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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A: Paranoid personality disorder is characterized by pervasive distrust and suspicion of others, which is not reflected in the client’s statement.

B: Antisocial personality disorder involves a disregard for the rights of others and a lack of remorse, which is not indicated in the client’s statement.

C: Schizoid personality disorder is characterized by a lack of interest in social relationships and emotional coldness, which does not align with the client’s statement.

D: Borderline personality disorder is characterized by intense and unstable relationships, often involving idealization and devaluation of others. The client’s statement reflects this pattern by idealizing one nurse and devaluing another.

A. “I’m thirsty, give me a drink of water.” B. “I punched him because he’s rude to us.” C. “I’m going to report you because this is an illegal use of restraints.” D. “If I say I’m sorry, would you let me out of here?”

Correct Answer is A

Explanation

A: This statement requires immediate attention because it indicates a basic need that must be addressed to ensure the patient’s well-being while in restraints.

B: This statement reflects the patient’s justification for their behavior but does not require immediate attention.

C: This statement indicates the patient’s intention to report the use of restraints but does not require immediate attention.

D: This statement reflects the patient’s attempt to negotiate release from restraints but does not indicate an immediate need.

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A 13-year-old is beginning treatment for conduct disorder. What would be an appropriate goal for treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with a personality disorder states, “You are the very best nurse on the unit and not at all like that mean nurse who never lets us stay up later than 9 p.m.” This statement would be associated with which personality disorder?

Correct Answer is D

Explanation

A patient was placed in restraints after punching a staff member. Which statement by the patient requires the nurse’s immediate attention?

Correct Answer is A

Explanation

A psychiatric unit has several patients with personality disorders. Which of the following behaviors should the nurse address first?

A 13-year-old is beginning treatment for conduct disorder. What would be an appropriate goal for treatment?

A client is upset that the doctor will not increase his pain medication and is now pacing up and down the hall, angrily mumbling to himself. Which nurse will be most successful at de-escalating the client? The nurse who…

The nurse is caring for a patient diagnosed with delirium. The nurse would note these symptoms as consistent with delirium: Select all that apply.

The nurse is reviewing documentation after restraints were used. What item from the documentation should be removed?

A patient with borderline personality disorder has cut her wrists while on the unit. Which of the following is NOT an appropriate nursing intervention?

A patient who is experiencing auditory hallucinations has become increasingly agitated throughout the day. The patient suddenly kicks over an empty trash can and shouts “I WILL KILL YOU ALL!” at the wall. In response, the nurse should (Select all that apply).

A new nurse is working in an adolescent residential program for children with impulse control disorders. Which action would require the charge nurse to immediately follow up with the new nurse? When the new nurse…