The PMHNP is evaluating a 6-year-old boy with suspected ADHD. Which of the following biological findings should she expect to find that might help confirm diagnosis?
Reduced total brain volume on magnetic resonance imaging
Decreased slow-wave activity on electroencephalogram
Reduced thalamic volume
Early posterior-to-anterior cortical maturation
The Correct Answer is A
Choice A reason: Neuroimaging studies in children with ADHD often show reduced total brain volume, particularly in the prefrontal cortex, basal ganglia, and cerebellum, supporting neurodevelopmental involvement in the disorder.
Choice B reason: Slow-wave activity on EEG may be altered in some neurodevelopmental disorders, but decreased slow-wave activity is not a specific marker for ADHD.
Choice C reason: Thalamic volume reduction is not consistently associated with ADHD; abnormalities are more commonly observed in cortical and subcortical structures.
Choice D reason: ADHD is associated with delayed cortical maturation, particularly in the prefrontal cortex, rather than early posterior-to-anterior cortical maturation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is incorrect because Erikson's psychosocial theory does address developmental challenges that correspond to life stages, including midlife concerns.
Choice B reason: Integrity vs. Despair occurs in late adulthood and involves reflecting on life with satisfaction or regret. It is not associated with the midlife period.
Choice C reason: Industry vs. Inferiority occurs during childhood, focusing on developing competence in skills and work, and is unrelated to midlife development.
Choice D reason: This is correct. Generativity vs. Stagnation occurs during middle adulthood, typically ages 40–65. Individuals focus on contributing to society, guiding the next generation, and finding meaning in productivity. A midlife crisis can arise if individuals feel unfulfilled or stagnant in these roles.
Correct Answer is A
Explanation
Choice A reason: This is correct. EMDR is an evidence-based psychotherapy designed to reduce distress from traumatic memories by facilitating adaptive processing. It is particularly effective for PTSD symptoms including flashbacks, nightmares, and emotional numbing.
Choice B reason: Primal scream therapy is not supported by evidence as an effective treatment for PTSD and focuses on emotional catharsis rather than structured trauma processing.
Choice C reason: Hypnotherapy may be used adjunctively but is not considered a first-line, evidence-based treatment for PTSD.
Choice D reason: Psychodrama is a therapeutic technique that uses role-play and dramatization but lacks sufficient evidence as a primary treatment for PTSD.
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