The guardians of a school-aged child state that they run in circles in the classroom, interrupt others' conversations at home, and cannot focus when doing homework. The nurse should recognize that these behaviors can be indicative of which of the following disorders?

Stereotypic movement disorder

Autism spectrum disorder (ASD)

Dysgraphia

Attention-deficit/hyperactivity disorder (ADHD)

Answer and Explanation

The Correct Answer is D

A. Stereotypic movement disorder involves repetitive, non-functional motor behavior that interferes with normal activities, but the behaviors described are more indicative of ADHD.

B. Autism spectrum disorder can include difficulties with social interactions and repetitive behaviors, but the described behaviors are more characteristic of ADHD.

C. Dysgraphia involves difficulties with writing, which does not align with the behaviors described.

D. Attention-deficit/hyperactivity disorder (ADHD) includes symptoms such as hyperactivity, impulsivity, and difficulty sustaining attention, which match the behaviors described by the guardians.

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Correct Answer is C

Explanation

A. Negative symptoms of psychosis include affective flattening, alogia, and avolition, which are less commonly associated with acute toxicity from sedatives.

B. Prolonged hallucinations can occur with certain substances, but severe, acute hallucinations are more typical of acute sedative toxicity.

C. Severe hallucinations are a common symptom of acute toxicity from sedatives and other substances, indicating significant neurological impact.

D. Prolonged delusions are more typical of chronic psychotic disorders rather than acute substance toxicity.

A. GI discomfort and poor coordination B. Lip smacking and tongue thrusting C. Blurred vision and jerking motor movements D. Fever and fluctuating blood pressure

Correct Answer is A

Explanation

A. A lithium level of 1.6 mEq/L is indicative of mild to moderate lithium toxicity, with symptoms including gastrointestinal discomfort and poor coordination.

B. Lip smacking and tongue thrusting are associated with tardive dyskinesia, not lithium toxicity.

C. Blurred vision and jerking motor movements are more indicative of severe lithium toxicity or other neurological disorders.

D. Fever and fluctuating blood pressure are not typical manifestations of lithium toxicity at this level.

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The guardians of a school-aged child state that they run in circles in the classroom, interrupt others' conversations at home, and cannot focus when doing homework. The nurse should recognize that these behaviors can be indicative of which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

Correct Answer is C

Explanation

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is A

Explanation

A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

A nurse is speaking with the parent of a client who is experiencing manifestations of psychosis. The parent states, "I don't understand how a child can experience psychosis." Which of the following responses should the nurse make?

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?

A nurse is preparing a presentation about alcohol withdrawal. Which of the following findings should the nurse include in the presentation?

A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?

A nurse is helping a client develop a plan to stop gambling. Which of the following interventions should the nurse include in the plan to set specific measurements for this behavior change?