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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?
- A. The acute care setting
- B. School
- C. Residential treatment settings
- D. Jail-diversion program
Correct Answer: C
Rationale: Residential treatment provides structure and supervision when parents cannot, unlike acute care (short-term), school, or jail-diversion programs.
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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.
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.
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.
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?
- A. How would you feel if someone yelled at you like that?
- B. What's the matter with you? Don't you know any better?
- C. Yelling at others is unacceptable. You need to let staff know you're upset
- D. You're still having problems controlling your anger
Correct Answer: C
Rationale: Stating that yelling is unacceptable and directing the client to inform staff focuses on the behavior non-judgmentally, unlike questioning feelings, criticizing, or assuming ongoing issues.
Which is likely to be most effective for adolescents with conduct disorder?
- A. Involvement with the legal system
- B. Focusing on the parenting education
- C. Incarceration
- D. Early intervention
Correct Answer: D
Rationale: Early intervention is most effective for conduct disorder, preventing escalation, unlike legal involvement, parenting focus alone, or incarceration, which may worsen outcomes.