A nurse is providing teaching to a group of parents about risk factors for conduct disorder (CD). Which of the following risk factors should the nurse include?

History of abuse

Has more than three siblings

A structured household environment

Diagnosis of many chronic medical illnesses

Answer and Explanation

The Correct Answer is A

A. History of abuse: A history of physical, emotional, or sexual abuse is a significant risk factor for developing conduct disorder. Children who have experienced abuse may exhibit aggressive and defiant behaviours as a means of coping with their trauma.

B. Has more than three siblings: Having a large number of siblings alone is not directly associated with conduct disorder. Family dynamics and individual relationships are more relevant than the number of siblings.

C. A structured household environment: A structured household environment, typically characterized by consistent rules and supportive parenting, is generally protective against behavioural disorders like conduct disorder.

D. Diagnosis of many chronic medical illnesses: Chronic medical illnesses are not typically linked to conduct disorder. Risk factors for CD are more commonly related to psychosocial and environmental issues rather than medical conditions

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Correct Answer is B

Explanation

A. Administer diazepam: This is not a first-line treatment for delirium and could exacerbate confusion or sedation, potentially worsening delirium.

B. Obtain a medical history: Delirium is often caused by underlying medical conditions such as infections, electrolyte imbalances, or medication side effects. Obtaining a medical history is crucial for identifying and treating the underlying cause, making it the priority action.

C. Start intravenous fluids: While IV fluids might be necessary in cases of dehydration or electrolyte imbalances, identifying the underlying cause of delirium through medical history is more urgent.

D. Raise 3 of the 4 side rails of the bed: This action may help prevent falls but does not address the underlying cause of delirium. Moreover, the use of side rails can sometimes increase the risk of injury or entrapment.

A. "Donepezil (Aricept) encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease." B. "Donepezil (Aricept) delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease." C. "Donepezil (Aricept) delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease." D. "Donepezil (Aricept) encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease."

Correct Answer is C

Explanation

A. "Donepezil (Aricept) encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.": This statement is partially correct. Donepezil inhibits the breakdown of acetylcholine rather than encouraging its production. However, it correctly states that it delays the progression of Alzheimer's disease.

B. "Donepezil (Aricept) delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease.": This is incorrect because Alzheimer's disease primarily involves acetylcholine, not dopamine.

C. "Donepezil (Aricept) delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease.": This is the correct statement. Donepezil is a cholinesterase inhibitor that helps maintain acetylcholine levels in the brain, which is important for memory and cognitive function. It does not cure Alzheimer's disease but can slow its progression.

D. "Donepezil (Aricept) encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.": This is incorrect because donepezil does not affect dopamine levels significantly in the context of Alzheimer's disease.

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A nurse is providing teaching to a group of parents about risk factors for conduct disorder (CD). Which of the following risk factors should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an older adult client who is experiencing delirium. Which of the following should be the priority action by the nurse?

Correct Answer is B

Explanation

A nursing instructor is teaching about donepezil (Aricept). A student asks, "How does this work? Will this cure Alzheimer's disease (AD)?" Which appropriate statement will the instructor make?

Correct Answer is C

Explanation

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