Nokea
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.
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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.
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 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.
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.
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).