Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
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?
A. The client is the oldest of their siblings.
The client being the oldest of their siblings is not directly linked to the development of conduct disorder. Conduct disorder is more influenced by factors such as family conflict, inconsistent discipline, and parental issues rather than birth order.
B. The client's father lives in the client's home.
The client's father living in the client's home does not inherently contribute to conduct disorder. The presence of a father figure can be a stabilizing factor unless there are issues such as abuse, neglect, or inconsistent parenting.
C. The client's mother has asthma.
The client's mother having asthma is unrelated to the development of conduct disorder. Conduct disorder is typically associated with psychological, social, and familial factors rather than the physical health conditions of parents.
D. The client has several siblings.
The client having several siblings can contribute to conduct disorder due to potential for increased familial conflict and competition for parental attention. Larger family sizes can sometimes lead to less individual attention and more sibling rivalry, which can exacerbate behavioral issues.
This question is an excerpt from Nurse Dive's nursing test bank - RN Mental Health 2019 With NGN Proctored Exam. Take the full exam now
Full Explanation
The correct answer is: D. The client has several siblings.
Choice A reason:
The client being the oldest of their siblings is not directly linked to the development of conduct disorder. Conduct disorder is more influenced by factors such as family conflict, inconsistent discipline, and parental issues rather than birth order.
Choice B reason:
The client's father living in the client's home does not inherently contribute to conduct disorder. The presence of a father figure can be a stabilizing factor unless there are issues such as abuse, neglect, or inconsistent parenting.
Choice C reason:
The client's mother having asthma is unrelated to the development of conduct disorder. Conduct disorder is typically associated with psychological, social, and familial factors rather than the physical health conditions of parents.
Choice D reason:
The client having several siblings can contribute to conduct disorder due to potential for increased familial conflict and competition for parental attention. Larger family sizes can sometimes lead to less individual attention and more sibling rivalry, which can exacerbate behavioral issues.
Similar Questions
A nurse is assessing a client who has delirium. Which of the following findings requires immediate intervention by the nurse?
A. Impaired memory
B. Inappropriate speech patterns
C. Command hallucinations
Command hallucinations are auditory hallucinations that instruct the client to perform an action, such as harming oneself or others. This is a medical emergency that requires immediate intervention by the nurse to ensure safety and prevent harm.
D. Rapid mood swings
Full Explanation
Command hallucinations are auditory hallucinations that instruct the client to perform an action, such as harming oneself or others. This is a medical emergency that requires immediate intervention by the nurse to ensure safety and prevent harm.
A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer?
A. The mother who expresses hostility toward her spouse
B. The father who intervenes whenever the siblings argue
C. The adolescent son who refuses to share personal feelings
D. The adolescent daughter who attempts to dominate the discussion
A monopolizer is a family member who tries to control communication and prevent others from expressing their thoughts or feelings. The adolescent daughter who attempts to dominate the discussion is acting in this role and may hinder effective family counselling.
Full Explanation
A monopolizer is a family member who tries to control communication and prevent others from expressing their thoughts or feelings. The adolescent daughter who attempts to dominate the discussion is acting in this role and may hinder effective family counselling.
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
A. Hypothyroidism
B. Knee arthroplasty 1 month ago
C. Hepatitis B infection
D. Recent head injury
Bupropion is contraindicated in clients who have a history of seizures or head trauma, as it can lower the seizure threshold and increase the risk of adverse effects.
Full Explanation
Bupropion is contraindicated in clients who have a history of seizures or head trauma, as it can lower the seizure threshold and increase the risk of adverse effects.