A psychiatric technician asks the nurse "What is the primary distinguishing factor between the

behavior of children with oppositional defiant disorder and those with conduct disorder (CD)?"

The
facts that should be used by the nurse to formulate a reply include the child with (more than one
response may be correct)
A. ODD tests limits and disobeys authority figures.
B. CD often violates the rights of others.
C. ODD relives traumatic events by acting them out.
D. CD uses stereotypical or repetitive language.
E. ODD has difficulty separating from the parents.
F. CD engages in eating nonnutritive substances.


A, B
Rationale: Children with ODD are negativistic, disobedient, and defiant toward authority figures
without seriously violating the basic rights of others, whereas children with conduct disorder
frequently behave in ways that violate the rights of others and age-appropriate societal norms.
Option C: Reliving traumatic events occurs with posttraumatic stress disorder. Option D:
Stereotypical language behaviors are seen in autistic children. Option E: Separation problems with
resultant anxiety occur with separation anxiety disorder. Option F describes a child with pica.

Nursing

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The nurse is working with a client who has rheumatoid arthritis (RA). The nurse has identified the priority problem of poor body image for the client. What finding by the nurse indicates goals for this client problem are being met?

a. Attends meetings of a book club b. Has a positive outlook on life c. Takes medication as directed d. Uses assistive devices to protect joints

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During the assessment interview the nurse has ascertained that the client follows cultural tradition

and uses spiritual healing. The question that would help the nurse understand the healing options available as part of this health system is a. "What do people believe cause this illness?" b. "Do people shun or avoid someone who has this illness?" c. "Are any ceremonies or prayers used to treat this illness?" d. "What language do your people generally use when speaking among yourselves?"

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You have just received a postoperative patient from the PACU to the medical-surgical unit. Your patient is an 84-year-old female who had surgery for a left hip replacement

What is a primary concern for this patient in the first few hours on the unit? A) Ability to ambulate B) Clean dressings on the surgical site C) Neurologic status D) Ability to communicate

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The nurse explains that an artificial opening into a body cavity is a(n):

1. gastrostomy. 2. ostomy. 3. colonoscopy. 4. ureterostomy.

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