Which of the following is a diagnostic test for attention-deficit hyperactivity disorder (ADHD)?
Cesar's Assessment Scale
Hamilton Assessment Scale
Vanderbilt Assessment Scale
Columbia Assessment Scale
The Correct Answer is C
A. Cesar's Assessment Scale. There is no widely recognized Cesar's Assessment Scale for diagnosing ADHD.
B. Hamilton Assessment Scale. The Hamilton scales (HAM-A and HAM-D) are used to assess anxiety and depression, not ADHD. They measure emotional symptoms, somatic complaints, and cognitive impairments associated with mood disorders.
C. Vanderbilt Assessment Scale. The Vanderbilt Assessment Scale is a validated tool used for ADHD diagnosis in children. It assesses inattention, hyperactivity, impulsivity, and associated behavioral problems based on parent and teacher reports. It also screens for common comorbidities such as oppositional defiant disorder (ODD) and anxiety disorders.
D. Columbia Assessment Scale. The Columbia Suicide Severity Rating Scale (C-SSRS) is used to assess suicidal ideation and behavior, not ADHD. It is primarily applied in psychiatric evaluations and crisis intervention settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Haloperidol (Haldol) is a first-generation (typical) antipsychotic, which has a higher risk of extrapyramidal symptoms (EPS) but a lower risk of metabolic syndrome compared to second-generation antipsychotics.
B. Aripiprazole (Abilify) is a second-generation (atypical) antipsychotic with a lower risk of metabolic side effects. It has a partial dopamine agonist mechanism, which makes it less likely to cause weight gain, dyslipidemia, or glucose intolerance.
C. Clozapine (Clozaril) has the highest risk of metabolic syndrome among antipsychotics. It is associated with significant weight gain, hyperglycemia, dyslipidemia, and an increased risk of diabetes. Regular metabolic monitoring (weight, blood glucose, lipids) is essential for patients taking clozapine.
D. Lurasidone (Latuda) is a second-generation antipsychotic with a lower metabolic risk compared to other atypical antipsychotics. It is generally considered weight-neutral and has minimal effects on glucose and lipid metabolism.
Correct Answer is D
Explanation
A. Stereotypic movements. Repetitive motor behaviors, such as hand-flapping, rocking, and spinning, are characteristic of autism spectrum disorder (ASD). These stereotypic movements serve as self-stimulatory behaviors and may help regulate sensory input.
B. Restricted interest. Individuals with ASD often display intense, fixated interests in specific topics or objects (e.g., an obsession with maps, numbers, or train schedules). These restricted interests are highly focused and often interfere with daily functioning.
C. Social communication deficit. Impaired social interaction and communication are core features of ASD. Affected individuals struggle with understanding social cues, making eye contact, interpreting facial expressions, and engaging in reciprocal conversations.
D. Receptive language dysfunction. While language delays can be present in ASD, receptive language dysfunction (difficulty understanding spoken language) is more characteristic of specific language impairment (SLI) or aphasia rather than ASD. In ASD, deficits in pragmatic (social) communication are more pronounced than in purely receptive language processing.
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