A nurse has attended an in-service regarding care of adolescent clients who have behavioral disruptive disorders. Which statement by the nurse indicates an understanding of these disorders?
"Behavioral disruptive disorders are generally diagnosed in children and adolescents who often outgrow the behaviors later in life."
"Disruptive behavioral disorders are generally first diagnosed in early young adulthood."
"Behavioral disruptive disorders are characterized by acts of self-directed harm and aggression."
"Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that often are manifested in acts of aggression."
The Correct Answer is D
A. While some behaviors may improve with age, disorders such as oppositional defiant disorder or conduct disorder are persistent and can continue into adulthood if untreated. They are not typically outgrown without intervention.
B. "Disruptive behavioral disorders are generally first diagnosed in early young adulthood." is incorrect. These disorders emerge in childhood or adolescence, not young adulthood. Early identification is critical for effective intervention and long-term outcomes.
C. While aggression toward others may be present, self-directed harm is not a defining feature of disruptive behavioral disorders; self-harm is more characteristic of mood disorders or borderline personality traits in older adolescents.
D. Disruptive behavioral disorders are characterized by emotional dysregulation, defiance, noncompliance, and aggressive behaviors toward people, property, or rules. This description accurately reflects the core features of disorders such as ODD and conduct disorder, demonstrating a clear understanding of these conditions.
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Related Questions
Correct Answer is C
Explanation
A. Identifying the abuser and reporting to authorities is important, but it is secondary to ensuring the client’s immediate safety. While reporting is required by law, the first priority in nursing care is assessing risk and preventing further harm.
B. Documenting all physical injuries comprehensively is necessary for legal and medical purposes, but it does not address the immediate safety risk, which takes precedence in acute assessment.
C. Determining if the client is in immediate danger or at risk for further harm is correct. In cases of physical abuse, the primary concern is the client’s safety. The nurse must quickly assess whether the client is at risk of ongoing harm and take appropriate steps, such as removing them from danger, initiating protective interventions, and contacting authorities if necessary. Safety assessment guides all subsequent interventions.
D. Evaluating the client’s mental health status is important for holistic care, but it is not the primary concern in acute situations of suspected physical abuse. Mental health assessment can follow once immediate safety is addressed.
Correct Answer is A
Explanation
A. Delusions are fixed, false beliefs that are not based in reality and are resistant to reasoning or contrary evidence. In this scenario, the client’s belief that a government agency is attempting to capture them is a persecutory delusion, which is a common type of psychotic symptom that can occur in severe depression with psychotic features.
B. Confusion refers to disorientation to person, place, or time and difficulty thinking clearly. The client’s statement reflects a specific false belief rather than generalized cognitive disorientation, so confusion is not the correct choice.
C. Inappropriate guilt involves excessive or unjustified feelings of responsibility or remorse, often seen in depression. The client’s statement is not about guilt or self-blame, making this option incorrect.
D. Mania is characterized by elevated mood, increased energy, decreased need for sleep, rapid speech, and impulsive behavior. The client’s persecutory belief does not indicate mania, so this option is incorrect.
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