All of the following are symptoms of conduct disorder except.
Vindictive
Deceitful
Aggressive towards people and animals
Destroying property
The Correct Answer is A
A. Vindictive. Being vindictive is more characteristic of oppositional defiant disorder (ODD) rather than conduct disorder (CD). While both disorders involve defiant and hostile behavior, ODD is marked by persistent anger, argumentativeness, and vindictiveness, whereas CD includes more severe violations of social norms and the rights of others.
B. Deceitful. Deceitfulness is a core symptom of conduct disorder. It includes lying, manipulating others, shoplifting, and breaking promises for personal gain. This behavior is often done without guilt or remorse.
C. Aggressive towards people and animals. Physical aggression is a defining feature of conduct disorder. Individuals may bully, threaten, fight, use weapons, or show cruelty towards animals without regard for others' safety.
D. Destroying property. Conduct disorder includes deliberate destruction of property, such as vandalism, arson, or breaking into buildings, often as a way to exert control or express defiance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Restlessness and unable to sit still. This describes akathisia, a movement disorder characterized by an intense feeling of restlessness, often seen as a side effect of antipsychotic medications.
B. Muscle spasms on the face, eyes, neck, and tongue. Dystonia is characterized by sudden, involuntary muscle contractions, often affecting the face, neck (torticollis), eyes (oculogyric crisis), tongue, and jaw. It is a common extrapyramidal side effect (EPS) of antipsychotic medications, particularly first-generation antipsychotics.
C. Tongue rolling and lip smacking. These are hallmark symptoms of tardive dyskinesia, a late-onset movement disorder caused by long-term use of dopamine-blocking agents. It involves involuntary, repetitive movements of the mouth, face, and limbs.
D. Tremors at rest, bradykinesia, and shuffling gait. These symptoms are characteristic of Parkinsonism, an extrapyramidal side effect of dopamine-blocking medications. It mimics Parkinson’s disease and includes rigidity, tremors, and slow movements.
Correct Answer is D
Explanation
A. Mesolimbic pathway is responsible for reward, motivation, and emotion. In schizophrenia, hyperactivity of this pathway leads to positive symptoms such as hallucinations, delusions, and disorganized thinking.
B. Nigrostriatal pathway regulates motor control. Dopamine blockade in this pathway leads to extrapyramidal symptoms (EPS) such as tremors, rigidity, and tardive dyskinesia, which are side effects of first-generation antipsychotics (typical antipsychotics).
C. Tuberoinfundibular pathway controls prolactin secretion. Dopamine inhibits prolactin release, so blocking D2 receptors with antipsychotics leads to hyperprolactinemia, causing gynecomastia, galactorrhea, and menstrual irregularities.
D. Mesocortical pathway is responsible for cognition, motivation, and emotional regulation. In schizophrenia, hypoactivity of this pathway is linked to negative symptoms such as apathy, anhedonia, social withdrawal, and cognitive impairment. Antipsychotics that block dopamine further worsen these symptoms, making negative symptoms more difficult to treat.
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