UPRVUNL - 2021
Child Health Nursing (Pediatrics)
Easy
The behavioral disorder in a child characterized by inappropriate hyperactivity, impulsiveness and inattention is?
Appeared in: UPRVUNL - 2021
Explanation
- The question describes a classic triad of symptoms: inappropriate hyperactivity, impulsiveness, and inattention.
- These three behaviors are the core diagnostic features of Attention Deficit Hyperactivity Disorder (ADHD).
- ADHD is a common neurodevelopmental disorder that begins in childhood and can persist into adulthood.
- The combination of these symptoms significantly impairs functioning in academic, social, or occupational settings.
Why Other Options Were Wrong
- Option B: This term is not a standard diagnosis. 'Hypoactivity' means decreased or slow movement, which is the opposite of the 'hyperactivity' described in the question.
- Option C: Enuresis is the medical term for involuntary urination, most often referring to bedwetting. It is a disorder of elimination, not a behavioral disorder characterized by hyperactivity and inattention.
- Option D: Autistic behavior refers to Autism Spectrum Disorder (ASD). The core features of ASD are persistent deficits in social communication and social interaction, along with restricted, repetitive patterns of behavior, interests, or activities.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Defining characteristics of Attention Deficit Hyperactivity Disorder (ADHD) as background academic context rather than a clinical decision trigger.
- Nurses play a vital role in the early identification of ADHD by observing child behavior and listening to parental concerns during routine check-ups.
- Patient and family education is a key nursing responsibility, including teaching strategies to manage behavior, the importance of a structured routine, and information about medication.
- Ensuring a safe environment is a priority. Nurses should advise caregivers on how to 'child-proof' the home to minimize risks associated with impulsivity and hyperactivity.
How to Approach the Question
- First, identify the keywords in the question stem: 'hyperactivity', 'impulsiveness', and 'inattention'.
- Recognize that these three terms form a classic clinical triad.
- Next, evaluate each option based on these keywords.
- Option A, 'Attention deficit hyperactivity disorder', explicitly contains 'hyperactivity' and is known to be characterized by all three symptoms.
- Eliminate the other options by comparing their definitions to the keywords. 'Hypoactivity' is the opposite, 'Enuresis' is urination, and 'Autistic behavior' has different core features.
- This process of matching the defining symptoms from the question to the correct disorder leads to the right answer.
Concept Tested & Keywords
- Concept Tested: Defining characteristics of Attention Deficit Hyperactivity Disorder (ADHD)
- Stem keywords: behavioral disorder, child, hyperactivity, impulsiveness, inattention
- Lead-in keywords: is
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
Question ID
QTcVlnLLlv6JH3qLhI69M2
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 10121-10123, 15512-15514
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 421-423
Practise the full UPRVUNL - 2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Behavioural & Emotional Disorders of Childhood and Adolescence Questions
- Which one of the following is NOT a characteristic of Attention Deficit Hyperactivity Disorder (ADHD)?
- Children with PTSD may exhibit which clinical features?
- A parent who copes with quarreling among young children by placing them in separate rooms is using?
- Which of the following is the warning sign of poor mental health among children?
- Which social factor has recently emerged as a significant challenge in ensuring child mental health?
- A nurse must design a psychoeducation session for parents of children with autism spectrum disorder (ASD). Which approach is most likely to improve p…
- Diagnosis of child with behavioural problems includes assessment of the following:
- A child diagnosed with Autism Spectrum Disorder (ASD) is being managed. What is the best treatment modality?
- Aetiology of Attention Deficit Hyperactivity Disorder (ADHD) may include
More UPRVUNL - 2021 Questions
- There is a swelling in a diffuse area. It is characterized by edema that appears at birth, disappears in several days, and crosses suture lines. This…
- The drug of choice for the treatment of manic episode is?
- The agent that causes smallpox is?
- Which of the following deficiency disease is also known as "rice eater's" disease?
- Illusion is a disorder of?
- Interstitial implantation of fertilized ovum is completed on the?
- Diaphragm is a/an?
- The bacteria that grow between 20 to 50 degrees Celsius temperature are called?
- The time period of pregnancy defined as the third trimester of pregnancy is?
- Which of the following was not discovered by Louis Pasteur?