A nurse in a clinic is caring for an adolescent.
The adolescent is at greatest risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
The adolescent is at greatest risk for: i. Impaired social interaction as evidenced by the adolescent's ii. discourteous behavior.
Rationale: The adolescent's behavior, such as sneaking out, roaming the neighborhood alone, and not following teachers' directions, indicates difficulties in interacting appropriately within social contexts and respecting boundaries, which can lead to impaired social interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Contracture: Contracture refers to the permanent tightening of muscles or joints and is not directly related to neurocognitive disorders. It is a physical condition rather than a cause of cognitive impairment.
B. Cerebral trauma: Cerebral trauma, such as traumatic brain injury, can lead to secondary neurocognitive disorders due to direct damage to brain tissues and subsequent cognitive impairments.
C. Fever: Severe or prolonged fever can be associated with secondary neurocognitive disorders, especially if it leads to complications like encephalitis or severe metabolic disturbances.
D. Human Immunodeficiency Virus (HIV): HIV can lead to secondary neurocognitive disorders due to the direct effects of the virus on the brain and the resultant immune deficiency, which can allow opportunistic infections that affect cognitive function.
E. Huntington's disease: Huntington's disease is a primary neurodegenerative disorder characterized by the progressive breakdown of nerve cells in the brain. It directly causes neurocognitive decline due to genetic mutations and is considered a primary neurocognitive disorder rather than a secondary one. Secondary neurocognitive disorders are typically the result of another primary condition or external factor such as trauma or infection, rather than a primary neurodegenerative disease.
Correct Answer is D
Explanation
. Use physical restraints during severe outbursts to ensure safety. Physical restraints are not appropriate for managing behavioural issues in children with ODD. They can escalate the situation, cause physical harm, and damage the trust between the child and caregivers.
B. Assign daily chores that are challenging to encourage discipline. While chores can teach responsibility, assigning challenging tasks is not appropriate for managing ODD and could lead to frustration and further defiance.
C. Encourage solitary play to reduce social stressors. Solitary play might reduce social stress but does not address the underlying behavioural issues of ODD. Social skills and interactions need to be improved rather than avoided.
D. Put into practice consistent consequences for rule-breaking behaviour. Consistent consequences help the child understand the link between behaviour and outcomes, which is crucial for managing ODD. It provides structure and clear expectations, which are essential for children with behavioral issues.
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