Nokea
Which is likely to be most effective for adolescents with conduct disorder?
- A. Involvement with the legal system
- B. Focusing on the parenting education
- C. Incarceration
- D. Early intervention
Correct Answer: D
Rationale: Early intervention is most effective for conduct disorder, preventing escalation, unlike legal involvement, parenting focus alone, or incarceration, which may worsen outcomes.
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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.
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.
The nurse is meeting with a family of a client with conduct disorder. The nurse discusses changes the parents can make to help their child change problematic behaviors. Which parenting technique would the nurse encourage the parents to use?
- A. Provide consistent consequences for behaviors.
- B. Set earlier curfews than the child's peers adhere to.
- C. Release the child from household responsibilities until he can demonstrate dependable behavior.
- D. Avoid discussing feelings and expectations with the child.
Correct Answer: A
Rationale: Consistent consequences reinforce appropriate behavior, unlike overly strict curfews, avoiding responsibilities, or not discussing feelings.
A child is expelled from school for repeated fighting and vandalizing school property. The school nurse and counselor meet with the parents to explain that the child may benefit from counseling as the child is experiencing signs of which disorder?
- A. Oppositional defiant disorder
- B. Asperger's syndrome
- C. Attention deficit hyperactivity disorder
- D. Conduct disorder
Correct Answer: D
Rationale: Conduct disorder involves persistent antisocial behaviors like fighting and vandalism, impairing function, unlike ODD (defiance without major violations), Asperger's (social and behavioral issues), or ADHD (inattention and impulsivity).
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.