The school nurse recommends that the parents of a student seek help because the student is constantly in trouble and recently has set several small fires on school grounds. The nurse is concerned because the child is manifesting signs of:
1. Conduct disorder.
2. Depression.
3. Oppositional defiant disorder.
4. Attention deficit hyperactivity disorder.
1
Rationale: Children with a conduct disorder are more likely to fight, steal, vandalize, or have school problems. These are not signs of depression; however, the child with a conduct disorder may also be depressed. The most distinctive features of attention deficit hyperactivity disorder (ADHD) are the child's inattention to the surrounding environment and hyperactivity and/or impulsiveness. The child with an oppositional defiant disorder may show low self-esteem, minimal frustration tolerance, swearing, mood lability, and precocious use of tobacco, alcohol, or illegal drugs.
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