The PMHNP is evaluating an 11-year-old boy with intellectual disabilities, a long face, and large ears. He has midface hypoplasia, hyperextensible joints, and a short stature. She explains to the family that the child has which of the following?
Williams syndrome
Rett syndrome
Fragile X syndrome
Turner syndrome
The Correct Answer is C
Choice A reason: Williams syndrome is associated with distinctive facial features, cardiovascular anomalies, and strong verbal abilities, not consistent with the long face and large ears described.
Choice B reason: Rett syndrome primarily affects females and includes regression of motor and communication skills, making it unlikely in this male patient.
Choice C reason: Fragile X syndrome is characterized by intellectual disability, long face, large ears, joint hyperextensibility, and sometimes short stature, aligning with the patient’s presentation.
Choice D reason: Turner syndrome affects females, involves short stature and certain facial features, but would not account for male presentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Ataque de nervios is a culture-bound syndrome observed in Latin American populations, characterized by episodes of crying, trembling, and aggression, usually in response to family stress, not common in Malaysian men.
Choice B reason: Khayal is a Malaysian syndrome associated with anxiety, palpitations, and fear of death, but it does not involve violent outbursts with amnesia.
Choice C reason: Possession syndrome involves a belief of being controlled by spirits, usually with stereotyped behaviors, but does not fit the sudden aggressive episode with amnesia described here.
Choice D reason: This is correct. Amok is a culture-bound syndrome primarily described in Malaysia and other Southeast Asian countries, characterized by sudden outbursts of violent behavior, often in response to perceived insult, followed by amnesia of the event.
Correct Answer is A
Explanation
Choice A reason: This is the correct answer. Tic disorders, including Tourette disorder, frequently co-occur with obsessive-compulsive disorder and related disorders. Compulsive behaviors can exacerbate functional impairment and should be assessed for comprehensive management.
Choice B reason: While tic disorders can co-occur with autism spectrum disorder in some cases, the association is less common and not as characteristic as with OCD-related conditions.
Choice C reason: Global developmental delay is a broader developmental condition and is not typically associated with tic disorders.
Choice D reason: Intellectual disability is not commonly linked to tic disorders; most children with tics have normal cognitive development.
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