A nurse is assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?

The child was not promoted to the next grade.

The child moved to three new homes over a two-year period.

The child's best friend was absent from the child's birthday party.

The child has been raised by a parent who has recurrent major depressive disorder.

Answer and Explanation

The Correct Answer is D

A. The child was not promoted to the next grade: Academic performance alone does not directly correlate with conduct disorder.

B. The child moved to three new homes over a two-year period: Transience can contribute to instability but is not a direct risk factor for conduct disorder.

C. The child's best friend was absent from the child's birthday party: Social relationships are important, but absence from a birthday party is not a significant risk factor for conduct disorder.

D. The child has been raised by a parent who has recurring major depressive disorder. Exposure to parental mental illness, such as major depressive disorder, can create stressful family environments that contribute to the development of conduct disorder.

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Correct Answer is B

Explanation

A. Hypnosis: Not typically used for aggressive behavior disorders.

B. Cognitive-behavioral therapy (CBT). CBT is effective in modifying behavioral responses and addressing aggression through structured therapy sessions. CBT helps individuals recognize triggers for aggressive behavior and develop coping strategies.

C. Medication: Sometimes used adjunctively but not typically first-line for behavioral therapy.

D. Physical restraint: Used in emergencies but not a treatment for the disorder itself.

A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you." C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature." D. "It's a common misconception that there is a medication available to treat every health problem."

Correct Answer is A

Explanation

A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." Behavioral interventions are the mainstay of treatment for ODD. Medications are not typically recommended unless there are comorbid conditions like ADHD or aggression that do not respond to behavioral interventions alone.

B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you: This statement is misleading as medications are not first-line for ODD.

C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature.": This is an oversimplification; while primarily behavioral, medications might be considered in certain cases.

D. "It's a common misconception that there is a medication available to treat every health problem.": This statement dismisses the possibility of appropriate medication when needed.

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A nurse is assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What treatment is commonly used for aggressive behavior disorder?

Correct Answer is B

Explanation

A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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