The parent of a 6-year-old says. "My child is in constant motion and talks all the time. My child isn't interested in toys but is out of bed every morning before me." The child's behavior is most consistent with diagnostic criteria for

communication disorder.

Attention Deficit Hyperactive Disorder (ADHD).

intellectual development disorder.

stereotypic movement disorder.

Answer and Explanation

The Correct Answer is B

A. Communication disorders involve difficulties with speech, language, or communication (e.g., stuttering, limited vocabulary). The main problem here is hyperactivity, not speech/language impairment.

B. ADHD is characterized by inattention, hyperactivity, and impulsivity. Behaviors such as being in constant motion, excessive talking, lack of sustained interest in activities, and getting up early with energy are hallmark signs of hyperactive/impulsive type ADHD.

C. Intellectual development disorder (formerly mental retardation) involves below-average intellectual functioning and impaired adaptive skills, not constant hyperactivity and excessive talking.

D. Stereotypic movement disorder is repetitive, purposeless motor behavior (e.g., hand flapping, head banging), not generalized hyperactivity and impulsivity.

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Correct Answer is C

Explanation

A. Anger is a common emotion in psychiatric patients but is less predictive of suicide risk.

B. Elation may occur in some mood disorders but is not strongly associated with imminent suicide risk.

C. Hopelessness is the feeling most strongly correlated with suicidal ideation and attempts, making it a key predictor for elevated suicide risk.

D. Sadness is a symptom of depression but alone does not reliably predict suicide risk without accompanying hopelessness.

A. Confer with the health care provider to consider use of seclusion for this patient. B. Hold a staff meeting to discuss consistency and limit-setting approaches. C. Explain to the patient that the behavior is unacceptable. D. Conduct a meeting with all staff and patients to discuss the behavior.

Correct Answer is B

Explanation

A. Seclusion is a last-resort intervention, not an initial step.
B. Staff meetings to ensure consistent approaches, structure, and limit-setting prevent staff fatigue, reduce defensiveness, and provide therapeutic consistency for the client.
C. Confronting the patient directly about unacceptable behavior may escalate agitation and is not the most effective prevention strategy.
D. Group discussions with patients about one individual’s behavior would be inappropriate and non-therapeutic.

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The parent of a 6-year-old says. "My child is in constant motion and talks all the time. My child isn't interested in toys but is out of bed every morning before me." The child's behavior is most consistent with diagnostic criteria for

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is

Correct Answer is C

Explanation

A patient demonstrating behaviors associated with acute mania has exhausted the staff by noon. Staff members are feeling defensive and fatigued. Which action should the staff take initially to prevent this issue?

Correct Answer is B

Explanation

A nurse is caring for a client in the emergency department (ED) Exhibits Which of the following client findings should the nurse report to the provider Immediately? (Select all that apply.)

A nurse assesses a patient who reports a 3-week history of depression and periods of uncontrolled crying. The patient says. "My business is bankrupt and was served with divorce papers." Which subsequent statement by the patient alerts the nurse to a covert suicidal message?

A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?

Which statement shows a nurse has empathy for a patient who made a suicide attempt?

Documentation in a patient's chart shows. "Throughout a 5-minute interaction, patient fidgeted and tapped their left foot, periodically covered their face with their hands, and looked under chair while stating, 1 enjoy spending time with you." Which analysis is most accurate?

Which measure would be considered a form of primary prevention for suicide?

Which outcome is expected for a client experiencing grandiose thinking associated with acute mania?

Two weeks ago, a soldier returned to the United States from active duty in a combat zone. The soldier was diagnosed with post-traumatic stress disorder (PTSD). Which comment by the soldier requires the nurse's immediate attention?