Which behavior would first alert the school nurse or teacher to suspect sexual abuse in a 7-year- old child?

The child has a preference for associating with peers, rather than adults.

The child has learning problems and shyness.

The child tells sexually explicit stories to peers.

The child wears dirty and threadbare clothing.

Answer and Explanation

The Correct Answer is C

C. The child telling sexually explicit stories to peers could be concerning and warrants further investigation. A child speaking in this manner could indicate that they are frequently expose to sexual content of abuse
A. The child has a preference for associating with peers, rather than adults. While this may need further assessment, it does not necessarily point to sexual abuse.
B. Learning problems and shyness alone are not specific indicators of sexual abuse.

D. While poor hygiene and clothing conditions can be signs of neglect, they are not directly related to sexual abuse. Poor hygiene and clothing is more likely to point to child neglect.

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Correct Answer is D

Explanation

D. Delusions are false beliefs that are firmly held despite evidence to the contrary. They are not based on reality and are often resistant to rational persuasion or evidence. Delusions can take various forms, such as persecutory (feeling targeted or spied on), grandiose (believing in exaggerated self-importance), or paranoid (feeling threatened or persecuted).

A. Hallucinations involve perceiving sensory experiences that are not present in reality. These sensory experiences can occur in any of the five senses, including seeing, hearing, tasting, smelling, or feeling things that are not actually there.

B. Anhedonia refers to the inability to experience pleasure or interest in activities that are typically enjoyable.

C. Illusions involve misinterpreting real sensory stimuli. Unlike hallucinations, which involve perceiving sensory experiences that are not present, illusions occur when existing sensory stimuli are misinterpreted or distorted.

A. Neuroleptic Malignant Syndrome B. Dysthymia C. Tardive dyskinesia D. Akathisia

Correct Answer is C

Explanation

C. Tardive dyskinesia is a movement disorder characterized by repetitive, involuntary movements of the face, tongue, and sometimes other parts of the body. These movements can include lip smacking, tongue protrusion, grimacing, and rapid eye blinking. Tardive dyskinesia is a well-known adverse effect associated with long-term use of antipsychotic medications, particularly first- generation antipsychotics such as chlorpromazine.
A. Neuroleptic Malignant Syndrome is a rare but serious adverse reaction to antipsychotic medications, characterized by symptoms such as severe muscle rigidity, high fever, altered mental status (e.g., confusion), autonomic instability (e.g., fluctuations in blood pressure, heart rate), and elevated creatine phosphokinase (CPK) levels.
B. Dysthymia is a chronic mood disorder characterized by persistent feelings of sadness, hopelessness, and low self-esteem. Dysthymia is not directly related to the involuntary movements described in the scenario and is unlikely to be the cause of the client's symptoms.
D. Akathisia is a movement disorder characterized by inner restlessness and the inability to sit still. Akathisia is a common side effect of antipsychotic medications and can be distressing for affected individuals. However, the symptoms described in the scenario, specifically involuntary movements of the tongue and face, are more indicative of tardive dyskinesia rather than akathisia.

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Which behavior would first alert the school nurse or teacher to suspect sexual abuse in a 7-year- old child?

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Naxlex Comprehensive Predictor Exams

The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?

Correct Answer is D

Explanation

A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?

Correct Answer is C

Explanation

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