A nurse is assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?

The child was not promoted to the next grade.

The child moved to three new homes over a two-year period.

The child's best friend was absent from the child's birthday party.

The child has been raised by a parent who has recurrent major depressive disorder.

Answer and Explanation

The Correct Answer is D

A. The child was not promoted to the next grade: Academic performance alone does not directly correlate with conduct disorder.

B. The child moved to three new homes over a two-year period: Transience can contribute to instability but is not a direct risk factor for conduct disorder.

C. The child's best friend was absent from the child's birthday party: Social relationships are important, but absence from a birthday party is not a significant risk factor for conduct disorder.

D. The child has been raised by a parent who has recurring major depressive disorder. Exposure to parental mental illness, such as major depressive disorder, can create stressful family environments that contribute to the development of conduct disorder.

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Correct Answer is A

Explanation

A. Myxedema coma. Myxedema coma is a severe, life-threatening complication of untreated or undertreated hypothyroidism. It manifests with severe hypothyroid symptoms such as hypothermia, altered mental status, and can lead to coma and death if untreated.

B. Goiters: Enlarged thyroid gland due to various causes but not typically life-threatening.

C. Sjogren's syndrome: An autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.

D. Hashimoto's disease: An autoimmune disorder causing hypothyroidism but not directly associated with life-threatening complications like myxedema coma.

A. "You have had a gastrointestinal bleed." B. "You have fewer red blood cells." C. "You have an autoimmune disease." D. "You have a low ferritin level."

Correct Answer is B

Explanation

A. "You have had a gastrointestinal bleed.": While this can cause fatigue due to anemia, it's not directly related to sickle cell anemia.

B. "You have fewer red blood cells." Sickle cell anemia causes chronic hemolysis, leading to anemia and fatigue. The characteristic sickle-shaped cells are less flexible and prone to hemolysis, resulting in fewer functional red blood cells and reduced oxygen-carrying capacity.

C. "You have an autoimmune disease.": Sickle cell anemia is not an autoimmune disorder.

D. "You have a low ferritin level.": Ferritin levels may be affected, but the primary cause of fatigue in sickle cell anemia is anemia itself, not low ferritin.

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A nurse is assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who has sickle cell anemia. The client asks, "Why do I feel so tired and fatigued all of the time?" Which of the following information should the nurse provide?

Correct Answer is B

Explanation

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