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An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?

Forgets to turn in homework, does not follow directions, cannot stay in an assigned seat in class, and is always talking excessively and inappropriately.

Withdrawn in social contexts but energetic and engaging with family.

Stubborn, resistant to directions, and unwilling to negotiate.

Shows cruelty to animals, callousness, and lack of guilt and remorse.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. These behaviors are indicative of the inatention and hyperactivity- impulsivity symptoms of ADHD.
Choice B reason: Being withdrawn in social contexts but engaging with family does not provide clear evidence of ADHD.
Choice C reason: Stubbornness and resistance to directions alone are not sufficient to diagnose ADHD.
Choice D reason: Cruelty to animals and lack of guilt are not symptoms of ADHD and may indicate other behavioral issues.

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Correct Answer is B

Explanation

Choice A reason: This choice is incorrect. While postpartum depression can increase suicide risk, it does not have the highest correlation with completed suicide.

Choice B reason: This is the correct choice. Older male clients, especially those living in rural areas, have a higher risk of completing suicide due to factors like isolation and access to lethal means.

Choice C reason: This choice is incorrect. Being married and having a new baby can be protective factors against suicide.

Choice D reason: This choice is incorrect. While stress from school can contribute to suicide risk, it does not typically pose the highest risk compared to other factors.

A. Nonverbal communication provides additional client information that is acted out unconsciously. B. Psychiatric disorders generally aﬀect a client's ability to communicate verbally. C. Clients are guarded with both verbal and nonverbal communication. D. Psychiatric disorders are more likely to aﬀect thoughts than physical behaviors.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Nonverbal cues can provide insight into a client's emotional state and intentions that may not be expressed verbally, especially when a client may not be able to communicate eﬀectively due to their condition.
Choice B reason: While psychiatric disorders can aﬀect verbal communication, this is not the primary reason nurses are encouraged to be aware of nonverbal communication.
Choice C reason: Clients may be guarded, but the primary reason for nurses to be aware of nonverbal communication is to gain additional information, not just because clients are guarded.
Choice D reason: Psychiatric disorders aﬀecting thoughts more than physical behaviors does not explain why nonverbal communication is important.

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An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When conducting a risk assessment for suicide, the nurse most likely identifies which client as having the greatest risk for completing suicide?

Correct Answer is B

Explanation

Nurses are encouraged to constantly be aware of the nonverbal communication of a client with mental illness primarily for which reason?

Correct Answer is A

Explanation

A child with atention deficit hyperactivity disorder (ADHD) is prescribed medication. The parent reports that the child is having trouble sleeping. Which question would be most appropriate for the nurse to ask?

The nurse is caring for a client with obsessive-compulsive disorder (OCD). Which action by the nurse will increase the client's sense of security?

The nurse is teaching relaxation techniques to a client with obsessive-compulsive disorder (OCD). When should the nurse teach relaxation techniques to the client?

The nurse is caring for an assigned group of clients. Which client does the nurse identify as being at the highest risk for the development of delirium and will be closely monitored?

A client is experiencing a panic atack while in the recreation room. Which intervention(s) would be a priority to promote the client's safety?

A patient with a phobia asks, "What is desensitization therapy?" The best response is:

A 9-year-old client with atention deficit hyperactivity disorder (ADHD) has been placed on a stimulant. The nurse knows that the teaching has been eﬀective when the client's parents make which statement?

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?