Ch. 21 Evolve Quizzes

7. The nurse responsible for the safety of a 10-year-old client diagnosed with impulse control disorder is most concerned about which of the following? A. The child stating, "I don't want to live here or anywhere." B. The child's preoccupation with violent television programs. C. A notation in the child's medical history describing a previous suicide attempt. D. The father's report that the child "is really clumsy and is always hurting himself."

C. A notation in the child's medical history describing a previous suicide attempt.

7. Which of the following would not be considered a predisposing factor for conduct disorder? A. Chaotic home life B. ADHD C. Being an only child D. Exposure to drug abuse among family members

C. Being an only child

Assessment for oppositional defiant disorder should include: A. assessing the history, frequency, and triggers for violent outbursts. B. assessing moral development, belief system, and spirituality for the ability to understand the impact of hurtful behavior on others, to empathize with others, and to feel remorse. C. assessing issues that result in power struggles and triggers for outbursts D. assessing sibling birth order to understand the dynamics of family interaction.

C. assessing issues that result in power struggles and triggers for outbursts

3. A nursing diagnosis that should be considered for a child diagnosed with conduct disorder who shows no capacity for empathy would be A. fear. B. anxiety. C. impaired social interaction. D. risk for self-mutilation.

C. impaired social interaction.

1. When parents share that their 8-year-old child seems to "always try to be annoying and hateful," the nurse suspects the child is A. emotionally immature. B. experiencing anxiety. C. vindictive. D. depressed.

C. vindictive.

6. With regard to the relationship between parenting and behavioral problems in a child, it is true that A. mothers exert greater influence on their children's behavior than do fathers. B. poor parenting does not necessarily result in behavioral problems C. single-parent homes are a risk factor of the development of behavioral problems. D. the absence of a father figure contributes significantly to dysfunctional behavior.

B. poor parenting does not necessarily result in behavioral problems

2. Which behavior consistently demonstrated by a child is a predictor of future antisocial personality disorder in adults? A. Sadness B. Remorse C. Guilt D. Callousness

D. Callousness

9. The nurse provides parenting skills education to the parents of children diagnosed with oppositional defiant disorder with the expectation that they will then be prepared to provide the child with A. the prescribed medications and group therapies. B. appropriate socializing activities and academic support. C. adequate food, clothing, shelter, and medical care. D. a nurturing home life with consistent limits and boundaries.

D. a nurturing home life with consistent limits and boundaries.

10. When working with a client demonstrating impulse control disorders, all of the following nursing interventions have priority except A. providing a safe environment. B. establishing a therapeutic nurse-client relationship. C. setting and enforcing limits and expectations. D. confronting the client concerning the disruptive behavior.

D. confronting the client concerning the disruptive behavior.

5. A poorly developed sense of empathy is thought to be the result of having A. a family history of mental illness. B. a low serum testosterone level. C. suffered head trauma at an early age. D. unmet physical and emotional needs.

D. unmet physical and emotional needs.

3. Pyromania, a behavior associated with impulse control disorders, causes an individual to A. start fires. B. steal for thrill. C. self-mutilate. D. direct anger toward others.

A. start fires.

4. Which statement is true about the characteristics of the oppositional defiant child? A. The defiance is generally directed toward parents and siblings. B. These behaviors are a predicter of future mental health disorders. C. Arguing tends to be more prevalent in boys. D. Girls display more blaming than do boys.

B. These behaviors are a predicter of future mental health disorders.

Nursing interventions for intermittent explosive disorder include: A. providing intensive family therapy. B. establishing a trusting relationship with the patient. C. setting up loose boundaries so the patient will feel relaxed. D. limiting decision-making opportunities to avoid frustration

B. establishing a trusting relationship with the patient.

9. When treating impulse control disorders, psychodynamic psychotherapy is directed toward A. mastering relaxation techniques. B. identifying the triggers of the rage. C. teaching the client self-distracting techniques. D. helping the client replace the rage with acceptable alternative feelings.

B. identifying the triggers of the rage.

8. Which child is demonstrating behaviors that support a diagnosis of adolescent onset conduct disorder? A. A 12-year-old male who steals a bicycle as a gang initiation B. A 9-year-old male who smokes half a pack of cigarettes a day C. A 12-year-old female who regularly bullies her younger siblings D. A 9-year-old female who engages in sexually provocative behaviors

A. A 12-year-old male who steals a bicycle as a gang initiation

3. Which of the following classifications of medication may be prescribed in intermittent explosive disorder? A. Anticonvulsants B. Psychostimulants C. Antianxiety agents such as benzodiazepines D. MAO inhibitors

A. Anticonvulsants

5. The primary characteristic that separates intermittent explosive disorder (IED) from oppositional defiance is that IED A. is diagnosed in individuals 18 years of age or older. B. has very specific, predictable triggers. C. rarely involves physical self-harm. D. seldom results in remorse for the aggessive behavior.

A. is diagnosed in individuals 18 years of age or older.

5. Which of the following statements are true regarding childhood-onset conduct disorder? (select all that apply): A. It is more commonly diagnosed in males. Correct B. It is characterized by feelings of remorse and regret. C. It is usually diagnosed in late teen years. D. It is characterized by disregard for the rights of others. Correct E. Those with conduct disorder rationalize their aggressive behaviors. Correct F. It is usually outgrown by early adulthood.

A. It is more commonly diagnosed in males. D. It is characterized by disregard for the rights of others. E. Those with conduct disorder rationalize their aggressive behaviors.

1. As an adult, a client who has been diagnosed with childhood-onset conduct disorder is at high risk for developing A. antipersonality disorder. B. obsessive-compulsive disorder. C. kleptomania. D. depression.

A. antipersonality disorder.

8. The nurse is preparing to set goals for a 10-year-old diagnosed with an impulse control disorder. To best ensure the expected therapeutic outcomes, the nurse includes goals that are A. client centered and include the client's input. B. age appropriate and achievable in a short period of time. C. simple and easily defined. D. family centered and long term in nature.

A. client centered and include the client's input.

4. Comorbid conditions commonly associated with oppositional defiant disorder do NOT include A. conversion disorder. B. attention deficit hyperactivity disorder (ADHD). C. bipolar disorder. D. anxiety.

A. conversion disorder.

6. A client diagnosed with conduct disorder craves A. excitement without concern for possible negative outcomes. B. control of situations and constantly strategizes for such power. C. friendship but from those older than themselves. material possessions but lacks focus and direction

A. excitement without concern for possible negative outcomes.

2. The mother of a 6-year-old child expresses concern over the child's frequent temper outbursts. 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 behaviors are most consistent with the DSM-5 diagnosis of A. social phobia. B. conduct disorder. C. oppositional defiant disorder. D. attention deficit hyperactivity disorder (ADHD).

B. conduct disorder.

4. Eli is a 17-year-old patient admitted to the psychiatric unit with conduct disorder after threatening his mother during an argument. Which of the following would be an appropriate short-term outcome for Eli? A. Engages in appropriate coping skills to manage stressors B. Expresses feelings C. Maintains self-control during hospitalization D. Mother will improve communication skills to interact with Eli

B. Expresses feelings

10. Which intervention is NOT therapeutic when attempting to reduce a client's agitation? A. Using a flat, neutral tone of voice when correcting behavior B. Relaxing rules before they trigger aggression C. Using "we" or "us" when setting limits D. Making rules easy to understand by using simple words and phases

B. Relaxing rules before they trigger aggression