Exam 23: Disruptive Behavior Disorders

The nurse has been working with the family of a small child with oppositional defiant disorder. The nurse is feeling very frustrated because the parents refuse to implement effective parenting skills that the nurse has taught. What is the best nursing action at this time?

Which is likely to be most effective for adolescents with conduct disorder?

Which are important points for the nurse to consider when working with clients with disruptive behavior disorders and their families? Select all that apply.

Which steps are involved in limit setting? Select all that apply.

Which are characteristics of intermittent explosive disorder (IED)? Select all that apply.

A child is expelled from school for repeated fighting and vandalizing school property. The school nurse and counselor meet with the parents to explain that the child may benefit from counseling as the child is experiencing signs of which disorder?

The nurse is using limit setting with a child diagnosed with conduct disorder. Which statement reflects the most effective way for the nurse to set limits with the child?

Which is the most commonly used treatment for oppositional defiant disorder?

A client with conduct disorder starts yelling at another client and calling the client insulting names. Which is the most appropriate response by the nurse?

The nurse understands that when working with a child with a disruptive behavior disorder, the family must be included in the care. Which is one of the best ways the nurse can advocate for the child?

Which is an effective way for parents to deal with problem behaviors in children and to prevent later development of conduct disorders?

A child has been displaying behaviors associated with conduct disorder. The nurse should further assess for which common risk factors seen in children with conduct disorder. Select all that apply.

Which is the most important reason for the nurse who cares for children with conduct disorders to discuss feelings, fears, or frustrations with colleagues?

Which disorder is exemplified by vandalism, conning others, running away from home, verbal bullying and intimidation, drinking alcohol, and sexual promiscuity?

The nurse is meeting with a family of a client with conduct disorder. The nurse discusses changes the parents can make to help their child change problematic behaviors. Which parenting technique would the nurse encourage the parents to use?

A 14-year-old girl is being treated for conduct disorder. She refuses to attend class today, stating that yesterday the other nurse told her she did not have to go to class if she did not want to. Which would be the best response by the nurse?

Which is true of the time-out strategy that may be used for persons with conduct disorder?

When presenting information about conduct disorders to a community group, the nurse is asked, which is the best setting for care of a client with conduct disorders when parents cannot provide safe, structured environments and adequate supervision for the client? Which would be the most appropriate reply by the nurse?

An 11-year-old child talks to the school nurse about a single episode of disruptive behavior in class. The child states, I had a stomachache and felt like vomiting. I couldn't help it. I was just so mad at my dad. Which would be the most appropriate response by the nurse?

Which are most likely included in the history of a child with conduct disorder? Select all that apply.