and frequent breaks in activity are helpful because sitting in one place for an extended time may be difficult.