A nurse is preparing to interview a family whose oldest child has an impulse control disorder. Which question would best assess them for symptoms of oppositional defiant disorder?

“Does your child argue with certain people more than others?”

“How do you typically respond to angry outbursts?”

“Does he bully, or threaten to physically harm other people?”

“Has your child caused any serious property damage?”

Answer and Explanation

The Correct Answer is C

A: Asking if the child argues with certain people more than others can help identify patterns of oppositional behavior. However, this question does not directly address the aggressive and harmful behaviors that are more indicative of oppositional defiant disorder (ODD). While arguing can be a symptom of ODD, it is not as specific or severe as bullying or threatening harm.

B: Inquiring about the parents’ response to angry outbursts provides insight into the family dynamics and how the child’s behavior is managed. This question is more about the parents’ actions rather than the child’s symptoms. It does not directly assess the child’s behavior, which is crucial for diagnosing ODD.

C: This question directly addresses aggressive and harmful behaviors, which are key symptoms of oppositional defiant disorder. Children with ODD often exhibit patterns of angry, irritable moods, argumentative/defiant behavior, and vindictiveness. Bullying and threatening to harm others are significant indicators of the disorder, making this the most appropriate question to assess for ODD.

D: Asking if the child has caused serious property damage can indicate severe behavioral issues, but it is more aligned with conduct disorder rather than oppositional defiant disorder. While property damage can occur in ODD, it is not as central to the diagnosis as the aggressive and defiant behaviors highlighted in option C.

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Free Nursing Study Resources

Correct Answer is A,B,C,D

Explanation

The correct answer is:

A. Stabilize fluid, electrolyte levels, address dysrhythmia

B. Initiate adequate calories for age, height and metabolic need

C. Develop more effective coping skills to deal with anxiety

D. Verbalizes body shape and weight as normal and acceptable

Stabilize fluid, electrolyte levels, address dysrhythmia: This is the most urgent priority because imbalances in fluids and electrolytes, as well as dysrhythmias, can be life-threatening. Immediate medical intervention is necessary to stabilize the patient’s condition and prevent serious complications.

Initiate adequate calories for age, height and metabolic need: Once the patient’s immediate medical needs are addressed, the next priority is to ensure they receive adequate nutrition. This step is crucial for weight restoration and overall health improvement, which are essential for recovery from anorexia nervosa.

Develop more effective coping skills to deal with anxiety: After addressing the physical health concerns, the focus can shift to psychological aspects. Developing coping skills to manage anxiety is important for long-term recovery and preventing relapse. Anxiety often underlies eating disorders, so addressing it is key to comprehensive treatment.

Verbalizes body shape and weight as normal and acceptable: This outcome is important for the patient’s self-perception and long-term recovery. However, it is the least urgent compared to the immediate medical and nutritional needs. It can be addressed once the patient is medically stable and has begun to develop coping mechanisms.

A. Have the patient eat their meals in private. B. Educate the patient on the long-term complications of purging. C. Weigh the patient at the same time every morning. D. Monitor the patient during and after meal times.

Correct Answer is D

Explanation

A: Having the patient eat meals in private is not recommended as it can facilitate purging behaviors without supervision.

B: Educating the patient on the long-term complications of purging is important but not the primary intervention to prevent immediate purging behavior.

C: Weighing the patient at the same time every morning is a standard practice in managing eating disorders but does not directly address the purging behavior.

D: Monitoring the patient during and after meal times is crucial to prevent purging and ensure the patient is following the treatment plan.

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A nurse is preparing to interview a family whose oldest child has an impulse control disorder. Which question would best assess them for symptoms of oppositional defiant disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for the client newly diagnosed with anorexia nervosa who is receiving inpatient treatment. According to the client needs, prioritize the outcomes from most urgent to least urgent.

Correct Answer is A,B,C,D

Explanation

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Correct Answer is D

Explanation

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