The mother of a 6-year-old child expresses concern over the child's frequent temper outburst He deals with any frustration by bullying and hitting, and seldom shows any remorse for his actions The nurse who gathers this data will note that the child's behaviour are most consistent with which DSM-5 diagnosis?

Reasoning: Choice A reason: Social phobia involves an intense fear of being judged or scrutinized by others in social situations, leading to avoidance or extreme distress. It does not involve outward aggression, bullying, or a lack of remorse, which are externalizing behaviors rather than the internalizing symptoms characteristic of an anxiety disorder. Choice B reason: Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by inattention, impulsivity, and hyperactivity. While an impulsive child might accidentally hurt someone, the pattern of deliberate bullying, physical aggression, and a distinct lack of remorse points toward a more severe behavioral pathology involving a violation of the rights of others. Choice C reason: Oppositional Defiant Disorder (ODD) involves a pattern of angry/irritable mood and defiant behavior toward authority figures. While ODD can include being spiteful, it typically does not involve the severe physical aggression or the predatory bullying and lack of empathy seen in the transition toward a Conduct Disorder diagnosis. Choice D reason: Conduct Disorder is characterized by a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms are violated. Bullying, physical hitting, and a lack of remorse (limited prosocial emotions) are core diagnostic criteria that distinguish this from less severe behavioral issues.