A nurse is assessing a school-age child who recently loaded a virus onto their teacher's computer after receiving a poor grade on a science project. The child's guardian tells the nurse their child often bullies the other kids at school. Which of the following diagnoses should the nurse expect?

Oppositional defiant disorder (ODD)

Attention deficit hyperactivity disorder (ADHD)

Intermittent explosive disorder (IED)

Conduct disorder (CD)

Answer and Explanation

The Correct Answer is D

A. Oppositional defiant disorder (ODD): Characterized by defiance, but not typically bullying behaviors.

B. Attention deficit hyperactivity disorder (ADHD): May include impulsivity and hyperactivity, but not necessarily bullying.

C. Intermittent explosive disorder (IED): Involves impulsive outbursts of aggression, not chronic bullying.

D. Conduct disorder (CD). Conduct disorder involves persistent patterns of behavior that violate societal norms and the rights of others, including aggression and bullying. Bullying behavior and aggression are common manifestations of conduct disorder.

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Correct Answer is C

Explanation

A. Stable employment: Provides stability but does not necessarily prevent crisis during personal or environmental upheaval.

B. Positive coping skills: Mitigates crisis risk but does not eliminate it entirely.

C. History of trauma. Past traumatic experiences can predispose individuals to crisis during similar stressful situations. Previous trauma can lead to heightened stress responses and difficulty coping with subsequent stressors.

D. Strong social support system: Helps buffer stress but does not prevent crisis in all situations.

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 school-age child who recently loaded a virus onto their teacher's computer after receiving a poor grade on a science project. The child's guardian tells the nurse their child often bullies the other kids at school. Which of the following diagnoses should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following factors increases a client's risk of experiencing a crisis?

Correct Answer is C

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

Administer a continuous Dopamine infusion at 3 mcg/kg/min. The drug is available as 600 mg in 1000 ml of fluid. The client's weight is 110 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include unit of measure with each answer)

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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?