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 B

Explanation

A. Administer diazepam: This is not a first-line treatment for delirium and could exacerbate confusion or sedation, potentially worsening delirium.

B. Obtain a medical history: Delirium is often caused by underlying medical conditions such as infections, electrolyte imbalances, or medication side effects. Obtaining a medical history is crucial for identifying and treating the underlying cause, making it the priority action.

C. Start intravenous fluids: While IV fluids might be necessary in cases of dehydration or electrolyte imbalances, identifying the underlying cause of delirium through medical history is more urgent.

D. Raise 3 of the 4 side rails of the bed: This action may help prevent falls but does not address the underlying cause of delirium. Moreover, the use of side rails can sometimes increase the risk of injury or entrapment.

A. Advising survivors to keep the assault a secret and not seek help from anyone. B. Suggesting that survivors should avoid reporting the assault to law enforcement to prevent further trauma. C. Encouraging survivors to blame themselves for the assault to regain a sense of control, D. Discussing the importance of seeking medical attention promptly after a sexual assault.

Correct Answer is D

Explanation

A. Advising survivors to keep the assault a secret and not seek help from anyone: This advice is harmful and can exacerbate the trauma experienced by survivors. It is not evidence-based and goes against promoting recovery and safety.

B. Suggesting that survivors should avoid reporting the assault to law enforcement to prevent further trauma: Reporting or not reporting to law enforcement is a personal decision and should be supported based on the survivor's needs and wishes. However, encouraging secrecy is not supportive.

C. Encouraging survivors to blame themselves for the assault to regain a sense of control: Self-blame is detrimental to recovery and is not evidence-based. It can worsen psychological distress and hinder healing.

D. Discussing the importance of seeking medical attention promptly after a sexual assault: This is evidence-based and crucial for survivors. Seeking medical attention allows for assessment and treatment of physical injuries, prevention of sexually transmitted infections (STIs), pregnancy prevention (if applicable), and collection of forensic evidence if the survivor wishes to report the assault later.

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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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