Child Disruptive Behaviors Flashcards
Disruptive Behavior Disorders are characterized by:
Anger
Hostility
Aggression
Toward people people and or property
Oppositional Defiant Disorder
Enduring pattern of uncooperative, defiant, disobedient, hostile behavior toward authority figures; no major antisocial violations
Who is Oppositional Defiant Disorder common in?
Certain level of this behavior common in children and adolescents
How do people with Oppositional Defiant Disorder view consequences?
Limited ability to make connection between behaviors and consequences
What is the treatment for Oppositional Defiant Disorder?
Treatment—parent management training models of behavioral interventions
How should parents act with kids who have Oppositional Defiant Disorder?
Parents need a lot of training- parents must be on the same page and must be consistent; if one parent keeps breaking- the child will go to that parent and the behavior continues
Intermittent Explosive Disorder
Recurrent behavioral outbursts that can include verbal aggression or physical assault against animals /individuals
How do kids with intermittent explosive disorder treat themselves and others?
May physically injure others and self
How do kids with intermittent explosive disorder make kids feel after outburst?
May feel guilty after outbursts; this does not prevent future outbursts
What is the treatment for intermittent explosive disorder?
Psychopharmacology
Cognitive–behavioral therapy
Anger management
Relaxation techniques
Avoidance of alcohol and other substances
Conduct disorder
Persistent behavior that violates social norms or the basic rights of others
What are the traits of someone with conduct disorder
Callous and unemotional traits*
How do kids with conduct disorder feel?
Lacks remorse or guilt
What is frequently associated with conduct disorder?
Frequently associated with reckless/risky behaviors
If conduct disorder is not treated, what does this lead to?
Conduct disorder not treated, the child can develop an antisocial personality disorder
What is a major issue with conduct disorder (having to do with others)
Rights of others are violated
Societal norms are disregarded
Aggression toward people or animals
What other violations occur with conduct disorder?
Academic failure
Drug & alcohol abuse
Juvenile court involvement
Property destruction
Theft
Serious violation of the rules
What is the treatment of conduct disorder?
Early intervention/prevention; parenting education, social skills training, family therapy, individual therapy, medications (in conjunction with treatment)
If conduct disorder continues into adulthood, what does this place the child at risk for?
Continues into adulthood it places the individual at increased risk for antisocial personality disorder
Conduct Disorder Assessment: History
History: disturbed peer relationships, aggression toward people or animals, destruction of property, deceitfulness, theft, truancy, running away, staying out all night
Conduct Disorder Assessment: General appearance and motor behavior
typical for age group; may be sullen
Conduct Disorder Assessment: Mood and affect
Mood and affect: quiet, reluctant to talk; openly hostile, angry; disrespectful
Conduct Disorder Assessment: Thought process and content
perceive the world to be aggressive- not themselves
Conduct Disorder Assessment: Sensorium and intellectual processes
poor grades because of academic underachievement
Conduct Disorder Assessment: Judgment and insight:
limited; rule breaking; risky behavior
Conduct Disorder Assessment: Self concept
tough appearance; low self-esteem
Conduct Disorder Assessment: Roles and relationships
disruptive, possibly violent
Conduct Disorder Assessment: Physiological and self care
often at risk for unplanned pregnancy, STDs; drug use
Conduct Disorder an Nursing Process Application: Outcome identification
No injury to others or damage to property
Participate in treatment
Learn effective problem-solving and coping
Use age-appropriate and acceptable behavior when interacting with others
Verbalize positive, age-appropriate statements about self
Conduct Disorder an Nursing Process Application: Interventions
Decreasing violence/increasing compliance with treatment
Improving coping skills, self-esteem
Promoting social interaction
Providing client and family education
For conduct disorder interventions, how could nurses decrease violence/increase compliance with treatment?
Limit setting with consistent enforcement
Behavioral contracting; time-out
Self Awareness when treating patients with Conduct Disorder
Recognize own beliefs and values about raising children.
Be aware of feelings about child’s disruptive behaviors.
Focus on client’s and family’s strengths, not just problems.
Avoid a “blaming” attitude.
