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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Thyroid function tests are not routinely required for valproate therapy; this applies more to lithium therapy.
B. A pretreatment EEG is not necessary before starting valproate; it is used primarily for seizure evaluation.
C. Valproate can cause hepatotoxicity, so monitoring liver function tests (LFTs) before and during therapy is essential for safety.
D. High serum sodium levels are not related to valproate toxicity; this concern is associated with lithium therapy, not valproate.
Correct Answer is A
Explanation
A. Clients experiencing grandiose thinking during acute mania often have inflated self-esteem and unrealistic ideas of ability or importance, making controlling or monitoring their thoughts a priority nursing outcome.
B. While sleep disturbances are common in mania, this outcome does not directly address grandiose thinking.
C. Increased engagement in the environment may occur, but it is not the primary expected outcome for controlling grandiose thoughts.
D. Optimism may be present, but grandiosity involves exaggerated self-perceptions rather than realistic optimism.
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