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 B

Explanation

A. The patient’s symptoms are physiological and neurological, not intentional behaviors for attention.

B. Alcohol withdrawal delirium (delirium tremens) typically occurs 48–72 hours after the last drink and includes tremors, agitation, anxiety, diaphoresis, tachycardia, hallucinations, and nightmares—all present in this patient.

C. Although head injury can cause confusion and agitation, the timing of symptoms following alcohol withdrawal aligns more closely with delirium tremens.

D. Acute psychosis can present with hallucinations, but in this case, the onset following alcohol cessation and accompanying autonomic hyperactivity point toward alcohol withdrawal delirium.

A. An advanced practice nurse recommends hospitalization for a patient who is dangerous to self and others. B. The plan of care for a patient is not completed within 24 hours of the patient's admission. C. A nurse gives an as needed (prn) dose of an antipsychotic drug to an agitated patient because the unit is short-staffed. D. A patient's admission status changed from involuntary to voluntary after the patient's hallucinations subside.

Correct Answer is C

Explanation

A. Recommending hospitalization for a patient who is dangerous to self or others is an example of appropriate professional judgment and does not constitute a tort.

B. Delays in completing a plan of care may reflect poor documentation or practice issues, but it is not automatically considered a tort.

C. Administering medication to a patient solely due to staffing issues, rather than based on clinical need or prescription, constitutes battery or negligence, which are examples of torts in healthcare law.

D. Changing a patient’s admission status based on clinical improvement is appropriate practice and not a tort.

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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

Correct Answer is B

Explanation

Select an example of a tort.

Correct Answer is C

Explanation

A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?

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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?