When admitting a child diagnosed with a conduct disorder, which symptom would the nurse expect to assess

History of cruelty towards people and animals.

Confabulation when confronted with wrongdoing.

Repeated complaints of physical symptoms such as headaches and stomach aches.

Excessive distress about separation from home and family.

Answer and Explanation

The Correct Answer is A

A. History of cruelty towards people and animals: Children with conduct disorder often display aggression, cruelty, and violation of social norms. Harmful behaviors toward others, including animals, are a hallmark feature and indicate a pattern of antisocial tendencies.

B. Confabulation when confronted with wrongdoing: Confabulation is more commonly associated with neurocognitive disorders or memory deficits rather than conduct disorder. Lying in conduct disorder is deliberate and manipulative, not due to memory impairment.

C. Repeated complaints of physical symptoms such as headaches and stomach aches: Somatic complaints are more characteristic of anxiety disorders or somatization rather than conduct disorder, which involves behavioral and social rule violations.

D. Excessive distress about separation from home and family: Separation anxiety disorder is characterized by extreme distress when away from caregivers. Conduct disorder involves disregard for rules and social norms rather than heightened attachment-related anxiety.

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Correct Answer is A

Explanation

A. Fluoxetine (Prozac): Fluoxetine is a selective serotonin reuptake inhibitor approved by the FDA for the treatment of binge-eating and purging behaviors associated with bulimia nervosa in adults. It can help reduce the frequency of binge-purge episodes and improve mood and impulse control.

B. Clonidine: Clonidine is an alpha-2 adrenergic agonist primarily used for hypertension and ADHD-related symptoms. It is not FDA-approved for treating bulimia nervosa or its behavioral components.

C. Lisdexamphetamine (Vyvanse): Lisdexamphetamine is FDA-approved for binge-eating disorder but not for bulimia nervosa. Its primary use is for reducing impulsive binge episodes in binge-eating disorder without purging.

D. Olanzapine (Zyprexa): Olanzapine is an atypical antipsychotic used off-label for agitation or severe anorexia nervosa in some cases, but it is not FDA-approved for bulimia nervosa. Its use carries metabolic and sedation risks.

A. They serve as ineffective coping strategies for managing emotional distress. B. They are used as a means to gain attention. C. They are primarily a direct result of media influence, such as commercials. D. They begin as a strategy to correct unhealthy thought patterns.

Correct Answer is A

Explanation

A. They serve as ineffective coping strategies for managing emotional distress: Behaviors such as bingeing, purging, or restrictive eating often develop as maladaptive ways to manage anxiety, stress, or low self-esteem. These behaviors temporarily reduce emotional discomfort but fail to address underlying psychological issues, reinforcing a harmful cycle.

B. They are used as a means to gain attention: While others may notice behaviors associated with eating disorders, the primary motivation is internal coping rather than seeking external attention. Attention-seeking does not explain the development or persistence of these disorders.

C. They are primarily a direct result of media influence, such as commercials: Media can contribute to body image concerns, but eating disorders are complex, multifactorial conditions involving genetic, psychological, and social factors. Media influence alone does not fully account for the behaviors.

D. They begin as a strategy to correct unhealthy thought patterns: Eating disorder behaviors typically reinforce distorted thinking rather than correct it. Restrictive or compensatory behaviors often exacerbate negative self-perceptions and obsessive concerns about weight and shape.

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When admitting a child diagnosed with a conduct disorder, which symptom would the nurse expect to assess

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Which of the following best describes the behaviors associated with eating disorders?

Correct Answer is A

Explanation

The nursing instructor is preparing to teach nursing students about oppositional defiant disorder (ODD). Which fact should be included in the lesson plan?

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