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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypotension: Hyperthyroidism typically causes increased cardiac output and can lead to normal or elevated blood pressure, not hypotension.
B. Tachycardia. Elevated thyroid hormones increase metabolic rate and sympathetic nervous system activity, leading to tachycardia.
C. Slow respiratory rate: There is no direct effect of hyperthyroidism on respiratory rate.
D. Decreased body temperature: Hyperthyroidism is associated with increased metabolism, which can lead to heat intolerance and increased body temperature, not decreased.
Correct Answer is D
Explanation
A. Withdrawing socially from family and friends: While social withdrawal can be a sign of depression and potential suicidal thoughts, it doesn't necessarily indicate immediate risk.
B. Complaining about feeling great guilt or shame: Reflects emotional distress but not an immediate risk indicator.
C. Engaging in risky behavior, such as fast driving: Risky behavior can be a sign of self-destructive tendencies, but it doesn't always indicate a suicide attempt.
D. Feeling physical and emotional pain that is unbearable: Feeling unbearable physical and emotional pain is a powerful indicator of desperation and can lead someone to consider suicide as an escape. This intense level of distress suggests a higher risk of immediate action.
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