A 7-year-old patient presents with sleep disturbances, poor school performances, decreased concentration, and a loss of pleasure in almost all activities. The nurse practitioner should suspect:
Asperger syndrome.
autism spectrum disorder (ASD).
pervasive developmental disorder (PDD).
childhood depression.
The Correct Answer is D
Rationale:
A. Asperger syndrome is characterized by social interaction difficulties and restricted interests but does not typically include pervasive loss of pleasure or significant mood disturbances.
B. Autism spectrum disorder (ASD) involves deficits in social communication and repetitive behaviors, but the core symptoms do not primarily include sleep disturbances, decreased concentration, or anhedonia.
C. Pervasive developmental disorder (PDD) is an outdated term encompassing ASD and related disorders; mood symptoms are not central.
D. Childhood depression is suggested by symptoms such as sleep disturbances, poor school performance, decreased concentration, and anhedonia (loss of pleasure in activities). Early recognition is crucial for timely intervention, including behavioral therapy or pharmacologic treatment if indicated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Isolation from daycare is generally recommended while the child is symptomatic to prevent transmission, but a fixed 7-day period is not always necessary; symptom resolution varies.
B. Antipyretics should be given as needed for fever or discomfort, not routinely every 4 hours for multiple days.
C. Acute bronchiolitis typically presents with symptoms that peak within 1–3 days, with gradual improvement. Most children experience complete resolution within 10–14 days, which is important for caregivers to understand to prevent unnecessary concern or overuse of medications.
D. Antibiotics are not indicated for viral bronchiolitis, even if nasal discharge becomes purulent, as the infection is viral and antibiotics are ineffective.
Correct Answer is B
Explanation
Rationale:
A. Caput succedaneum is edema of the scalp that crosses suture lines and results from pressure on the presenting part during delivery, not a true hemorrhage.
B. Cephalohematoma is a subperiosteal hemorrhage, meaning blood collects between the periosteum and the skull bone. It is typically firm, well-defined, and does not cross suture lines. It may appear several hours after birth and usually resolves spontaneously over weeks to months.
C. Subdural hemorrhage involves bleeding beneath the dura mater, often associated with trauma or birth complications, but it is deeper than a cephalohematoma and may cause neurological signs.
D. Subarachnoid hemorrhage occurs in the space between the arachnoid and pia mater; it is not limited to the periosteum and is rare in uncomplicated deliveries.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
