A male adolescent patient is admitted to a mental health facility due to repeated school fights, multiple instances of running away, and theft from family members.
He has been diagnosed with a conduct disorder.
What history might the nurse expect to find in this patient?
Parents who were very lenient disciplinarians
Harsh parental discipline and physical punishment
Schizophrenia
Autism
The Correct Answer is B
Choice A rationale
Parents who were very lenient disciplinarians may not necessarily lead to conduct disorder in their children. While lack of discipline can contribute to some behavioral issues, it is not specifically associated with conduct disorder.
Choice B rationale
Harsh parental discipline and physical punishment can contribute to the development of conduct disorder. Children who experience harsh discipline may learn to use aggressive behavior as a way of dealing with conflict and may have difficulty developing pro-social behavior. This can lead to a pattern of violating the rights of others and societal norms, which is characteristic of conduct disorder.
Choice C rationale
Schizophrenia is a chronic mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior. While some individuals with conduct disorder may also have schizophrenia, the presence of schizophrenia does not necessarily indicate that an individual will develop conduct disorder.
Choice D rationale
Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. It is not typically associated with the aggressive and rule-breaking behavior seen in conduct disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
The preparation phase is the initial stage of the therapeutic relationship where the groundwork for the rest of the relationship is laid. However, the establishment of a working caregiver-client agreement is not a step in this phase.
Choice B rationale
The assessment phase involves gathering information about the client, but it does not typically involve the establishment of a working caregiver-client agreement.
Choice C rationale
The working phase of the therapeutic relationship is where nursing interventions frequently take place. Problems and issues are identified and plans to address these are put into action. This phase includes the establishment of a working caregiver-client agreement.
Choice D rationale
The orientation phase defines the problem and identifies the type of service needed by the patient. However, the establishment of a working caregiver-client agreement is not a step in this phase.
Correct Answer is A
Explanation
Choice A rationale
Schizophrenia can develop at any age, but it most commonly begins in adolescence or early adulthood.
Choice B rationale
Judgment and insight are typically significantly impaired in individuals with schizophrenia, not mildly impaired.
Choice C rationale
Hospitalization can be common for individuals with schizophrenia, particularly during acute episodes or when medication adjustments are needed.
Choice D rationale
While antipsychotics are a common treatment for schizophrenia, it would be an oversimplification to say they are the best treatment. Treatment plans are individualized and may include a combination of medication, therapy, and support services.
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