You are caring for a 13-year-old boy with a diagnosis of conduct disorder. Which of the following would you be most likely to expect given this diagnosis?
A.
Severe separation anxiety from parents
B.
Making up stories to make him appear more important
C.
History of cruelty to schoolmates and pets
D.
Insomnia and anorexia nervosa
ANS: C
Conduct disorder is associated with long-term problems with defiance, rule-breaking, and violating the basic rights of others.
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Which of the following rationales by a nurse explain to parents why is it difficult to diagnose a child or adolescent exhibiting symptoms of bipolar disorder? (Select all that apply.)
1. Bipolar symptoms mimic attention deficit-hyperactivity disorder symptoms. 2. Children are naturally active, energetic, and spontaneous. 3. Neurotransmitter levels vary considerably in accordance with age. 4. The diagnosis of bipolar disorder cannot be assigned prior to the age of 18. 5. Genetic predisposition is not a reliable diagnostic determinant. Nursing Process: Assessment Client Need: Psychological Integrity
A school nurse is performing annual height and weight screening. The nurse notes that three females who are close friends each lost 15 pounds over the past year. The priority nursing action is to
1. call the respective parents to discussthe eating patterns of each adolescent. 2. speak with the girls in a group todiscuss the problems associated with anorexia nervosa. 3. refer these adolescents to the schoolpsychologist. 4. obtain a nutritional history for eachof these adolescents.
The nurse is caring for a patient with premature ventricular contractions (PVCs). What should the nurse keep in mind about this heart rhythm?
A. PVCs typically have no pattern. B. The frequency of PVCs is not associated with specific events. C. Their incidence and significance have no relevance to the patient having had a myocardial infarction. D. PVCs are insignificant in people with no history of heart disease.
A patient who has AIDS-related wasting syndrome is admitted to the hospital. The patient is very weak, lies listlessly in bed, has an IV drip, and receives antiretroviral medications via injection. What is a priority nursing diagnosis for this patient?
a. Risk for Injury due to impaired mobility, weakness, and weight loss b. Pain related to immobility c. Ineffective Individual Coping due to terminal stage of HIV d. Risk for Infection due to weak immune system and parenteral therapy