A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder.
Which of the following factors related to family dynamics should the nurse include in the teaching?
The client has several siblings.
The client's father lives in the client's home.
The client's mother has asthma.
The client is the oldest of their siblings.
The Correct Answer is B
Choice A rationale:
Having several siblings is not a direct contributing factor to the development of conduct disorder. Conduct disorder is more associated with behavioral and social factors, not family size.
Choice B rationale:
The presence of the client's father in the home is an important factor in family dynamics that can contribute to the development of conduct disorder. This is because the involvement and presence of parents, especially fathers, play a significant role in a child's emotional and behavioral development. The absence of a father figure or an unstable family environment can increase the risk of conduct disorder.
Choice C rationale:
The fact that the client's mother has asthma is not directly related to the development of conduct disorder. Asthma is a physical health condition and is not typically associated with conduct disorder unless it affects the family's dynamics in a significant way.
Choice D rationale:
Being the oldest sibling is not necessarily a contributing factor for the development of conduct disorder. Conduct disorder is primarily associated with behavior and environmental factors, not birth order.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is: A. Withhold the next dose of the medication.
Choice A rationale: Lamotrigine can cause serious skin reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis. Any rash should be taken seriously, and the medication should be withheld immediately to prevent potential severe reactions1.
Choice B rationale: While a change in laundry detergent could cause a rash, it is less likely to be the cause if the rash appeared after starting lamotrigine.
Choice C rationale: Applying hydrocortisone cream may help with mild skin irritations, but it does not address the potential severity of a drug-induced rash.
Choice D rationale: Explaining that the medication causes a temporary rash is not appropriate without first assessing the severity of the rash and withholding the medication.
Correct Answer is C
Explanation
A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization? The correct answer is Choice C: A client who states she did not get a promotion because her boss dislikes her.
Choice A rationale:
Choice A, a client who states she will worry about her grades after she finishes planning a party, represents the defense mechanism of "intellectualization" rather than rationalization. Intellectualization is when an individual uses excessive reasoning and logic to distance themselves from emotional reactions.
Choice B rationale:
Choice B, a client whose partner died 5 years ago still talks about him in the present tense, represents "denial" rather than rationalization. Denial involves refusing to accept the reality of a situation or a feeling.
Choice C rationale:
Rationalization is a defense mechanism in which a person provides logical-sounding explanations to justify or make excuses for their behavior or actions. Choice C, a client who attributes not getting a promotion to their boss disliking them, exemplifies rationalization as the client is creating a seemingly plausible reason for the situation rather than accepting their role in not receiving the promotion.
Choice D rationale:
Choice D, a client who has stomach pain before presenting a project to his coworkers, represents "somatization" rather than rationalization. Somatization is a defense mechanism where emotional distress is expressed as physical symptoms.
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