An adolescent is being observed for atention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?
Forgets to turn in homework, does not follow directions, cannot stay in an assigned seat in class, and is always talking excessively and inappropriately.
Withdrawn in social contexts but energetic and engaging with family.
Stubborn, resistant to directions, and unwilling to negotiate.
Shows cruelty to animals, callousness, and lack of guilt and remorse.
The Correct Answer is A
Choice A reason: This is the correct choice. These behaviors are indicative of the inatention and hyperactivity- impulsivity symptoms of ADHD.
Choice B reason: Being withdrawn in social contexts but engaging with family does not provide clear evidence of ADHD.
Choice C reason: Stubbornness and resistance to directions alone are not sufficient to diagnose ADHD.
Choice D reason: Cruelty to animals and lack of guilt are not symptoms of ADHD and may indicate other behavioral issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Stopping the client from performing rituals can increase anxiety and distress. Rituals are a coping mechanism for individuals with OCD, and abruptly preventing them can lead to a significant increase in anxiety.
Choice B reason: Allowing the client to perform rituals can provide a sense of security and control, which is important for individuals with OCD. Over time, with appropriate therapy, the need for these rituals can be reduced.
Choice C reason: While encouraging the client to talk about the purpose of the rituals can be part of cognitive-behavioral therapy, it may not immediately increase the client's sense of security. This approach is more about understanding and eventually managing the compulsions.
Choice D reason: Distracting the client from rituals with other activities can be a helpful strategy in therapy but may not directly increase the client's sense of security. It can be used as a part of a comprehensive treatment plan to gradually reduce the reliance on rituals.
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect. While anxiety can be a normal response to stress, the context implies that the client is experiencing more than a typical reaction.
Choice B reason: This choice is incorrect. Anxiety is not necessarily an abnormal response; it can occur in normal situations but becomes problematic when excessive.
Choice C reason: This choice is incorrect. While anxiety does have physiological components, the question seems to be asking about the experiential nature of anxiety.
Choice D reason: This is the correct choice. Anxiety is indeed a sense of psychological distress that can be triggered by stress but is characterized by excessive worry, fear, or apprehension.
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