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Withdrawn in social contexts but energetic and engaging with family.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Choice B reason: Being withdrawn in social contexts but engaging with family does not provide clear evidence of ADHD.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 A
Explanation
Choice A reason: This is the correct choice. Consistent enforcement of rules prevents manipulation and maintains a stable environment for all clients.
Choice B reason: While encouraging questions and discussion is generally positive, it does not directly address manipulative behavior.
Choice C reason: Promoting social ostracism is not therapeutic and can harm the client's mental health and recovery.
Choice D reason: Scheduling one-on-one time could be beneficial, but it does not address the issue of manipulation towards the staff.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. The client's belief that "They're out to get me" is indicative of paranoia, a common symptom in schizophrenia.
Choice B reason: This choice is incorrect. Stilted language refers to an unnatural, formal way of speaking, not suspicion or guardedness.
Choice C reason: This choice is incorrect. Pressured speech is rapid and urgent speech, which is not described in the scenario.
Choice D reason: This choice is incorrect. Autistic thinking is associated with autism, not schizophrenia, and does not involve paranoia.
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