A 29-year-old male client completed the Adult ADHD Self-Report Scale Symptom Checklist. He answered "sometimes, often, or very often" to four of the six questions in Part A. What does this result indicate?
The client does not have symptoms of ADHD.
The client has symptoms consistent with ADHD, but he was not diagnosed as a child and therefore cannot be diagnosed as an adult.
The patient has symptoms highly consistent with ADHD in adults and further investigation is warranted.
The client is malingering.
The Correct Answer is C
Choice A reason: This choice is incorrect because the client endorsed four out of six core symptoms in Part A of the Adult ADHD Self-Report Scale, which is a validated screening tool. This pattern suggests the presence of ADHD symptoms, not their absence.
Choice B reason: Adult ADHD can be diagnosed even if the individual was not formally diagnosed in childhood. The DSM-5 criteria allow for retrospective identification of childhood symptoms, and many adults are diagnosed later in life due to increased awareness or functional impairment.
Choice C reason: Endorsing "sometimes, often, or very often" to four of the six Part A questions meets the threshold for further evaluation. This section screens for inattentive and hyperactive-impulsive symptoms. A positive screen warrants a comprehensive clinical assessment to confirm diagnosis and rule out other causes.
Choice D reason: Malingering implies intentional feigning of symptoms for secondary gain, which cannot be concluded based solely on a screening tool. Such a determination requires a thorough clinical evaluation and consideration of context, which is not provided here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Reaction formation involves converting unwanted or dangerous thoughts into their opposites. It does not explain memory loss or forgetting traumatic events.
Choice B reason: Sublimation is the channeling of unacceptable impulses into socially acceptable activities. It is a mature defense mechanism and not related to memory suppression.
Choice C reason: Repression is the unconscious blocking of unacceptable thoughts, feelings, or memories. In Freudian theory, traumatic experiences may be repressed to protect the individual from psychological distress.
Choice D reason: Projection involves attributing one’s own unacceptable thoughts or feelings to others. It does not account for memory loss or forgetting traumatic experiences.
Correct Answer is D
Explanation
Choice A reason: Dorothy Orem developed the Self-Care Deficit Nursing Theory, which focuses on individuals’ ability to care for themselves and the role of nursing in supporting self-care.
Choice B reason: Nola Pender is known for the Health Promotion Model, which emphasizes behaviors that improve health and prevent illness.
Choice C reason: Hildegard Peplau developed the Interpersonal Relations Theory, which centers on the nurse-patient relationship and therapeutic communication.
Choice D reason: Madeline Leininger created the Culture Care Theory, which emphasizes the importance of cultural competence in nursing and the integration of cultural beliefs into care practices.
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