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 C

Explanation

A. Pernicious anemia: Typically involves vitamin B12 deficiency, not associated with heavy menstrual periods.

B. Folic acid deficiency anemia: Presents with similar symptoms but does not typically cause heavy menstrual bleeding.

C. Iron deficiency anemia. Iron deficiency anemia is characterized by low hemoglobin and hematocrit due to insufficient iron for red blood cell production. Symptoms of weakness, fatigue, and heavy menstrual bleeding are classic signs of iron deficiency anemia, which is confirmed by low hemoglobin and hematocrit levels.

D. Sickle cell anemia: Characterized by sickle-shaped red blood cells and is genetic in nature, not related to heavy menstrual bleeding.

A. Lack of remorse for behavior B. Mild outbursts with provocation C. Blaming others for their behavior D. Difficulty coping with stressors

Correct Answer is A

Explanation

A. Lack of remorse for behavior. Individuals with IED often have difficulty controlling impulses and may not feel remorseful for their actions. Lack of remorse is a characteristic feature of IED, where aggressive or explosive behaviors are often impulsively driven.

B. Mild outbursts with provocation: IED outbursts are typically disproportionate to the provocation.

C. Blaming others for their behavior: Although not a universal trait, some individuals with IED may shift blame onto others after their aggressive episodes.This behavior can strain relationships and hinder personal growth.

D. Difficulty coping with stressors: IED often involves poor coping mechanisms. Individuals struggle to manage stress, leading to explosive reactions.Their inability to handle stress contributes to the disorder’s severity.

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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?

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Naxlex Comprehensive Predictor Exams

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