MH: Chapter 23: Disruptive Behavior Disorders 5-8

Been caught lying on a regular basis Served after-school detention for repeatedly disobeying the teaching staff Confessed to hurting the neighbor's dog Been regularly accused by family members of "stealing their stuff"

A 14-year-old client's behavior meets the criteria for a conduct disorder when the nursing assessment documents that the child has what? Select all that apply. Been caught lying on a regular basis Served after-school detention for repeatedly disobeying the teaching staff Confessed to hurting the neighbor's dog Been regularly accused by family members of "stealing their stuff" Resorted to threatening to cut the self when angry

Mood-stabilizing drugs Antidepressant drugs

A client is diagnosed with intermittent explosive disorder (IED). What drugs are likely to be prescribed for the client? Select all that apply. Mood-stabilizing drugs Barbiturates Stimulant drugs Antidepressant drugs Antipsychotic drugs

Presence of comorbid psychiatric disorders

A client is diagnosed with oppositional defiant disorder (ODD). Which assessment finding would indicate that the client needs medications? Use of abusive language by the client Extreme hostile behavior toward the parents Less than 3 years of age Presence of comorbid psychiatric disorders

Suggest that the family bring in the child so that a direct assessment can be made.

A family is concerned about their school-aged child who keeps getting into fights. The parents state that the child does not listen, is aggressive toward others, and prefers to be alone. What is the best nursing response to the stated concerns? Contact the health care provider for a referral to a psychologist. Schedule the family and child for a therapy session. Offer community support groups to help the child focus on group activities. Suggest that the family bring in the child so that a direct assessment can be made.

Try to think of alternative responses to the child's behavior. Consider making small changes rather than large changes. Suggest respite care breaks for parents during the week. Offer role-playing scenarios to address specific needs.

A family with a child who has a conduct disorder tells the nurse they are increasingly frustrated in their attempts to make things better at home. What suggestion(s) should the nurse make that would lead to decreased frustration? Select all that apply. Try to think of alternative responses to the child's behavior. Consider making small changes rather than large changes. Provide rewards instead of punishments for problematic behavior. Suggest respite care breaks for parents during the week. Offer role-playing scenarios to address specific needs.

The adolescent has lots of tattoos and body piercings.

A nurse is assessing a 15-year-old adolescent with conduct disorder. Which appearance might the nurse see in the adolescent? The adolescent has poor physical hygiene. The adolescent appears terrified. The adolescent has lots of tattoos and body piercings. The adolescent has lots of cuts on the face and body.

Peer group of the adolescent Behavior of parents Temperament of the adolescent

A nurse is assessing an adolescent client with oppositional defiant disorder (ODD). What factors influence the development of this disorder in the adolescent? Select all that apply. Peer group of the adolescent Behavior of parents Temperament of the adolescent Eating habits of the adolescent Academic performance of the adolescent

The adolescent's behavior poses a danger to others.

A nurse is assessing an adolescent with conduct disorder. The nurse finds that the adolescent has been prescribed risperidone by the primary health care provider. What would be the most likely reason for the health care provider to prescribe this drug to the client? The adolescent has poor social behavior. The adolescent is depressed because of the inappropriate behavior. The adolescent's behavior poses a danger to others. The adolescent is experiencing disturbances in concentration.

The sibling of the client has conduct disorder.

A nurse is assessing an adolescent with conduct disorder. Which statement by the nurse about the adolescent is most likely to be true? The sibling of the client has conduct disorder. The sibling of the client has a mood disorder. The client has a chronic medical condition. The adolescent loves to play with pets.

Impaired decision making Impaired problem-solving abilities Impaired attention

A nurse is assessing an adolescent with oppositional defiant disorder (ODD). Other than disruptive behavior, what other findings might the nurse expect to see during the assessment? Select all that apply. Impaired sense of direction Impaired decision making Impaired problem-solving abilities Impaired physical ability Impaired attention

Help the client develop peer relationships.

A nurse is caring for an adolescent with conduct disorder. The nurse tries to involve the client in discussions on age-related topics such as books, current trends, and movies. What is the nurse trying to accomplish by doing this? Teach the client to deal with problems. Evaluate the client's frustration tolerance. Teach about the relationship between behavior and its consequences. Help the client develop peer relationships.

