Registered Practical Nurse (RPN) Practice Test

What condition is associated with an extremely difficult temperament in a 6-year-old child?

1. Attention Deficit Hyperactivity Disorder

2. Conduct Disorder

3. Oppositional Defiant Disorder

4. Separation Anxiety Disorder

The correct answer is: Conduct Disorder

Conduct Disorder is characterized by a pattern of behavior in children and adolescents that involves violating the rights of others and societal norms. This condition can manifest as aggression toward people and animals, destruction of property, deceitfulness, or serious violations of rules. In young children, symptoms may include defiance, temper outbursts, and a tendency to blame others for their misbehavior, which can contribute to an extremely difficult temperament. While Attention Deficit Hyperactivity Disorder (ADHD) involves impulsivity and hyperactivity, it does not inherently include the same level of aggression or defiance found in Conduct Disorder. Oppositional Defiant Disorder (ODD) might also present as a difficult temperament, but it typically involves more of a pattern of angry and irritable mood and defiance without necessarily the severe violations of others’ rights or legal boundaries seen in Conduct Disorder. Additionally, Separation Anxiety Disorder primarily relates to excessive anxiety regarding separation from home or caregivers, which is different from the aggressive and defiant behaviors associated with Conduct Disorder. Understanding these distinctions is crucial for identifying and appropriately addressing behavioral issues in children.