A 37-year-old White man presents to the psychiatric-mental health nurse practitioner (PMHNP) with suspected conversion disorder. According to Erikson, the development of conversion disorder is associated with failure to resolve which psychosocial developmental stage?
Industry vs. Inferiority
Initiative vs. Guilt
Identity vs. Role Confusion
Intimacy vs. Isolation
The Correct Answer is B
Choice A reason: Industry vs. Inferiority is typically resolved in school-aged children and focuses on competence and achievement, not directly linked to conversion disorder.
Choice B reason: Initiative vs. Guilt occurs during early childhood, when children develop purpose and the ability to initiate activities. Failure to resolve this stage may manifest as somatic symptoms or conversion-like behaviors in adulthood.
Choice C reason: Identity vs. Role Confusion occurs during adolescence, involving self-concept formation; its failure is associated with role confusion, not typically conversion disorder.
Choice D reason: Intimacy vs. Isolation is relevant to young adulthood, focusing on forming close relationships; failure here is associated with social isolation rather than somatic symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct answer. Family therapy focusing on parent management skills is evidence-based and targets the child’s disruptive behaviors through reinforcement, consistent discipline, and skill-building in the family context.
Choice B reason: Structural family therapy emphasizes family organization and multigenerational dynamics. While useful for broader family issues, it is less effective as a primary treatment for ODD behaviors.
Choice C reason: CBT can help children with emotional regulation, but for ODD, the primary evidence supports parent-focused behavioral interventions rather than individual CBT alone.
Choice D reason: Family systems therapy with integrated behavior modification has some merit but is more complex and less empirically supported than parent management training specifically for ODD.
Correct Answer is D
Explanation
Choice A reason: The Children’s Behavior Checklist (CBCL) assesses a broad range of emotional and behavioral problems but is less specific for diagnosing ADHD, ODD, or conduct disorder.
Choice B reason: The Child Behavior Rating Scale primarily evaluates classroom behaviors and may not capture home behaviors or provide diagnostic clarity across multiple disorders.
Choice C reason: The Conners-Wells’ Adolescent Self-Report Scale is designed for adolescents and relies on self-report, making it less appropriate for a 7-year-old child.
Choice D reason: This is correct. The Conners 3-Parent Assessment Report is a validated parent-report tool designed to evaluate ADHD, ODD, and conduct disorder in children and is appropriate for use in a 7-year-old.
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