Nokea
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.
- A. Poor family functioning
- B. Strict disciplinary practices
- C. Family history of substance abuse
- D. Possible child abuse
- E. Poverty conditions
Correct Answer: A,C,D,E
Rationale: Risk factors for conduct disorder include poor family functioning, substance abuse history, child abuse, and poverty, but strict discipline is not specifically listed as a common risk factor.
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Which may be concerns that a nurse has when caring for clients who have conduct disorders?
- A. Thinking that the client should be able to refrain from hostility and aggression through use of will power.
- B. Having conflicted feelings regarding holding clients accountable for their behaviors without having a punitive attitude.
- C. Discussing feelings, fears, or frustrations with colleagues.
- D. Having anxiety and fears for the nurse's personal safety.
- E. Believing that aggression is the most productive way to deal with aggression.
Correct Answer: A,B,D
Rationale: Nurses may struggle with misconceptions about willpower, balancing accountability, and safety concerns, but discussing feelings is constructive, and aggression is not productive.
Which are most likely included in the history of a child with conduct disorder?
- A. Disturbed relationships with peers
- B. Major antisocial violations
- C. Aggression toward people or animals
- D. Destruction of property
- E. Serious violation of rules
Correct Answer: A,C,D,E
Rationale: Conduct disorder history includes peer issues, aggression, property destruction, and rule violations, but major antisocial violations are not specified.
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?
- A. I can see that you're angry. Let's look at better ways to express it
- B. I can understand your anger, but you can't disrupt the classroom
- C. If you can get rid of your anger, perhaps your stomachache will go away.
- D. Perhaps it would be helpful if you let your dad know you're angry.
Correct Answer: A
Rationale: Teaching the child to express anger appropriately addresses the behavior constructively, unlike focusing on classroom rules, linking physical symptoms to anger, or redirecting to the parent.
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?
- A. Support transferring the child to a healthy living environment.
- B. Teach the parents age-appropriate expectations of the child.
- C. Reinforce the parents' expectations of the child's behavior.
- D. Interpret the child's thoughts and feelings to the parent.
Correct Answer: B
Rationale: Teaching age-appropriate expectations empowers parents to support the child effectively, unlike transferring, reinforcing parental expectations, or interpreting feelings.
Which is the most commonly used treatment for oppositional defiant disorder?
- A. Pharmacologic treatment
- B. Parent training models of behavioral interventions
- C. Individual therapy
- D. Boot camp
Correct Answer: B
Rationale: Parent management training is the primary treatment for ODD, addressing learned behaviors, unlike medications, individual therapy (secondary), or ineffective boot camps.