The nurse is caring for a client who blinks when the nurse asks a question and coughs when the nurse looks at him. Which condition does the nurse suspect?
Conduct disorder
Tourette’s disorder
Oppositional defiant disorder (ODD)
Autism spectrum disorder (ASD)
The Correct Answer is B
Choice A reason: Conduct disorder involves persistent patterns of violating societal norms and the rights of others. Involuntary motor or vocal tics are not characteristic of conduct disorder.
Choice B reason: Tourette’s disorder is characterized by multiple motor tics and at least one vocal tic. Blinking and coughing are examples of involuntary motor and vocal tics, making this the most appropriate diagnosis.
Choice C reason: Oppositional defiant disorder involves defiance, irritability, and argumentative behavior toward authority figures. It does not include involuntary tics.
Choice D reason: Autism spectrum disorder involves social communication deficits and restricted, repetitive behaviors. While stereotyped movements may occur, involuntary tics such as blinking and coughing are not typical features.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Double-bind communication occurs when a person conveys two conflicting messages simultaneously, creating confusion. The mother’s statement expresses verbal support (“That’s wonderful”) but also conveys guilt-inducing undertones (“I’ll be fine all alone”). This contradictory communication can create emotional conflict for the son, making it difficult for him to respond appropriately.
Choice B reason: Indirect communication involves conveying a message without stating it clearly. While the mother’s statement has an indirect element, the defining feature here is the contradictory nature of her words, which aligns more with double-bind communication.
Choice C reason: Withholding supportive messages would mean failing to provide encouragement or affirmation. In this case, the mother does provide verbal support (“That’s wonderful”), so she is not withholding supportive communication.
Choice D reason: Denigrating remarks are negative or insulting comments. The mother’s statement is not insulting; rather, it is emotionally conflicting. Therefore, this option does not fit the scenario.
Correct Answer is B
Explanation
Choice A reason: Psychosis involves hallucinations, delusions, and disorganized thinking. Flashbacks are trauma-related symptoms, not psychotic features.
Choice B reason: Secondary trauma occurs when children of parents with PTSD internalize or mirror trauma symptoms. Evidence supports that children exposed to parental trauma may develop similar symptoms.
Choice C reason: Pretending to have PTSD symptoms for secondary gain is not supported by evidence. This interpretation stigmatizes military children and ignores the real impact of trauma exposure.
Choice D reason: Flashbacks are not characteristic of substance abuse. Substance abuse may cause cravings, withdrawal, or intoxication symptoms, but not trauma-related flashbacks.
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