Conduct do psurg Flashcards
disruptive behavior d/o
a disturbance of conduct severe enough to produce significant impairment in social, occupational, or academic functioning because of symptoms that range from oppositional defiant to moderate and severe conduct disturbances.
conduct d/o subtypes
childhood-onset type < 10 yo; adolescent-onset type > 10 yo
temperment
personality characteristics that define an individual’s mood and behavioral tendencies. The sum of physical, emotional, and intellectual components that affect or determine a person’s actions and reactions
conduct d/o: how can you tell?
repetitive and persistent patter of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated.
conduct d/o: genetics
chormosome 19 and 2 in childhood (chromosome 2 for ETOH abuse in adulthood)
conduct d/o: temperment : when do you intervene
fix difficult temperment before age 3, or it will be a conduct d/o or institutionalized by age 17
conduct d/o: neurotransmitters
norepi, sero, testosterone/violence
conduct d/o: peer relationships
poor relationships in childhood lead to deviance later
conduct d/o: family influence
parental rejection, inconsistent management with harsh discipline, early institutional living, frequent shifting of parental figures, large family size, absent father, parents with antisocial personality d/o or ETOH dependence, martial conflict and divorce, parental permissiveness
how kids with conduct d/o violate personal space
slash tire, scream at you, bully, underage drinking
nsg dx
risk for other directed violence, defensive coping, impaired social interaction, low self esteem,
conduct d/o: what do you implement?
develop a TRUSTING relationship, convey acceptance of the person separate from the unacceptable behavior, provide immediate, matter of fact non threatening feedback for unacceptable behavior; SET LIMITS ON MANIPULATIVE behavior (manipulative for self preservation);
conduct d/o: diagnostic criteria
3 or more of (x) in the past 12 mon with 1 present in the past 6 mon: aggression to people and animals; destruction of property; deceitfulness or theft; serious violations of rules