Nokea
Which of the following terms describes the repeating of one's own words or sounds?
- A. Coprolalia
- B. Palilalia
- C. Echolalia
- D. None of the above
Correct Answer: B
Rationale: Palilalia is the repetition of one's own words or sounds, distinct from coprolalia (obscene words) or echolalia (repeating others' words).
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An 8-year-old with attention deficit hyperactivity disorder is jumping off the bed onto a chair. Which should be the nurse's first step?
- A. I need to talk to you.
- B. Stop that right now.
- C. You are going to hurt yourself.
- D. Why are you jumping off the bed?
Correct Answer: B
Rationale: Stopping dangerous behavior immediately is critical to ensure safety in a child with ADHD.
A mother expresses concern to the nurse that the child's regularly scheduled vaccines may not be safe. The mother states that she has heard reports that they cause autism. The most appropriate response by the nurse is.
- A. It is recommended that you wait until the child is older to vaccinate.
- B. There are safer alternative immunizations available now.
- C. There has been no research to establish a relationship between vaccines and autism.
- D. The risks do not outweigh the benefits of immunization against childhood diseases.
Correct Answer: C
Rationale: Extensive research by reputable institutions like the CDC has found no link between vaccines and autism, making this the most accurate and reassuring response.
Which one of the following nursing interventions should take priority for a child with ADHD?
- A. Structured daily routine
- B. Ensuring the child's safety and that of others
- C. Simplifying instructions and directions
- D. Improved role performance
Correct Answer: B
Rationale: Safety is the priority due to the impulsive and hyperactive behaviors in ADHD that can pose risks to the child and others.
The mother of a 15-year-old boy tells the nurse that her son is becoming more assertive in conflict situations and wants to get a job. She asks if it is healthy for a 15-year-old to be so independent. Which is valid information for the nurse to offer the mother?
- A. His behaviors reflect normal growth and development.
- B. He is overly independent.
- C. It sounds like he is trying to avoid her.
- D. She should observe for signs of substance abuse.
Correct Answer: A
Rationale: Increased assertiveness and seeking a job are normal developmental behaviors for a 15-year-old.
Which of the following are common coexisting psychiatric disorders for adults with ADHD? Select all that apply.
- A. Social phobia
- B. Bipolar disorder
- C. Obsessive-compulsive disorder
- D. Major depression
- E. Alcohol dependence
Correct Answer: A,B,D,E
Rationale: Adults with ADHD commonly have coexisting conditions like social phobia, bipolar disorder, major depression, and alcohol dependence, but not typically obsessive-compulsive disorder.