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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.
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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.
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?
- A. Oppositional defiant disorder
- B. Asperger's syndrome
- C. Attention deficit hyperactivity disorder
- D. Conduct disorder
Correct Answer: D
Rationale: Conduct disorder involves persistent antisocial behaviors like fighting and vandalism, impairing function, unlike ODD (defiance without major violations), Asperger's (social and behavioral issues), or ADHD (inattention and impulsivity).
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?
- A. Fine, but you're confined to your room
- B. Missing class is against the rules
- C. You and I both know you're lying
- D. Why do you keep fighting the system
Correct Answer: B
Rationale: Reinforcing rules avoids power struggles and sets clear limits, unlike punitive confinement, accusing of lying, or questioning motives.
Which is the most important reason for the nurse who cares for children with conduct disorders to discuss feelings, fears, or frustrations with colleagues?
- A. To make the nurse feel better and avoid burnout.
- B. To encourage camaraderie between colleagues.
- C. To keep negative emotions from interfering with the ability to provide care to clients with problems with aggression.
- D. To ensure that all caregivers have the same attitudes and beliefs about children with conduct disorders.
Correct Answer: C
Rationale: Discussing feelings prevents negative emotions from impacting care, more critical than personal relief, camaraderie, or uniform attitudes.
Which is true of the time-out strategy that may be used for persons with conduct disorder?
- A. It is a punishment.
- B. It should only be used as a last resort.
- C. Eventually, the goal is for the client to avoid time-out.
- D. Time-out is retreat to a neutral place, so clients can regain self-control.
Correct Answer: D
Rationale: Time-out is a neutral retreat to regain control, not punishment, and aims for self-initiated use, not as a last resort.