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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.
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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.
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.
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).
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.
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.