The nurse is caring for a patient diagnosed with delirium. The nurse would note these symptoms as consistent with delirium: Select all that apply.

Anxiety and agitation

Disorganized thinking

Pain with bowel and bladder function

Disorientation

Displays overly friendly behaviors

Answer and Explanation

Correct Answer : A,B,D

A: Anxiety and agitation are common symptoms of delirium. Patients may become restless and anxious due to confusion and disorientation.

B: Disorganized thinking is a hallmark of delirium. Patients may have trouble maintaining a coherent line of thought and may exhibit incoherent speech.

C: Pain with bowel and bladder function is not a typical symptom of delirium. While discomfort can exacerbate delirium, it is not a defining characteristic.

D: Disorientation, particularly to time and place, is a key symptom of delirium. Patients often cannot accurately perceive their environment or understand their situation.

E: Overly friendly behaviors are not typically associated with delirium. Delirium usually involves confusion, agitation, and sometimes aggression rather than increased sociability.

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Correct Answer is ["B","C","D","E"]

Explanation

A: Providing a detailed account of school work is not typically associated with ADHD, as children with ADHD often have difficulty with sustained attention and organization.

B: Talking excessively and interrupting are common behaviors in children with ADHD due to impulsivity and hyperactivity.

C: Blurting out responses or thoughts is a characteristic behavior of ADHD, reflecting impulsivity.

D: Fidgeting and squirming in the chair are signs of hyperactivity, which are common in children with ADHD.

E: Being easily distracted is a hallmark symptom of ADHD, indicating difficulty with sustained attention.

A. The child is observed muttering to themselves, but denies having hallucinations. B. The child freely walks up to strangers and engages in conversation. C. The child makes poor eye contact and does not verbally respond to questions. D. The child gets into fights with their teachers at school.

Correct Answer is C

Explanation

A: While muttering to themselves can be observed in children with Autism Spectrum Disorder (ASD), it is not a definitive characteristic. Denying hallucinations is more related to psychotic disorders rather than ASD.

B: Children with ASD typically have difficulties with social interactions and are less likely to freely walk up to strangers and engage in conversation. This behavior is more characteristic of children without ASD.

C: Poor eye contact and lack of verbal response to questions are common observations in children with ASD. These behaviors reflect the social communication deficits that are central to the diagnosis of ASD.

D: Getting into fights with teachers is not a specific characteristic of ASD. While some children with ASD may exhibit challenging behaviors, this is not a defining feature of the disorder.

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The nurse is caring for a patient diagnosed with delirium. The nurse would note these symptoms as consistent with delirium: Select all that apply.

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Naxlex Comprehensive Predictor Exams

A school-aged patient with attention-deficit/hyperactivity disorder is entering day treatment. During the initial office visit, the mental health nurse anticipates the patient will exhibit which of the following behaviors? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is performing an assessment on a 9-year-old child who had been diagnosed with Autism Spectrum Disorder. Which of the following findings would the nurse expect to observe?

Correct Answer is C

Explanation

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The nurse is caring for a patient diagnosed with delirium. The nurse would note these symptoms as consistent with delirium: Select all that apply.

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