A nurse is collecting data from an adolescent client who has a conduct disorder.
Which of the following findings is the nurse's priority?

Repeated school absences.

Threats of injury to others.

Lack of empathy for others.

History of shoplifting.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Repeated school absences are a common finding in conduct disorder and indicate a disregard for rules and obligations. While important to address, it does not represent an immediate safety risk compared to threats of harm.

Choice B rationale

Threats of injury to others indicate a potential for violence and pose an immediate safety risk to others. This requires the nurse's immediate attention to assess the situation, ensure safety, and implement appropriate interventions to prevent harm.

Choice C rationale

Lack of empathy for others is a core characteristic of conduct disorder, reflecting a difficulty in understanding or sharing the feelings of others. While significant for long-term management, it does not present an immediate safety concern.

Choice D rationale

A history of shoplifting indicates a pattern of rule-breaking and disregard for the rights of others, which is characteristic of conduct disorder. However, it does not represent an immediate threat of harm compared to threats of injury.

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Correct Answer is D

Explanation

Choice A rationale

Encouraging a child to focus solely on the future after a sexual assault can minimize the impact of the trauma and discourage processing the difficult emotions associated with the event. A positive support system allows the child to acknowledge and work through their feelings, not avoid them.

Choice B rationale

Suggesting that the child think about what they did to allow the assault to happen places blame on the victim. A positive support system emphasizes that the assault was not the child's fault and focuses on support and healing, not assigning blame.

Choice C rationale

While concern for the child's well-being is understandable, attempting to monitor all of their relationships can be overly controlling and undermine the child's autonomy and trust. A positive support system balances safety with respect for the child's personal boundaries and development.

Choice D rationale

Anticipating that the child will feel some self-blame is a realistic and empathetic understanding of the potential psychological impact of sexual assault. Survivors often internalize blame, even though they are not at fault. Acknowledging this possibility allows the guardian to provide appropriate support and reassurance.

A. Aripiprazole. B. Quetiapine. C. Bupropion. D. Risperidone.

Correct Answer is C

Explanation

Choice A rationale

Aripiprazole is an atypical antipsychotic medication primarily used to treat schizophrenia and bipolar disorder. It is not indicated for smoking cessation. While some individuals with mental health conditions also smoke, aripiprazole does not directly address nicotine dependence.

Choice B rationale

Quetiapine is another atypical antipsychotic medication used for the treatment of schizophrenia and bipolar disorder. Similar to aripiprazole, it does not have pharmacological properties that aid in smoking cessation.

Choice C rationale

Bupropion is an atypical antidepressant that has also been approved for smoking cessation. It is thought to work by affecting dopamine and norepinephrine levels in the brain, which are involved in nicotine addiction and withdrawal symptoms.

Choice D rationale

Risperidone is an atypical antipsychotic medication used to treat psychotic disorders. It does not have any known efficacy in aiding smoking cessation.

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A nurse is collecting data from an adolescent client who has a conduct disorder.Which of the following findings is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent who was recently sexually assaulted.Which of the following statements by the adolescent's guardian represents the presence of a positive support system?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse is collecting data from an adolescent client who has a conduct disorder.
Which of the following findings is the nurse's priority?