A nurse is assessing an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following findings should the nurse expect?
Emotional numbing
Elevated mood
Impulsivity
Anxiety
The Correct Answer is C
Choice A reason: Emotional numbing is more commonly associated with post-traumatic stress disorder (PTSD) or depressive disorders rather than ADHD. ADHD is characterized by hyperactivity, inattention, and impulsivity, not emotional blunting.
Choice B reason: Elevated mood is typically seen in bipolar disorder during manic episodes. ADHD does not present with sustained elevated mood; instead, it involves distractibility, restlessness, and impulsive behavior.
Choice C reason: Impulsivity is a hallmark symptom of ADHD. Adolescents with ADHD often act without considering consequences, interrupt conversations, and struggle with self-control. This symptom directly aligns with the diagnostic criteria for ADHD.
Choice D reason: Anxiety can co-occur with ADHD but is not a defining feature. While some adolescents with ADHD may experience anxiety due to difficulties in school or social situations, it is not a primary symptom of the disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: First-generation antipsychotics are strongly associated with EPS due to potent dopamine blockade in the nigrostriatal pathway.
Choice B reason: Aripiprazole is an atypical antipsychotic with partial dopamine agonist activity. It has a lower risk of EPS compared to first-generation agents.
Choice C reason: Haloperidol is a high-potency first-generation antipsychotic with a high risk of EPS, including dystonia, akathisia, and parkinsonism.
Choice D reason: Chlorpromazine is a low-potency first-generation antipsychotic that also carries a risk of EPS, though less than haloperidol.
Choice E reason: Olanzapine is an atypical antipsychotic with a lower risk of EPS. Its side effects are more commonly metabolic, such as weight gain and diabetes.
Correct Answer is A
Explanation
Choice A reason: Identifying anxiety-producing situations is a key strategy in managing chronic anxiety. Recognizing triggers allows the client to develop coping mechanisms, practice relaxation techniques, and use problem-solving skills to reduce anxiety.
Choice B reason: Eliminating stress and anxiety completely from daily life is unrealistic. Stress is a normal part of life, and attempting to eliminate it entirely may lead to frustration and worsen anxiety.
Choice C reason: Repressing feelings of anxiety is maladaptive. Suppression can intensify symptoms and lead to unhealthy coping behaviors. Effective management involves acknowledging and addressing anxiety, not ignoring it.
Choice D reason: Contacting a crisis counselor once a week is not a standard discharge instruction for chronic anxiety. Crisis counselors are typically contacted during acute episodes, not as routine weekly follow-up.
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