A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?

Use physical restraints during severe outbursts to ensure safety.

Assign daily chores that are challenging to encourage discipline.

Encourage solitary play to reduce social stressors.

Put into practice consistent consequences for rule-breaking behavior.

Answer and Explanation

The Correct Answer is D

A. Use physical restraints during severe outbursts to ensure safety: Restraints should only be used as a last resort and are not an effective or ethical primary strategy for managing behavior in children with ODD.
B. Assign daily chores that are challenging to encourage discipline: Assigning overly challenging chores may lead to frustration and non-compliance, exacerbating behavioral issues rather than helping.
C. Encourage solitary play to reduce social stressors: Isolating the child may worsen feelings of exclusion and does not address the need for social skills development and appropriate behavior in social contexts.
D. Put into practice consistent consequences for rule-breaking behavior: Consistency in consequences helps the child understand boundaries and the importance of following rules, which is crucial for managing behavior in ODD.

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Correct Answer is A

Explanation

A. This position prevents stomach juice from going into the lungs. Elevating the head helps prevent reflux of stomach contents into the trachea and lungs, which can lead to aspiration pneumonia.
B. This position allows food to be easily digested by the stomach. The position primarily focuses on respiratory protection, not digestion.
C. This position helps my baby breathe better by opening the lungs. While elevation can aid breathing, it's primarily to prevent aspiration rather than improving respiratory function.
D. This position keeps pressure off the stomach. It's not primarily about relieving pressure but rather preventing aspiration.

A. Implementing stress management workshops for employees in a workplace. B. Promoting mental health awareness and education in the community. C. Providing counseling and therapy to individuals with diagnosed mental health disorders. D. Conducting mental health screenings in schools to identify students at risk for mental health issues.

Correct Answer is C

Explanation

A. Implementing stress management workshops for employees in a workplace: This is an example of primary prevention, which aims to reduce the risk of mental health issues by promoting healthy behaviors and coping mechanisms.
B. Promoting mental health awareness and education in the community: This also falls under primary prevention, focusing on reducing the incidence of mental health issues through education and awareness.
C. Providing counseling and therapy to individuals with diagnosed mental health disorders: This represents tertiary prevention, which focuses on managing and mitigating the impact of existing mental health conditions to improve quality of life and prevent complications or deterioration.
D. Conducting mental health screenings in schools to identify students at risk for mental health issues: This is a form of secondary prevention, which involves early identification and intervention to prevent the progression of mental health issues.

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A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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