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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. Provide consistent consequences for behaviors.
- B. Set earlier curfews than the child's peers adhere to.
- C. Release the child from household responsibilities until he can demonstrate dependable behavior.
- D. Avoid discussing feelings and expectations with the child.
Correct Answer: A
Rationale: Consistent consequences reinforce appropriate behavior, unlike overly strict curfews, avoiding responsibilities, or not discussing feelings.
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Which are important points for the nurse to consider when working with clients with disruptive behavior disorders and their families?
- A. Most behavior disorders are caused by being raised by parents who had behavior disorders in their own childhoods.
- B. Remember to focus on the client's strengths and assets, as well as their problems.
- C. Transient conduct disorders are common in all children.
- D. Avoid a blaming attitude toward clients and/or families.
- E. Focus on positive actions to improve situations and/or behaviors.
Correct Answer: B,D,E
Rationale: Focusing on strengths, avoiding blame, and promoting positive actions are key, but behavior disorders have multiple causes, and conduct disorders are not common in all children.
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.
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?
- A. That is not allowed here. You will lose a privilege. You need to stop.
- B. Stop what you are doing. Go to your room.
- C. I would appreciate if you would not do that
- D. Why do you do these things?
Correct Answer: A
Rationale: Effective limit setting involves stating the rule, consequences, and expected behavior, as in choice A, unlike vague requests, punitive commands, or questioning motives.
Which steps are involved in limit setting?
- A. State expected behavior.
- B. Inform clients or the rule or limit.
- C. Threaten incarceration.
- D. Explain the consequences if clients exceed the limit.
- E. Occasionally limit enforcement
Correct Answer: A,B,D
Rationale: Limit setting includes stating rules, consequences, and expected behavior, not threatening incarceration or inconsistent enforcement.
Which are characteristics of intermittent explosive disorder (IED)?
- A. The episode may occur with seemingly no warning.
- B. They usually last less than 30 minutes.
- C. Afterward, the person with IED will not have any remorse.
- D. It involves repeated episodes of impulsive, aggressive, violent behavior, and angry verbal outbursts.
- E. The intensity of the emotional outburst is usually within proportion to the stressor or situation.
Correct Answer: A,B,D
Rationale: IED is characterized by sudden, short (<30 min), impulsive, aggressive outbursts disproportionate to the trigger, often followed by remorse, not lack of it.