A 15-year-old adolescent has run away from home six times. After the adolescent was arrested for prostitution, the parents told the court, "We can't manage our teenager." The adolescent is physically abusive to the mother and defiant with the father

The adolescent's problem is most consistent with criteria for:

a. Attention deficit hyperactivity disorder ADHD.
b. Childhood depression.
c. Conduct disorder CD.
d. autism spectrum disorder ASD


ANS: C
CDs are manifested by a persistent pattern of behavior in which the rights of others and age-appropriate societal norms are violated. The Diagnostic and Statistical Manual of Mental Disorders (fourth edition, text revision) (DSM-IV-TR) identifies CDs as: serious violations of rules. The patient's clinical manifestations do not coincide with the other disorders listed.

Nursing

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An acutely ill schizophrenic client says to the nurse, "He keeps saying that he likes you, and I keep telling him you're married, but he won't listen, and I think he's going to get fresh with you." Once the nurse has determined that the client is hallucinating, which response to the client would be most appropriate statement?

A. "Try not to listen to the voices right now so that I can talk with you." B. "I think that you can help him stop his behavior if you concentrate." C. "Tell him I said to mind his p's and q's or I'll call the police on him." D. "I think that you're trying to share your own feelings toward me, but you're shy."

Nursing

An older patient with Parkinson disease was recently admitted to a nursing home after the death of the patient's spouse, who was the primary caregiver. What issues should the nurse plan to address with this patient? (Select all that apply.)

1. Financial stress 2. Mobility challenges 3. Overwhelming grief 4. Loss of support system 5. Sense of disconnection from a familiar life

Nursing

A middle-aged patient with erectile dysfunction has sought care and is receiving health education from the nurses. The patient has expressed a desire to understand the physiology of the sex hormone production and the sexual response

The nurse should describe the fact that testosterone is normally secreted in response to A) sexual arousal. B) stimulation by luteinizing hormone. C) ACTH release by the adrenal cortex. D) decreased cortisol levels.

Nursing

Pain should be assessed regularly in all newborn infants. If the infant is displaying physiologic or behavioral cures indicating pain, measures should be taken to manage the infant's pain

Examples of nonpharmacologic pain management techniques include (select all that apply) a. Swaddling b. Nonnutritive sucking (pacifier) c. Skin-to-skin contact with the mother d. Sucrose e. Acetaminophen

Nursing