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The nurse is performing a history and physical assessment for a client in the clinic with moderate dementia. The client becomes agitated when asked questions and inquires why so many questions are being asked. What are the best actions for the nurse to take to obtain the necessary data? Select all that apply.

Persistently ask the same question until answered.

Give the client ample time to answer the questions asked.

Ask simple questions instead of compound questions.

Provide simple explanations to the client as often as required.

Take frequent breaks during the interview process.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A reason: Persistently asking the same question can increase agitation in clients with dementia.

Choice B reason: Allowing ample time for responses can reduce pressure and agitation in clients with dementia.

Choice C reason: Simple questions are easier for clients with dementia to understand and respond to.

Choice D reason: Providing simple explanations can help clients with dementia understand the purpose of the questions.

Choice E reason: Taking frequent breaks can help prevent fatigue and agitation during the assessment process.

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Correct Answer is B

Explanation

Choice A reason: Shampoo and conditioner are unlikely to cause hair loss on the eyebrows and hairline.

Choice B reason: The parent's observation of the child pulling out hair and attempting to hide it suggests trichotillomania, a condition where individuals pull out their hair as a response to stress or anxiety.

Choice C reason: Genetic factors may contribute to hair loss, but the behavior described by the parent in choice B is more indicative of trichotillomania.

Choice D reason: The absence of visible nervousness or upset does not rule out trichotillomania, as the behavior can be a coping mechanism for internal distress.

A. Children are naturally active, energetic, and spontaneous. B. The diagnosis of Bipolar Disorder cannot be assigned prior to the age of 18. C. Symptoms of bipolar disorder are similar to those of attention deficit-hyperactivity disorder (ADHD). D. Neurotransmitter levels vary considerably in accordance with age. E. Genetic predisposition is not a reliable diagnostic determinant.

Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Children's natural activity levels and spontaneity can mimic the hyperactivity of bipolar mania, making it challenging to differentiate between typical behavior and symptoms of a mood disorder.

Choice B reason: This statement is incorrect; bipolar disorder can be diagnosed before the age of 18. Early-onset bipolar disorder is recognized and can be diagnosed in children and adolescents.

Choice C reason: ADHD and bipolar disorder share common symptoms such as impulsivity and inattention, which can complicate the differential diagnosis, especially in younger populations.

Choice D reason: Neurotransmitter levels do indeed vary with age, which can affect mood and behavior, thereby complicating the diagnosis of bipolar disorder in young individuals.

Choice E reason: While genetic predisposition plays a role in bipolar disorder, it alone is not a definitive diagnostic determinant due to the complex interplay of genetic and environmental factors.

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Naxlex Comprehensive Predictor Exams

The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

Correct Answer is B

Explanation

Which of the following explanations should the nurse include when teaching parents why it is difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client engages in constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.

A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply.)

A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply)

A nurse is working with clients diagnosed with personality disorders. Which techniques would be most important for the nurse to use to effectively deal with the frustration in providing care to this group of clients? Select all that apply.

A client has a history of excessive fear of water. Which term should the nurse use to describe this specific phobia, and under what subtype is this phobia identified?

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? (Select all that apply.)

The nurse suspects another nurse of substance use disorder while working in the long-term care facility. Which behavior(s) will the observing nurse report to the nurse manager? Select all that apply.