AIIMS Patna NO - 2020
Psychiatric Nursing
Easy
Which one of the following is NOT a characteristic of Attention Deficit Hyperactivity Disorder (ADHD)?
Appeared in: AIIMS Patna NO - 2020
Explanation
- Difficulty in eating is not a primary diagnostic criterion for Attention Deficit Hyperactivity Disorder (ADHD) according to the DSM-5.
- While some children with ADHD might exhibit picky eating or have mealtime challenges, these are not considered core symptoms of the disorder itself.
- The defining characteristics of ADHD are a persistent pattern of inattention, hyperactivity (overactivity), and impulsivity.
- The diagnosis requires these core symptoms to be present and cause impairment in multiple settings, such as at home and school.
Why Other Options Were Wrong
- Option A: This is a core symptom of ADHD. The question asks what is NOT a characteristic.
- Option B: This is a core symptom of ADHD. The question asks what is NOT a characteristic.
- Option D: This is a core symptom of ADHD, also known as hyperactivity. The question asks what is NOT a characteristic.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Core symptoms of Attention Deficit Hyperactivity Disorder (ADHD) as background academic context rather than a clinical decision trigger.
- Nurses are crucial in the early identification of ADHD by observing a child's behavior and collecting a detailed history from parents and teachers, focusing on the presence of core symptoms across different environments.
- A thorough nursing assessment helps differentiate ADHD from other conditions that may present with similar behaviors, ensuring the child receives the correct diagnosis and appropriate interventions.
- What if? If a child presented with significant eating difficulties but no clear signs of inattention or hyperactivity, a nurse should prioritize assessment for feeding disorders, sensory processing issues, or gastrointestinal problems, rather than ADHD.
How to Approach the Question
- First, identify the negative keyword 'NOT' in the question stem. This signals that you must find the option that is an exception or does not belong.
- Recall the three core, defining characteristics of Attention Deficit Hyperactivity Disorder (ADHD).
- The three pillars of ADHD are: 1) Inattention, 2) Hyperactivity (or Overactivity), and 3) Impulsivity.
- Systematically check each option against these core characteristics.
- Options A (Inattention), B (Impulsivity), and D (Overactivity) are all established, primary symptoms of ADHD.
- Option C (Difficulty in eating) is not a core diagnostic criterion for ADHD.
Concept Tested & Keywords
- Concept Tested: Core symptoms of Attention Deficit Hyperactivity Disorder (ADHD)
- Stem keywords: Attention Deficit Hyperactivity Disorder, ADHD, characteristic
- Lead-in keywords: NOT
- Negative lead-in flag: Question asks for the option that is NOT a characteristic
Question ID
QxTO022MQwgt7GLXircZZ9
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 421-423
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 12108-12110, 12146-12148
Practise the full AIIMS Patna NO - 2020
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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