Encopresis is best described as
Repeated passage of saliva into clothing.
Repeated passage of feces into clothing.
Repeated passage of rights.
Repeated voiding of urine into bed or clothing.
The Correct Answer is B
A. Repeated passage of saliva into clothing. There is no recognized disorder characterized by excessive saliva passage onto clothing. However, sialorrhea (excessive drooling) may occur in neurological conditions like cerebral palsy or as a side effect of medications like clozapine.
B. Repeated passage of feces into clothing. Encopresis is the repeated, involuntary or intentional passage of feces into inappropriate places, such as clothing or the floor, in children older than 4 years. It is often associated with chronic constipation, stool retention, and overflow incontinence, though it can also occur in response to emotional stress or behavioral issues.
C. Repeated passage of rights. This phrase does not correspond to any recognized medical or psychiatric condition.
D. Repeated voiding of urine into bed or clothing. This describes enuresis, not encopresis. Enuresis is the repeated involuntary or intentional voiding of urine into bed or clothing, occurring at least twice a week for three consecutive months in children older than 5 years. It can be nocturnal (night-time bedwetting), diurnal (daytime), or both.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Meaningless rhythm of words. This describes word salad, a disorganized speech pattern where words are strung together without logical connection, often seen in schizophrenia or severe psychosis.
B. Roundabout. This refers to circumstantial speech, where an individual provides excessive, unnecessary details before eventually arriving at the main point. This is commonly seen in mania, obsessive-compulsive disorder (OCD), or cognitive impairment.
C. Made-up words. Neologisms are newly invented words or phrases that have no meaning to others but may carry personal significance to the individual. This is frequently observed in schizophrenia, psychotic disorders, or neurological conditions like aphasia.
D. Repeating of another's words. This describes echolalia, a speech disturbance where a person repeats words or phrases spoken by others, often seen in autism spectrum disorder (ASD), schizophrenia, or catatonia.
Correct Answer is A
Explanation
A. Delusions are a positive symptom of schizophrenia, not a negative symptom. They are false, fixed beliefs that persist despite evidence to the contrary. Common types include persecutory, grandiose, and bizarre delusions. Positive symptoms result from excess dopamine activity in the mesolimbic pathway.
B. Avolition is a negative symptom characterized by a lack of motivation to initiate and sustain goal-directed activities. It leads to difficulties with personal hygiene, work, and social engagement, significantly impairing daily functioning.
C. Apathy is a negative symptom marked by a lack of interest, enthusiasm, or emotional responsiveness. Individuals with schizophrenia may show indifference to social interactions, personal achievements, or daily activities.
D. Alogia (poverty of speech) is a negative symptom where individuals speak less and provide minimal verbal responses. This reflects impaired thought processing and reduced cognitive engagement, common in schizophrenia's mesocortical dopamine pathway dysfunction.
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