An 18-year-old man goes to his family psychiatric nurse practitioner because he is getting poor grades on his final examinations at college. He took methylphenidate (Ritalin) to treat attention deficit hyperactivity disorder (ADHD) for years, but it was discontinued four years ago. His grades in high school were A’s and B’s, but they are now C’s and D’s. Which of the following is the most appropriate next step? Group of answer choices Suggest that the patient discuss this problem with a college counselor Prescribe methylphenidate (Ritalin) 10 mg twice daily to be taken when preparing for and taking examinations Refer the patient for psychological testing to validate the need for extra time when taking examinations Prescribe diazepam (Valium) 10 mg twice daily to be taken during examinations Refer the patient for psychotherapy