A child known as the neighborhood bully says, 'Nobody can tell me what to do.' After receiving a poor grade on a science project, this child secretly loaded a virus on the teacher's computer. These behaviors support a diagnosis of

Correct Answer: B

Rationale: The correct answer is B: Oppositional Defiant Disorder (ODD). ODD is characterized by a pattern of hostile and defiant behavior towards authority figures. In this scenario, the child's refusal to follow rules and defiance of authority by saying 'Nobody can tell me what to do' aligns with ODD. Additionally, the act of secretly loading a virus on the teacher's computer as a form of revenge is a manifestation of the vindictive and spiteful nature often seen in individuals with ODD. Incorrect choices: A: CD (Conduct Disorder) typically involves more serious and persistent antisocial behavior, such as aggression towards people or animals, destruction of property, and violation of rules. C: Intermittent Explosive Disorder is characterized by recurrent outbursts of aggression that are disproportionate to the situation. This child's behavior is more planned and targeted. D: ADHD (Attention-Deficit/Hyperactivity Disorder) does not account for the deliberate and calculated nature of the

Correct Answer: B

Rationale: The correct answer is B: Indirect impairments. Inactivity post-stroke can lead to a cascade of systemic issues impacting various body systems indirectly. This classification acknowledges the interconnected nature of impairments arising from inactivity. Direct impairments (Choice A) typically refer to immediate consequences of the stroke itself. Composite impairments (Choice C) imply a mix of various impairments without specifying the indirect relationship to inactivity. Comprehensive impairments (Choice D) suggest a thorough assessment but do not specifically address the indirect effects of inactivity as the primary cause of impairments post-stroke.

Correct Answer: B

Rationale: The correct answer is B: Fugl-Meyer Assessment of Physical Performance. This instrument is specific for stroke recovery as it assesses motor function, balance, sensation, and joint functioning - all crucial areas for stroke patients. It provides detailed information on impairments and changes in motor recovery post-stroke, guiding treatment planning and monitoring progress. A: Functional Independence Measure focuses on activities of daily living, not specific to stroke recovery. C: Short Form-36 is a general health-related quality of life measure, not specific to stroke recovery. D: Berg Balance Scale assesses balance but does not cover other important aspects of motor recovery post-stroke.

Correct Answer: B

Rationale: The correct answer is B: African Americans. African Americans have a higher incidence of hypertension compared to other population groups. This is due to genetic factors and lifestyle differences. Consistent testing is crucial to detect hypertension early and prevent complications. Caucasians, Asians, and males over the age of 64 may also have a risk of hypertension, but it is not as consistently high as in African Americans. Regular testing in this group is essential for early detection and management.

Correct Answer: B

Rationale: The correct answer is B: Ensure a safe environment for him and others. This is the initial nursing intervention because safety is the top priority when dealing with a patient experiencing psychotic symptoms like Tony. By ensuring a safe environment, we can prevent harm to Tony and others. Giving him an injection of Thorazine (choice A) is not the initial step as safety takes precedence. Placing him in restraints (choice C) should only be considered as a last resort for immediate danger. Ordering him a nutritious diet (choice D) is important for his overall well-being but not the immediate priority in this situation.