Nokea
Which are actions of the parents of a child with conduct disorders that may contribute to the problems of the child?
- A. The parents may not behave appropriately themselves because of a lack of knowledge.
- B. The parents blame the school when the child causes a disturbance in school and receives detention.
- C. The parents engage in yelling at, hitting, or simply ignoring the behavior of their child.
- D. The parents make reasonable curfews that are appropriate for the age of the client.
- E. The parents establish household responsibilities that are appropriate for the age of the client.
Correct Answer: A,B,C
Rationale: Inappropriate parental behavior, blaming others, and yelling or ignoring contribute to conduct issues, unlike reasonable curfews or responsibilities.
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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.
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.
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.
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.
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.