A nurse assesses an adolescent client diagnosed with conduct disorder who, at the age of 8, was sentenced to juvenile detention. How should the nurse interpret this assessment data?
1. Childhood-onset conduct disorder is more severe than the adolescent-onset type, and these individuals likely develop antisocial personality disorder in adulthood.
2. Childhood-onset conduct disorder is caused by a difficult temperament, and the child is likely to outgrow these behaviors by adulthood.
3. Childhood-onset conduct disorder is diagnosed only when behaviors emerge before the age of 5, and, therefore, improvement is likely.
4. Childhood-onset conduct disorder has no treatment or cure, and children diagnosed with this disorder are likely to develop progressive oppositional defiant disorder.
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Rationale: The nurse should determine that childhood-onset conduct disorder is more severe than adolescent-onset type. These individuals are likely to develop antisocial personality disorder in adulthood. Individuals with this subtype are usually boys and frequently display physical aggression and have disturbed peer relationships.
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An elderly patient has come to the clinic with his daughter. The patient is a diabetic and is concerned about foot care. The nurse goes over foot care with the patient and his daughter as the nurse realizes that foot care is extremely important
Why would the nurse believe that foot care is so important to this patient? A) An elderly patient with foot ulcers experiences severe foot pain due to diabetic polyneuropathy. B) Avoiding the complications associated with foot ulcers may mean the difference between institutionalization and continued independent living. C) Hypoglycemia is a dangerous situation, and it may lead to unsteadiness and falls. D) Drugs that patients are required to take for their diabetic condition often decrease circulation to the lower extremities.
A male patient who has been diagnosed with gonorrhea twice over the last year states, "It's no big deal. I just come here and get antibiotics when it gets bad." What should the nurse identify as a priority problem for this patient?
1. noncompliance related to disease treatment 2. pain related to appearance of chancres 3. impaired social interactions because of low self-esteem 4. potential for harm to the patient and partners related to the disease process
You notice a patient who seems to be listening to someone, but you do not see anyone else in the room. You interpret this behavior as a(n):
A) Illusion B) Delusion C) Hallucination D) Confabulation