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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.
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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.
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).
The nurse has been working with the family of a small child with oppositional defiant disorder. The nurse is feeling very frustrated because the parents refuse to implement effective parenting skills that the nurse has taught. What is the best nursing action at this time?
- A. Review effective disciplinary practices with the parents again.
- B. Refer the parents to a family therapist.
- C. Try to remember that the parents are trying to the best of their ability to carry out the suggestions.
- D. Explore alternative living arrangements for the child.
Correct Answer: C
Rationale: Acknowledging parental challenges fosters understanding and collaboration, avoiding premature re-teaching, therapy referral, or removal of the child.
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 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.