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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Withdrawn in social contexts but energetic and engaging with family.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Choice B reason: Being withdrawn in social contexts but engaging with family does not provide clear evidence of ADHD.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 C

Explanation

Choice A reason: Multiple motor and vocal tics are more characteristic of Tourete syndrome, not autism spectrum disorder.

Choice B reason: Overly atached behavior is not typically associated with autism spectrum disorder; individuals with ASD often have difficulty with social atachments.

Choice C reason: This is correct. Individuals with autism spectrum disorder often prefer solitary activities and may show limited interest in social interactions.

Choice D reason: An irresistible urge to pull out one's hair is indicative of trichotillomania, not autism spectrum disorder.

A. "You have nothing to be ashamed of." B. "Tell me what has happened since your last admission." C. "I really thought you would make it." D. "Why did you start drinking again?"

Correct Answer is B

Explanation

Choice A reason: While it's important to provide support, simply telling the client they have nothing to be ashamed of does not address the underlying issues or feelings the client may be experiencing.

Choice B reason: This response opens a dialogue and allows the client to share their experiences and challenges since the last admission, fostering a therapeutic relationship and understanding.

Choice C reason: This statement could be perceived as judgmental and may make the client feel worse, potentially hindering the therapeutic relationship.

Choice D reason: Asking why they started drinking again could come across as accusatory and may cause the client to become defensive or feel guilty, which is not conducive to recovery.

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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

A 6-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

Correct Answer is C

Explanation

A client is readmited to the substance use disorder program for the second time in 6 months for alcohol use disorder. Upon admission, the client tells the nurse, "I am so ashamed." What should the nurse reply?

Correct Answer is B

Explanation

When providing care to a client who consistently atempts to manipulate the staﬀ, the nurse can best maintain the therapeutic milieu by doing what?

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

A 9-year-old client who has been diagnosed with autism spectrum disorder would be expected to display which behavior?

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