A 7-year-old boy is argumentative, defiant, has anger outbursts, is always trying to "get even" with someone, and blames others for his actions. These are characteristics of which disorder?
Conduct disorder
Antisocial personality disorder
Intermittent explosive disorder
Oppositional defiant disorder (ODD)
The Correct Answer is D
Choice A reason: Conduct disorder involves more severe violations of societal rules and the rights of others, such as aggression toward people or animals, destruction of property, deceitfulness, or theft, which are not described here.
Choice B reason: Antisocial personality disorder is diagnosed only in individuals aged 18 and older; therefore, it cannot be applied to a 7-year-old child.
Choice C reason: Intermittent explosive disorder is characterized by discrete episodes of severe aggression or rage that are disproportionate to the situation, rather than ongoing patterns of defiance and blame.
Choice D reason: This is correct. ODD is characterized by a pattern of angry/irritable mood, argumentative/defiant behavior, and vindictiveness toward authority figures, which matches the behaviors described in this child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Generalized anxiety disorder involves pervasive worry and anxiety across multiple domains, but it does not account for repetitive hair-pulling behaviors.
Choice B reason: This is the correct answer. Trichotillomania is a disorder characterized by recurrent hair pulling, often triggered by stress or boredom, resulting in noticeable hair loss and distress. The patient’s behavior aligns with this diagnosis.
Choice C reason: Body dysmorphic disorder involves preoccupation with perceived flaws in appearance, but the behavior in this case is hair-pulling as a coping mechanism rather than due to distorted body image.
Choice D reason: Delusional disorder, somatic type, involves false beliefs regarding bodily functions or sensations. The patient’s hair-pulling is voluntary and related to stress, not delusional beliefs.
Correct Answer is C
Explanation
Choice A reason: Williams syndrome is associated with distinctive facial features, cardiovascular anomalies, and strong verbal abilities, not consistent with the long face and large ears described.
Choice B reason: Rett syndrome primarily affects females and includes regression of motor and communication skills, making it unlikely in this male patient.
Choice C reason: Fragile X syndrome is characterized by intellectual disability, long face, large ears, joint hyperextensibility, and sometimes short stature, aligning with the patient’s presentation.
Choice D reason: Turner syndrome affects females, involves short stature and certain facial features, but would not account for male presentation.
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