Findings that lead the nurse practitioner to suspect depression in a 7-year-old patient include sleep disturbances, poor school performances, decreased concentration, and:
persistent worry about future events.
unrealistic worry about harm to family.
loss of pleasure in almost all activities.
hyperventilation.
The Correct Answer is C
Rationale:
A. Persistent worry about future events is more characteristic of generalized anxiety disorder rather than depression.
B. Unrealistic worry about harm to family is also suggestive of anxiety disorders in children.
C. Loss of pleasure in almost all activities (anhedonia) is a core symptom of depression in children and adolescents, alongside other signs such as sleep disturbances, poor school performance, and decreased concentration.
D. Hyperventilation is typically a physical manifestation of anxiety or panic attacks, not depression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Asking about sexual activity is important for history-taking but does not directly confirm or rule out pregnancy.
B. Ordering a urine pregnancy test is the most appropriate first step in evaluating secondary amenorrhea in a sexually active adolescent, as pregnancy is the most common cause.
C. A serum HCG test is more sensitive than a urine test and may be ordered if the urine test is inconclusive, but initial evaluation typically starts with the less invasive urine test.
D. Pelvic ultrasound is not the first-line evaluation for amenorrhea and is reserved for cases where structural abnormalities are suspected or pregnancy is confirmed and further assessment is needed.
Correct Answer is B
Explanation
Rationale:
A. Small, flat warts are classified as verruca plana, not verruca vulgaris.
B. Verruca vulgaris refers to the common wart, which is a dry, rough, hyperkeratotic lesion typically found on the hands and fingers. These warts are caused by human papillomavirus (HPV) and are usually painless unless irritated.
C. Small, tender warts on the feet are plantar warts (verruca plantaris), which differ from verruca vulgaris.
D. Domed-shaped, fleshy lesions located anywhere on the skin may describe other types of warts but do not specifically define verruca vulgaris.
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