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?
"Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use."
There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you."
"Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature."
"It's a common misconception that there is a medication available to treat every health problem."
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Withdrawing socially from family and friends: While social withdrawal can be a sign of depression and potential suicidal thoughts, it doesn't necessarily indicate immediate risk.
B. Complaining about feeling great guilt or shame: Reflects emotional distress but not an immediate risk indicator.
C. Engaging in risky behavior, such as fast driving: Risky behavior can be a sign of self-destructive tendencies, but it doesn't always indicate a suicide attempt.
D. Feeling physical and emotional pain that is unbearable: Feeling unbearable physical and emotional pain is a powerful indicator of desperation and can lead someone to consider suicide as an escape. This intense level of distress suggests a higher risk of immediate action.
Correct Answer is A
Explanation
A. "Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that are often manifested in acts of aggression." Defines the characteristic features of these disorders. Behavioral disruptive disorders, such as conduct disorder and oppositional defiant disorder, involve persistent patterns of disruptive behavior, defiance, and aggression.
B. "Behavioral disruptive disorders are generally diagnosed in children and adolescents who often outgrow the behaviors later in life." Incorrect; these behaviors may persist into adulthood.
C. "Disruptive behavioral disorders are generally first diagnosed in early young adulthood." Typically diagnosed earlier in childhood or adolescence.
D. "Behavioral disruptive disorders are characterized by acts of self-directed harm and aggression." Self-directed harm is not a primary feature of disruptive behavior disorders.
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