Nokea
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.
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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.
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.
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.
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.
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.