The mother of an 8-year-old boy brings him to the PMHNP for an assessment of attention deficit-hyperactivity disorder. Which of the following is the PMHNP most likely to utilize?
Vanderbilt Assessment Scales
COWS
CIWA
DISC
The Correct Answer is A
Choice A reason: This is the correct answer. The Vanderbilt Assessment Scales are widely used for evaluating ADHD symptoms in children and adolescents, incorporating both parent and teacher input to assess symptom severity and functional impairment.
Choice B reason: The Clinical Opiate Withdrawal Scale (COWS) is used to assess opioid withdrawal and is not relevant to ADHD evaluation.
Choice C reason: The Clinical Institute Withdrawal Assessment (CIWA) is used to monitor alcohol withdrawal and is unrelated to ADHD assessment.
Choice D reason: The Diagnostic Interview Schedule for Children (DISC) is a structured diagnostic tool for mental health disorders in children but is less commonly used for initial ADHD screening compared to the Vanderbilt scales.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A transverse fracture is actually a horizontal break straight across the bone, not diagonal. Describing it as diagonal is incorrect and may lead to misclassification of fracture types.
Choice B reason: A greenstick fracture occurs when the bone bends and cracks on one side without breaking completely, which is commonly seen in children due to their flexible bones. This definition is correct.
Choice C reason: Comminuted fractures occur when the bone is shattered into three or more pieces, often due to high-energy trauma. This description is accurate.
Choice D reason: Segmental fractures involve the same bone being fractured in two distinct locations, creating a free-floating segment of bone between the fracture sites. This definition is correct.
Correct Answer is A
Explanation
Choice A reason: The patient demonstrates obsessions (intrusive thoughts about knocking) and compulsions (compelled to answer the door) that are time-consuming and distressing, consistent with OCD.
Choice B reason: Schizophrenia would involve persistent psychotic symptoms such as hallucinations, delusions, or disorganized thinking, without insight; this patient recognizes the “imagination” aspect.
Choice C reason: Social anxiety disorder involves fear of social situations and judgment, not compulsions or intrusive thoughts as described here.
Choice D reason: Delusional disorder involves fixed, false beliefs; the patient has insight that his experiences are irrational, making this diagnosis unlikely.
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