The guardians of a school-aged child state that they run in circles in the classroom, interrupt others' conversations at home, and cannot focus when doing homework. The nurse should recognize that these behaviors can be indicative of which of the following disorders?

Stereotypic movement disorder

Autism spectrum disorder (ASD)

Dysgraphia

Attention-deficit/hyperactivity disorder (ADHD)

Answer and Explanation

The Correct Answer is D

A. Stereotypic movement disorder involves repetitive, non-functional motor behavior that interferes with normal activities, but the behaviors described are more indicative of ADHD.

B. Autism spectrum disorder can include difficulties with social interactions and repetitive behaviors, but the described behaviors are more characteristic of ADHD.

C. Dysgraphia involves difficulties with writing, which does not align with the behaviors described.

D. Attention-deficit/hyperactivity disorder (ADHD) includes symptoms such as hyperactivity, impulsivity, and difficulty sustaining attention, which match the behaviors described by the guardians.

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Correct Answer is B

Explanation

A. Traumatic brain injury can cause cognitive impairments but is not typically associated with these specific symptoms.

B. Frontotemporal lobar degeneration primarily affects the frontal and temporal lobes of the brain, which are responsible for personality, behavior, language, and motor functions. Symptoms often include changes in behavior, personality, language difficulties, and problems with daily living. Lack of sleep, appetite, and concentration issues are common in the early stages of FTLD.

C. While HIV can lead to neurological complications, the symptoms described are not characteristic of HIV-related dementia.

D. Prion diseases usually present with rapidly progressive dementia and motor symptoms but are less associated with lack of sleep and appetite.

A. Allow the client to control the conversation. B. Insist the client report the incident. C. Touch the client for reassurance. D. Ask the client a series of questions about who assaulted them.

Correct Answer is A

Explanation

A. Allowing the client to control the conversation provides them with a sense of safety and autonomy, which is crucial after experiencing trauma. This approach respects their comfort level and readiness to disclose information.

B. While reporting the incident may be important, insisting on it can be re-traumatizing. The client should be supported in making their own decisions about reporting.

C. Touching the client without permission can be intrusive and may increase their distress. It’s important to respect personal boundaries.

D. Asking a series of questions about the assailant can be overwhelming and intrusive. The focus should be on supporting the client and allowing them to share information at their own pace.

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The guardians of a school-aged child state that they run in circles in the classroom, interrupt others' conversations at home, and cannot focus when doing homework. The nurse should recognize that these behaviors can be indicative of which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have?

Correct Answer is B

Explanation

A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?

A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

A community health nurse is conducting a presentation about modifiable risk factors at a local community center. A community member asks a question and the nurse does not know the answer. Which of the following actions should the nurse take?

A nurse is caring for an adolescent client who was sexually assaulted. The client is having difficulty remembering events related to the assault. Which of the following is the client likely experiencing?

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

A nurse in an emergency department is assessing a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?

A nurse is speaking with the parent of a client who is experiencing manifestations of psychosis. The parent states, "I don't understand how a child can experience psychosis." Which of the following responses should the nurse make?

A nurse is providing care for a client who has schizophrenia. The client is unemployed and unhoused. Which of the following concepts regarding themselves should the nurse be aware of?