The child can be managed if the parents modify their own behavior.

A nurse is counseling the parents of a 5-year-old child with oppositional defiant disorder (ODD). What type of management does the nurse suggest to help the parents deal with the disorder? The child can be managed if admitted to a juvenile home. The child can be managed by ensuring punishments are suited to the behavior. The child can be managed if given psychotropic drugs. The child can be managed if the parents modify their own behavior.

Early onset of sexual behavior Alcohol and substance abuse Smoking

A nurse is counseling the parents of a client with conduct disorder. The nurse tells them that they should be vigilant in watching for certain behaviors that their child is prone to exhibit. Which behaviors would the nurse want the parents to watch for? Select all that apply. Suicidal tendencies Early onset of sexual behavior Alcohol and substance abuse Smoking Binge eating

Strategies to avoid alcohol and substance use Strategies for anger management Relaxation techniques

A nurse is planning to educate a client who is diagnosed with intermittent explosive disorder about self-management strategies for the condition. What topics should the nurse address while teaching this client? Select all that apply. A healthy diet regimen Strategies to eliminate pain Strategies to avoid alcohol and substance use Strategies for anger management Relaxation techniques

Skills to improve peer relationships Skills to improve academic performance Effective parenting skills

A nurse is planning to teach parents of children with conduct disorder about the treatment methods. Which topics should the nurse address in the session? Select all that apply. Skills to improve peer relationships Legal procedures for criminal behavior Skills to improve academic performance Effective parenting skills Sedative medications for conduct and antisocial personality disorder

"My child is consistently performing poorly academically." "My child does not have any friends."

A nurse is speaking to the parents of a 15-year-old client who has been suspended from school for physically abusing classmates. The client has had many warnings from school staff; however, the client's behavior persists. What other statements by the parents would lead the nurse to suspect this client has conduct disorder? Select all that apply. "My child is extremely well-behaved at home." "My child cries a lot and does not want to be alone." "My child feels guilty and regrets the inappropriate behavior." "My child is consistently performing poorly academically." "My child does not have any friends."

Labeling the behavior

A nurse is teaching parents of a child with a disruptive behavior disorder how to use "time-out." The nurse determines the education was successful when the parents identify which as the first step? Labeling the behavior Identifying the consequence of the unacceptable behavior Giving the child a warning Instituting the time out

At home while confronting parents

A nurse suspects that an adolescent has oppositional defiant disorder (ODD). In which situation will the client most likely display behavior consistent with ODD? At play while confronting peers At home while confronting parents At school while confronting teachers At school while confronting students of the opposite sex

Verbal bullying

The nurse is assessing a child diagnosed with conduct disorder. Based on which behavior would this client be described as exhibiting the disorder at moderate intensity? Truancy Attempted robbery Cruelty to animals Verbal bullying

"Our child spends more time playing than studying." "Our child doesn't listen to us, preferring to listen to friends."

The parents of a 15-year-old adolescent report that their child is behaving abnormally. After obtaining the history of the client, the nurse responds by telling the parents that their child's behavior is normal for his age. What would the parents have told the nurse regarding their child? Select all that apply. "Our child spends more time playing than studying." "Our child doesn't listen to us, preferring to listen to friends." "Our child is an extreme pessimist and tends to stay away from everybody." "Our child has no friends at school." "Our child has difficulty learning and understanding concepts."

Conduct disorder

Which disorder of childhood is characterized by aggression to people and animals, destruction of property, deceitfulness and theft, and serious violation of rules? Attention deficit hyperactivity disorder (ADHD) Conduct disorder Rumination disorder Pica

"You will lose your driving privileges for a week if you don't clean your room today."

Which statement, made by the parent of a teen diagnosed with conduct disorder, demonstrates effective parenting? "A person your age knows better than to skip school." "You will lose your driving privileges for a week if you don't clean your room today." "When are you going to learn that bullying is not acceptable behavior?" "Do you understand that you hurt your sister's feelings when you call her names?"