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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A: Antisocial Personality Disorder is characterized by a pervasive pattern of disregard for the rights of others, deceitfulness, impulsivity, irritability, aggression, and lack of remorse. The behaviors described in the question—lying, non-compliance with rules, and lack of remorse—are hallmark symptoms of this disorder.

B: Narcissistic Personality Disorder involves a pattern of grandiosity, need for admiration, and lack of empathy. While individuals with this disorder may also lie and manipulate, the primary features are their self-centeredness and need for admiration, which are not the main focus of the behaviors described.

C: Histrionic Personality Disorder is characterized by excessive emotionality and attention-seeking behavior. Individuals with this disorder may be dramatic and manipulative, but the behaviors described in the question are more indicative of antisocial traits rather than histrionic traits.

D: Avoidant Personality Disorder involves a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Individuals with this disorder are typically very anxious and avoidant of social interactions, which does not align with the behaviors described in the question.

A. Using seclusion when the patient is overstimulated or overwhelmed B. Ensure the patient understands that there are harsh consequences for violent episodes C. Quickly respond to emotional outbursts with negative reinforcement D. Create a quiet and relaxing room that the client can go to when feeling upset

Correct Answer is D

Explanation

A: Using seclusion should be a last resort and only used when the patient poses an immediate threat to themselves or others. It is not a proactive strategy for managing frustration.

B: Ensuring the patient understands harsh consequences for violent episodes may not be effective in preventing aggression and can increase feelings of frustration and resentment.

C: Responding to emotional outbursts with negative reinforcement can escalate the situation and is not a therapeutic approach.

D: Creating a quiet and relaxing room provides a safe space for the patient to calm down and manage their emotions. This proactive strategy helps prevent escalation and supports the patient’s ability to cope with frustration

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A nurse is working with a client who routinely lies to staff, refuses to comply with unit rules, and shows no remorse for the people they have harmed with their behavior. These behaviors best describe what personality disorder?

Correct Answer is A

Explanation

What is one way a nurse can help a patient respond to frustration without becoming aggressive or violent?

Correct Answer is D

Explanation

A nurse is caring for an adolescent who fainted at school. When interviewing the family, which statement by the mother best aligns with the diagnosis of bulimia?

A nurse is caring for a client who has schizophrenia. The client exclaims, “Aliens came into my room last night and took a sample of my blood!” Which of the following responses should the nurse make?

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…

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

A patient with schizophrenia has been admitted to an inpatient facility. Since admission, the patient has been either refusing medication or cheeking their medications. What interventions should the nurse implement? Select all that apply.

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).

The nurse is caring for a person displaying associative looseness. Which of the following would be the best strategy for the nurse to respond to associative looseness?

The nurse is participating in an IEP (Individualized Education Plan) for an 8-year-old male child diagnosed with Attention Deficit Hyperactivity Disorder. The nurse identifies which statement by the parent indicates more education is needed?