A nurse is providing teaching to a group of parents about risk factors for conduct disorder (CD). Which of the following risk factors should the nurse include?

History of abuse

Has more than three siblings

A structured household environment

Diagnosis of many chronic medical illnesses

Answer and Explanation

The Correct Answer is A

A. History of abuse: A history of physical, emotional, or sexual abuse is a significant risk factor for developing conduct disorder. Children who have experienced abuse may exhibit aggressive and defiant behaviours as a means of coping with their trauma.

B. Has more than three siblings: Having a large number of siblings alone is not directly associated with conduct disorder. Family dynamics and individual relationships are more relevant than the number of siblings.

C. A structured household environment: A structured household environment, typically characterized by consistent rules and supportive parenting, is generally protective against behavioural disorders like conduct disorder.

D. Diagnosis of many chronic medical illnesses: Chronic medical illnesses are not typically linked to conduct disorder. Risk factors for CD are more commonly related to psychosocial and environmental issues rather than medical conditions

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Correct Answer is D

Explanation

A. "Age-related cognitive changes may lead to alterations in mental status." Age-related cognitive changes, such as mild cognitive impairment, can increase the risk of delirium, but the statement is too general. Delirium is typically acute and caused by specific factors like medication, infection, or metabolic imbalances, not just normal age-related changes . Therefore, this choice is incorrect.

B. "Lack of rigorous exercise may lead to alterations in mental status." While lack of exercise can impact overall health and well-being, it is not a direct risk factor for delirium. Delirium is more closely associated with acute medical conditions, medication interactions, or environmental factors . Therefore, this choice is incorrect.

C. "Decreased social interaction may lead to profound isolation and psychosis." Decreased social interaction can lead to isolation and mental health issues like depression, but it is not a direct cause of delirium. Delirium typically results from acute physiological changes rather than social factors . Therefore, this choice is incorrect.

D. "Taking multiple medications may lead to adverse interactions or toxicity." Polypharmacy, or taking multiple medications, is a significant risk factor for delirium in older adults due to the potential for adverse drug interactions and toxicity. This can lead to acute changes in mental status characteristic of delirium . This choice is correct.

A. Evaluate liver function B. Check for blood glucose levels C. Assess for signs of infection D. Monitor for electrolyte alterations

Correct Answer is D

Explanation

A. Evaluate liver function: Although liver function tests can be important, they are not the immediate priority in anorexia nervosa unless there is a specific indication of liver disease or failure. Liver function abnormalities might occur in advanced cases due to malnutrition, but electrolyte imbalances are more immediately life-threatening.

B. Check for blood glucose levels: Blood glucose levels are important, but severe electrolyte imbalances, such as hypokalemia, pose a more immediate risk and require urgent attention to prevent cardiac and neurological complications.

C. Assess for signs of infection: While important, infection is not typically a primary concern in the initial assessment of someone with anorexia unless there are specific signs or symptoms indicating infection.

D. Monitor for electrolyte alterations: Electrolyte imbalances, such as hypokalemia (low potassium) and hypocalcemia (low calcium), can be life-threatening and are common in individuals with anorexia due to malnutrition, vomiting, or use of laxatives. These imbalances can lead to cardiac arrhythmias and other serious complications, making this the priority.

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A nurse is providing teaching to a group of parents about risk factors for conduct disorder (CD). Which of the following risk factors should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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