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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale:
Involuntary commitment typically occurs when a person's mental illness makes them a danger to themselves or others. It is essential for the nurse to communicate this crucial information to the client's family to help them understand the necessity of treatment.
Choice A rationale:
While a psychiatrist may be involved in the decision to commit a client involuntarily, simply stating that the client's behavior is irrational does not provide sufficient information about the reasons for commitment (no reference).
Choice C rationale:
The inability to manage daily life affairs may be a factor in considering involuntary commitment, but it is not the primary reason for such a decision (no reference).
Choice D rationale:
Accusation of a legal offense is not directly related to involuntary commitment for psychiatric treatment, which focuses on the client's mental health and potential risk to self or others (no reference).
Correct Answer is D
Explanation
Choice A rationale
While anxiety disorder can cause physical symptoms such as stomach aches, the fact that all labs and x-rays relevant to his abdominal discomfort have been normal suggests that the boy’s symptoms may not be due to anxiety.
Choice B rationale
Acute stress disorder is characterized by severe anxiety, dissociative, and other symptoms that occur within one month after exposure to an extreme traumatic stressor. Given the information provided, it is unlikely that the boy’s stomach aches are due to acute stress disorder.
Choice C rationale
Personality disorders are characterized by enduring maladaptive patterns of behavior, cognition, and inner experience. Given the information provided, it is unlikely that the boy’s stomach aches are due to a personality disorder.
Choice D rationale
Somatoform disorders are characterized by physical symptoms that suggest physical illness or injury, but which cannot be explained fully by a general medical condition. Given that the boy’s stomach aches persist despite normal lab and x-ray results, a somatoform disorder may be a possible explanation. SchizophreniaSchizophrenia Explore
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