Nokea
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.
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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.
Which is the most commonly used treatment for oppositional defiant disorder?
- A. Pharmacologic treatment
- B. Parent training models of behavioral interventions
- C. Individual therapy
- D. Boot camp
Correct Answer: B
Rationale: Parent management training is the primary treatment for ODD, addressing learned behaviors, unlike medications, individual therapy (secondary), or ineffective boot camps.
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 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.
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.