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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?

A.

Oppositional defiant disorder (ODD)

B.

Attention deficit hyperactivity disorder (ADHD)

C.

Intermittent explosive disorder (IED)

D.

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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Related Questions

Correct Answer is D

Explanation

A. Engaging in regular physical exercise: Physical exercise is generally associated with positive mental health benefits and is not a risk factor for suicide.

B. Having a positive self-esteem: Higher self-esteem is protective against suicide rather than a risk factor.

C. Having a strong social support system: Social support is protective against suicide, reducing isolation and providing emotional resources.

D. Experiencing a history of trauma or abuse. Correct Answer. Trauma or abuse history is a well-established risk factor for suicide, contributing to psychological distress, hopelessness, and increased vulnerability.

Correct Answer is ["7.2"]

Explanation

Dopamine infusion calculation:

  • Client weight: 176 pounds
  • Dopamine dose ordered: 3 mcg/kg/min
  • Dopamine concentration: 500 mg in 250 mL
  • Conversion factor: 1 mg = 1000 mcg
  • 1 kg = 2.2 pounds

Calculations:

  • Convert client weight to kg: 176 lbs / 2.2 lbs/kg = 80 kg
  • Calculate mcg/min: 3 mcg/kg/min × 80 kg = 240 mcg/min
  • Calculate mcg/hr: 240 mcg/min × 60 min/hr = 14400 mcg/hr
  • Calculate mL/hr: Dopamine concentration is 2 mg/250 mL, which equals 2000 mcg/mL.
    • mL/hr = 14400 mcg/hr / 2000 mcg/mL = 7.2 mL/hr

Answers:

  • mcg/min: 240 mcg/min
  • mcg/hr: 14400 mcg/hr
  • mL/hr: 7.2 mL/hr

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