A male adolescent patient is admitted to a mental health facility due to repeated school fights, multiple instances of running away, and theft from family members.

He has been diagnosed with a conduct disorder.

What history might the nurse expect to find in this patient?

Choice A rationale
Overinvolvement with unapproved friends could potentially lead to negative influences and behaviors, but it does not directly correlate with the symptoms described.
Choice B rationale
Overinvolvement with social media could explain the girl’s symptoms. Excessive use of social media can lead to social isolation, increased stress, and decreased enjoyment in previously loved activities.
Choice C rationale
While attention-deficit disorder could explain some of the symptoms, such as a decrease in school performance, it does not typically result in social withdrawal or an increased desire to stay in her room.
Choice D rationale
An eating disorder could potentially explain the girl’s withdrawal and increased stress, but there is no mention of changes in eating habits or concerns about body image.

Choice A rationale
While anxiety disorder can cause physical symptoms such as stomach aches, the fact that all labs and x-rays relevant to his abdominal discomfort have been normal suggests that the boy’s symptoms may not be due to anxiety.
Choice B rationale
Acute stress disorder is characterized by severe anxiety, dissociative, and other symptoms that occur within one month after exposure to an extreme traumatic stressor. Given the information provided, it is unlikely that the boy’s stomach aches are due to acute stress disorder.
Choice C rationale
Personality disorders are characterized by enduring maladaptive patterns of behavior, cognition, and inner experience. Given the information provided, it is unlikely that the boy’s stomach aches are due to a personality disorder.
Choice D rationale
Somatoform disorders are characterized by physical symptoms that suggest physical illness or injury, but which cannot be explained fully by a general medical condition. Given that the boy’s stomach aches persist despite normal lab and x-ray results, a somatoform disorder may be a possible explanation. SchizophreniaSchizophrenia Explore