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?
Parents who were very lenient disciplinarians
Harsh parental discipline and physical punishment
Schizophrenia
Autism
The Correct Answer is B
Choice A rationale
Parents who were very lenient disciplinarians may not necessarily lead to conduct disorder in their children. While lack of discipline can contribute to some behavioral issues, it is not specifically associated with conduct disorder.
Choice B rationale
Harsh parental discipline and physical punishment can contribute to the development of conduct disorder. Children who experience harsh discipline may learn to use aggressive behavior as a way of dealing with conflict and may have difficulty developing pro-social behavior. This can lead to a pattern of violating the rights of others and societal norms, which is characteristic of conduct disorder.
Choice C rationale
Schizophrenia is a chronic mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior. While some individuals with conduct disorder may also have schizophrenia, the presence of schizophrenia does not necessarily indicate that an individual will develop conduct disorder.
Choice D rationale
Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. It is not typically associated with the aggressive and rule-breaking behavior seen in conduct disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While understanding a patient’s past experiences can provide context for their current emotional state, it may not directly address the immediate risk of suicide. It’s important to focus on the present situation and the patient’s current feelings.
Choice B rationale
If a patient has a specific plan for suicide, it indicates a higher level of risk. By asking about their plan, the nurse can assess the immediacy and severity of the patient’s suicidal intent. This information is crucial for determining the appropriate level of care and intervention.
Choice C rationale
This question could be interpreted as validating or encouraging the patient’s suicidal thoughts. It’s essential to promote safety and positive coping strategies, rather than focusing on the perceived benefits of suicide.
Choice D rationale
While it’s important to understand the feelings driving a patient’s suicidal thoughts, asking why they want to end their life can come across as judgmental. It’s more helpful to ask about their feelings and listen empathetically.
Correct Answer is B
Explanation
Choice A rationale
Verbigeration refers to the constant repetition of certain words or phrases, which is not described in the scenario.
Choice B rationale
Pressured speech is a common symptom of bipolar disorder and other mental health conditions. It typically occurs when a person is experiencing manic episodes. During this time, a person may feel compelled to speak quickly, erratically, and without stopping.
Choice C rationale
Neologism refers to the creation of new words or phrases that only have meaning to the individual using them. This is not described in the scenario.
Choice D rationale
Perseveration refers to the repetition of a particular response, such as a word, phrase, or gesture, despite the absence or cessation of a stimulus. This is not described in the scenario.
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