CH 21 MPLS CNTRL Flashcards
A 16-year-old diagnosed with a conduct disorder (CD) has been in a residential program for 3 months. Which outcome should occur before discharge?
a. The adolescent and parents create and agree to a behavioral contract with rules, rewards,
and consequences.
b. The adolescent identifies friends in the home community who are a positive influence.
c. Temporary placement is arranged with a foster family until the parents complete a
parenting skills class.
d. The adolescent experiences no anger and frustration for 1 week.
a. The adolescent and parents create and agree to a behavioral contract with rules, rewards,
and consequences.
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. Attention deficit hyperactivity disorder (ADHD)
b. Posttraumatic stress disorder (PTSD)
c. Intermittent explosive disorder
d. CD
d. CD
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?
a. Planned ignoring
b. Establish firm limits
c. Neutrally permit refusals
d. Coaxing to gain compliance
b. Establish firm limits
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?
a. Family therapy
b. Bibliotherapy
c. Play therapy
d. Art therapy
a. Family therapy
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?
a. Disturbed personal identity related to acting out as evidenced by prostitution
b. Hopelessness related to achievement of role identity as evidenced by feeling unloved by
parents
c. Defensive coping related to inappropriate methods of seeking parental attention as
evidenced by acting out
d. Impaired parenting related to inequitable feelings toward children as evidenced by
showing preference for one child over another
c. Defensive coping related to inappropriate methods of seeking parental attention as
evidenced by acting out
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
a. ADHD.
b. intermittent explosive disorder.
c. oppositional defiant disorder (ODD).
d. CD.
d. CD.
An 11-year-old diagnosed with ODD 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. Ignore the child‘s behavior.
b. Send the child to time-out for 2 hours.
c. Take the child to the gym and engage in an activity.
d. Role-play a more appropriate behavior with the child.
c. Take the child to the gym and engage in an activity.
An adolescent acts out in disruptive ways. When this adolescent threatens to throw a heavy pool ball at another adolescent, which comment by the nurse would set appropriate limits?
a. ―Attention everyone: we are all going to the craft room.
b. ―You will be taken to seclusion if you throw that ball.
c. ―Do not throw the ball. Put it back on the pool table.
d. ―Please do not lose control of your emotions.
c. ―Do not throw the ball. Put it back on the pool table.
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. Leading an activity group
b. Providing positive feedback
c. Formulating nursing diagnoses
d. Dialectical behavioral therapy (DBT)
d. Dialectical behavioral therapy (DBT)
Shortly after the parents announced that they were divorcing, a 15-year-old became truant from school and assaulted a friend. The adolescent told the school nurse, ―I‘d rather stay in my room and listen to music. It‘s easier than thinking about what is happening in my family. Which nursing diagnosis is most applicable?
a. Chronic low self-esteem related to role within the family
b. Decisional conflict related to compliance with school requirements
c. Defensive coping related to adjustment to changes in family relationships
d. Disturbed personal identity related to self-perceptions of changing family
dynamics
c. Defensive coping related to adjustment to changes in family relationships
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
a. CD.
b. ODD.
c. intermittent explosive disorder.
d. ADHD.
b. ODD.
An 11-year-old diagnosed with ODD 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?
a. Say to the child, ―Tell me how you‘re feeling right now.
b. Take the child swimming at the facility‘s pool.
c. Establish a behavioral contract with the child.
d. Administer an anxiolytic medication.
b. Take the child swimming at the facility‘s pool.
Parents of an adolescent diagnosed with a CD 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?
a. Parent–child interaction therapy (PCIT)
b. Behavior modification therapy
c. Multi-systemic therapy (MST)
d. Pharmacotherapy
. Parent–child interaction therapy (PCIT)
An adolescent diagnosed with an impulse control disorder says, ―I want to die. I spend my time getting even with people who hurt me. When asked about a suicide plan, the adolescent replies, ―I‘ll jump from a bridge near my home. My father threw kittens off that bridge and they died. Rate the suicide risk.
a. Absent
b. Low
c. Moderate
d. High
d. High
An adolescent diagnosed with CD 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?
a. Second- generation antipsychotic
b. Antianxiety medication
c. Calcium channel blocker
d. β-blocker
b. Antianxiety medication
