The parent of a 6-year-old says. "My child is in constant motion and talks all the time. My child isn't interested in toys but is out of bed every morning before me." The child's behavior is most consistent with diagnostic criteria for

communication disorder.

Attention Deficit Hyperactive Disorder (ADHD).

intellectual development disorder.

stereotypic movement disorder.

Answer and Explanation

The Correct Answer is B

A. Communication disorders involve difficulties with speech, language, or communication (e.g., stuttering, limited vocabulary). The main problem here is hyperactivity, not speech/language impairment.

B. ADHD is characterized by inattention, hyperactivity, and impulsivity. Behaviors such as being in constant motion, excessive talking, lack of sustained interest in activities, and getting up early with energy are hallmark signs of hyperactive/impulsive type ADHD.

C. Intellectual development disorder (formerly mental retardation) involves below-average intellectual functioning and impaired adaptive skills, not constant hyperactivity and excessive talking.

D. Stereotypic movement disorder is repetitive, purposeless motor behavior (e.g., hand flapping, head banging), not generalized hyperactivity and impulsivity.

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Correct Answer is C

Explanation

A. Haloperidol is not commonly associated with bleeding; this is more relevant to anticoagulants or antiplatelet therapy.

B. Pancreatitis is more commonly associated with certain antipsychotics like clozapine or valproate, not haloperidol.

C. Haloperidol, a typical antipsychotic, can prolong the QT interval and cause cardiac dysrhythmias, especially in higher doses or IV administration. Monitoring ECG and cardiac status is important.

D. Cataract formation is a potential adverse effect of long-term use of atypical antipsychotics such as quetiapine or olanzapine, not haloperidol.

A. A 38-year-old single, African American female church member with fibrocystic breast disease. B. An adolescent Asian American girl with superior athletic and academic skills who has asthma. C. A 79-year-old single, white male diagnosed recently with terminal cancer of the prostate. D. A 60-year-old married Hispanic man with 12 grandchildren who has type 2 diabetes.

Correct Answer is C

Explanation

A. African American females, especially with strong religious affiliation and social ties, have a lower risk of suicide compared to other demographics.

B. Adolescents may have suicidal ideation under stress, but the protective factors (academic and athletic success, no indication of psychiatric illness) lower the risk.

C. Older white males are at the highest statistical risk for suicide, especially when compounded by chronic illness, terminal diagnosis, social isolation (single), and depression.

D. Despite chronic illness (type 2 diabetes), protective factors such as being married and having many grandchildren reduce suicide risk.

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The parent of a 6-year-old says. "My child is in constant motion and talks all the time. My child isn't interested in toys but is out of bed every morning before me." The child's behavior is most consistent with diagnostic criteria for

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated as needed for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

Correct Answer is C

Explanation

Which individual in the emergency department should be considered at highest risk for completing suicide?

Correct Answer is C

Explanation

A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?

Which technique will best communicate to a patient that the nurse is interested in listening?

Documentation in a patient's chart shows. "Throughout a 5-minute interaction, patient fidgeted and tapped their left foot, periodically covered their face with their hands, and looked under chair while stating, 1 enjoy spending time with you." Which analysis is most accurate?

When a patient diagnosed with schizophrenia was discharged 6 months ago, haloperidol was prescribed. The patient now says, "I stopped taking those pills. They made me feel like a robot." What are common side effects the nurse should validate with the patient?

A nurse cares for a patient experiencing an opioid overdose. Which focused assessment has the highest priority?

Two weeks ago, a soldier returned to the United States from active duty in a combat zone. The soldier was diagnosed with post-traumatic stress disorder (PTSD). Which comment by the soldier requires the nurse's immediate attention?

A patient in alcohol rehabilitation reveals to the nurse. "I feel terrible guilt for sexually abusing my 6-year-old before I was admitted." Select the nurse's most important action.

A nurse is teaching the parents of a school-age child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?