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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E","F"]
Explanation
A. The child will demonstrate effective problem-solving skills. Teaching problem-solving skills can help the child manage triggers and reduce explosive behaviors.
B. The child will acknowledge they have a genetic disorder: This is not directly related to managing IED behaviors.
C. The child will verbalize age-appropriate feelings of self-worth: Important for emotional development but not specific to managing IED.
D. The family will be able to express their concerns: Family involvement is important but not a behavioral goal for the child.
E. The child will sign a behavior contract: A behavior contract can outline expectations and consequences, promoting positive behavior change. This can be part of a behavioral management plan.
F. The child will learn to isolate when feeling angry: Teaching coping skills like isolation can help manage behavior.
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.
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