A 12-year-old has engaged in bullying for several years. The parents say, 'We can't believe anything our child says.' Recently this child shot a dog with a pellet gun and set fire to a neighbor's trash bin. The child's behaviors support the diagnosis of

Correct Answer: D

Rationale: The correct diagnosis is D: Conduct Disorder (CD). This diagnosis is supported by the persistent pattern of aggressive and antisocial behaviors exhibited by the child, such as bullying, animal cruelty, and property destruction. These behaviors are characteristic of CD, which involves violating the rights of others and societal norms. ADHD (A) primarily involves symptoms of inattention, hyperactivity, and impulsivity, not deliberate acts of aggression. Intermittent Explosive Disorder (B) is characterized by sudden episodes of aggressive outbursts, which do not fully capture the chronic and intentional nature of the child's behavior. Oppositional Defiant Disorder (C) involves defiance and hostility towards authority figures but does not fully encompass the severity and range of antisocial behaviors exhibited by the child.

Correct Answer: D

Rationale: The correct answer is D (High). The adolescent's statement indicates a clear intent to die by suicide and a specific plan, which significantly increases the risk. The reference to past trauma and the method chosen suggest a high level of risk. The vendetta against those who hurt them may indicate unresolved issues contributing to suicidal ideation. Options A and B are incorrect as the adolescent has expressed suicidal intent and a specific plan, ruling out an absent or low risk. Option C is also incorrect as the level of risk is high due to the detailed plan and clear intent expressed by the adolescent.

Correct Answer: A

Rationale: The correct answer is A because Oppositional Defiant Disorder (ODD) is characterized by negative, hostile behavior towards authority figures like parents. Blaming others for misbehavior is a common trait in individuals with ODD. Choice B describes symptoms of Tourette syndrome, not ODD. Choice C describes conduct disorder behaviors, not specific to ODD. Choice D is more indicative of anxiety or trauma-related disorders, not ODD. Therefore, negative, hostile behavior towards parents and blaming others for misbehavior are key assessment findings that support a diagnosis of ODD.

Correct Answer: A

Rationale: The priority nursing diagnosis for a client diagnosed with bipolar disorder who intentionally overdoses on sertraline is "A: Risk for suicide R/T hopelessness." This is because the client's actions indicate a high risk for self-harm, which takes precedence over other diagnoses. The client's depressive episode, anorexia, insomnia, and recent job loss all contribute to feelings of hopelessness and can increase the risk of suicide. Choice B, anxiety related to hyperactivity, is not the priority because the client's intentional overdose is a more immediate concern than anxiety symptoms. Choice C, imbalanced nutrition due to refusal to eat, is not the priority because the risk of suicide is a more urgent and life-threatening issue. Choice D, dysfunctional grieving related to job loss, is not the priority as the client's immediate safety from self-harm takes precedence over grieving.

Correct Answer: B

Rationale: The correct answer is B because bipolar disorder is indeed more prevalent in higher socioeconomic groups. This is because individuals with higher socioeconomic status may have better access to resources like mental health services, leading to higher rates of diagnosis. Option A is incorrect as bipolar disorder is not typically associated with lower socioeconomic groups. Option C is incorrect because the prevalence of bipolar disorder does vary across socioeconomic groups. Option D is incorrect as there is a known correlation between higher socioeconomic status and increased prevalence of bipolar disorder.