Exam 21: Impulse Control Disorders

A child known as the neighborhood bully says,"Nobody can tell me what to do." After receiving a poor grade on a science project,this child secretly loaded a virus on the teacher's computer.These behaviors support a diagnosis of:

An adolescent diagnosed with an impulse control disorder said,"I just want to die.I spend all my time getting even with people who have done wrong to me." When asked about a suicide plan,the adolescent replied,"I'll jump from the bridge near my home.My father threw kittens off that bridge,and they died because they couldn't swim." Rate the suicide risk.

The family of a child diagnosed with an impulse control disorder needs help to function more adaptively.Which aspect of the child's plan of care will be provided by an advanced practice nurse rather than a staff nurse?

A 12-year-old has engaged in bullying for several years.The parents say,"We can't believe anything our child says." Recently this child shot a dog with a pellet gun and set fire to a neighbor's trash bin.The child's behaviors support the diagnosis of:

What are the primary distinguishing factors between the behavior of persons diagnosed with oppositional defiant disorder (ODD)and those with conduct disorder (CD)? Select all that apply.The person diagnosed with:

A 15-year-old ran away from home six times and was arrested for shoplifting.The parents told the court,"We can't manage our teenager." The adolescent is physically abusive to the mother and defiant with the father.Which diagnosis is supported by this adolescent's behavior?

A 15-year-old was placed in a residential program after truancy,running away,and an arrest for theft.At the program,the adolescent refused to join in planned activities and pushed a staff member,causing a fall.Which approach by nursing staff will be most therapeutic?

An adolescent was arrested for prostitution and assault on a parent.The adolescent says,"I hate my parents.They focus all attention on my brother,who's perfect in their eyes." -Which type of therapy might promote the greatest change in the adolescent's behavior?

An adolescent diagnosed with a conduct disorder stole and wrecked a neighbor's motorcycle.Afterward,the adolescent was confronted about the behavior but expressed no remorse.Which variation in the central nervous system best explains the adolescent's reaction?

An adolescent was recently diagnosed with oppositional defiant disorder.The parents say to the nurse,"Isn't there some medication that will help with this problem?" Select the nurse's best response.

A nurse works with an adolescent who was placed in a residential program after multiple episodes of violence at school.Establishing rapport with this adolescent is a priority because: (select all that apply)

Which assessment findings support a diagnosis of oppositional defiant disorder?

A 16-year-old diagnosed with a conduct disorder has been in a residential program for 3 months.Which outcome should occur before discharge?

Parents of an adolescent diagnosed with a conduct disorder say,"We don't know how to respond when our child breaks the rules in our house.Is there any treatment that might help us?" Which therapy is likely to be helpful for these parents?

An 11-year-old diagnosed with oppositional defiant disorder becomes angry over the rules at a residential treatment program and begins shouting at the nurse.What is the nurse's initial action to defuse the situation?

An adolescent diagnosed with conduct disorder has aggression,impulsivity,hyperactivity,and mood symptoms.The treatment team believes this adolescent may benefit from medication.The nurse anticipates the health care provider will prescribe which type of medication?

An adolescent was arrested for prostitution and assault on a parent.The adolescent says,"I hate my parents.They focus all attention on my brother,who's perfect in their eyes." -Which nursing diagnosis is most applicable?

An adolescent acts out in disruptive ways.When this adolescent threatens to throw a pool ball at another adolescent,which comment by the nurse would set appropriate limits?

An 11-year-old diagnosed with oppositional defiant disorder becomes angry over the rules at a residential treatment program and begins cursing at the nurse.Select the best method for the nurse to defuse the situation.

A nurse on an adolescent psychiatric unit assesses a newly admitted 14-year-old.An impulse control disorder is suspected.Which aspects of the patient's history support the suspected diagnosis? Select all that apply.