Nokea
Which is an effective way for parents to deal with problem behaviors in children and to prevent later development of conduct disorders?
- A. Administering medications
- B. Avoiding setting limits
- C. Group-based parenting classes
- D. Being overprotective of the child
Correct Answer: C
Rationale: Group-based parenting classes teach effective strategies to manage behaviors, unlike medications, avoiding limits, or overprotection.
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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.
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.
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.
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.
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.