Which disorder is exemplified by vandalism, conning others, running away from home, verbal bullying and intimidation, alcohol, and sexual promiscuity?
- A. Intermittent explosive disorder
- B. Mild conduct disorder
- C. Oppositional defiance Disorder
- D. Moderate conduct disorder
Correct Answer: D
Rationale: Moderate conduct disorder includes behaviors like vandalism, conning, running away, bullying, alcohol use, and promiscuity, unlike IED (sudden outbursts), mild conduct disorder (less severe), or ODD (defiance without major violations).
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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 may be concerns that a nurse has when caring for clients who have conduct disorders?
- A. Thinking that the client should be able to refrain from hostility and aggression through use of will power.
- B. Having conflicted feelings regarding holding clients accountable for their behaviors without having a punitive attitude.
- C. Discussing feelings, fears, or frustrations with colleagues.
- D. Having anxiety and fears for the nurse's personal safety.
- E. Believing that aggression is the most productive way to deal with aggression.
Correct Answer: A,B,D
Rationale: Nurses may struggle with misconceptions about willpower, balancing accountability, and safety concerns, but discussing feelings is constructive, and aggression is not productive.
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.
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 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.
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