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. Antipsychotics are used for psychosis (e.g., schizophrenia, delusions, hallucinations), not for acute anxiety.

B. Benzodiazepines (e.g., lorazepam, diazepam, alprazolam) are the treatment of choice for acute anxiety or panic attacks because they act quickly (within minutes to hours) by enhancing GABA neurotransmission, providing rapid relief.

C. Mood stabilizers (e.g., lithium, valproate) are used in bipolar disorder, not for acute situational anxiety.

D. Tricyclic antidepressants (e.g., amitriptyline) are used for long-term management of depression and some anxiety disorders, but their onset is delayed (2–6 weeks), making them ineffective for acute anxiety.

A. is able to describe the difference between "as if" and "for real." B. reports a consistently sad, discouraged, and hopeless mood. C. reports occasional sleeplessness and anxiety. D. perceives difficulty making a decision about whether to change jobs.

Correct Answer is B

Explanation

A. Distinguishing between reality and fantasy shows intact cognition, not mental illness.
B. A persistent sad, hopeless mood suggests depression, a hallmark of mental illness when symptoms are severe and ongoing.
C. Occasional anxiety and insomnia can be normal stress responses, not necessarily mental illness.
D. Difficulty making a decision about work is a common life stressor, not a clear sign of mental illness.

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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

A patient has acute anxiety related to an automobile accident 2 hours ago. The nurse should teach the patient about medication from which group?

Correct Answer is B

Explanation

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient

Correct Answer is B

Explanation

A nurse in a substance abuse clinic is assessing a client who was recently prescribed disulfiram. The patient suddenly stopped taking this medication and is now complaining of severe nausea and vomiting. What should the nurse suspect is likely the cause of the client's distress?

Which assessment finding would the nurse expect to see in a patient experiencing delirium? (Select all that apply)

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?

A patient insistently states, "I can decipher codes of DNA just by looking at someone." Which problem is evident?

A hospitalized client diagnosed with alcohol use disorder believes spiders are spinning webs in the room to entrap him. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?

What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin) for ADHD?

Which assessment findings are likely for an individual who recently injected heroin?

Which scenario demonstrates a dissociative fugue?