A 13-year-old is beginning treatment for conduct disorder. What would be an appropriate goal for treatment?
The teen is able to go at least a week without fighting with their teachers at school
The parents demonstrate the ability to discipline their child without shouting
The teen is able to limit their fight or flight response
The family creates and follows a behavioral contract with rules, rewards, and consequences
The Correct Answer is D
A: While going a week without fighting with teachers is a positive outcome, it is not a comprehensive goal for treatment.
B: The parents demonstrating the ability to discipline without shouting is important, but it focuses on the parents rather than the teen’s behavior.
C: Limiting the fight or flight response is a broad and somewhat vague goal. It is important but not specific enough for a treatment plan.
D: Creating and following a behavioral contract with rules, rewards, and consequences is a comprehensive and structured approach that involves both the teen and the family. It sets clear expectations and provides a framework for positive behavior change.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Limiting communication to only the mother is not recommended as it can hinder the child’s social development and interactions with other family members.
B: Teaching parents to provide structure, rewards, and consistency in following rules is an effective intervention. Children with autism spectrum disorder benefit from predictable routines and clear expectations, which help reduce anxiety and improve behavior.
C: While some children with autism may find eye contact challenging, minimizing eye contact is not a universal recommendation. It is more important to understand the individual child’s needs and preferences.
D: Speaking in a loud tone of voice is not appropriate as it can be overwhelming and distressing for the child. Clear, calm, and consistent communication is more effective.
Correct Answer is ["C","D","E"]
Explanation
A: Exposing the client to frustrating scenarios intentionally is not a therapeutic approach and can exacerbate the client’s frustration and abusive behavior.
B: Seclusion should be used as a last resort and not as a primary strategy for managing verbal abuse. It can increase feelings of isolation and frustration.
C: Setting clear boundaries helps the client understand acceptable behavior and the consequences of verbal abuse. This approach promotes a structured and predictable environment.
D: Early intervention when the patient shows signs of frustration can prevent escalation to verbal abuse. Recognizing triggers and addressing them promptly is crucial in managing antisocial behavior.
E: Educating the client about the consequences of their actions and how staff will respond to verbal abuse helps in setting expectations and promoting accountability.
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