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 B
Explanation
Choice B rationale:
A therapeutic relationship in nursing focuses primarily on the client's needs, thoughts, feelings, and goals. This type of relationship is centered around helping the client achieve their desired outcomes by providing support, care, and guidance.
Choice A rationale:
While the nurse plays an essential role in the therapeutic relationship, the primary focus is not on the nurse's needs or experiences.
Choice C rationale:
The plan of care is an important aspect of nursing, but it does not define the primary focus of a therapeutic relationship.
Choice D rationale:
Establishing a friendship is not the focus of a therapeutic relationship. Maintaining professional boundaries is crucial to ensure that the therapeutic relationship remains effective.
Correct Answer is C
Explanation
Choice A rationale
Being defensive is a nontherapeutic communication technique, but it doesn’t seem to apply in this context. The nurse’s question doesn’t suggest that they are being defensive.
Choice B rationale
Using stereotyped responses can be a nontherapeutic communication technique, but it doesn’t seem to apply in this context. The nurse’s question doesn’t suggest that they are using stereotyped responses.
Choice C rationale
Challenging is the most appropriate answer. The nurse’s question could be seen as challenging the client’s statement about their plan to kill themselves.
Choice D rationale
Failure to explore the client’s point of view is a nontherapeutic communication technique, but it’s not the most fitting description for the scenario. The nurse’s question doesn’t necessarily indicate a failure to explore the client’s point of view. Explore
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