Disruptive Behavior Disorders Flashcards

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1
Q

Disruptive Behavior

A

characterized by behavioral patterns that involve:

  • anger
  • hostility/aggression (towards people and or property)
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2
Q

Oppositional Defiant Disorder (ODD)

A
  • early onset associated w/ more severe symptoms and increased risk conduct disorder
  • disruptive behaviors usually begin at home and are more intense than outside of the home

-normal for some oppositional behaviors in adolescents but this is more than peers

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3
Q

ODD: Tx

A

parent management training

behavioral interventions

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4
Q

ODD: Dx

A

a pattern of angry/irritable mood, argumentative/defiant behavior for 6 MONTHS with 4 of the following symptoms:

  • loss of temper often
  • easily annoyed
  • anger and resentful often
  • argue w/ authority
  • refuses to comply w/ request from authority
  • deliberate annoyance of others
  • blaming others for own mistakes
  • spiteful or vindictive in the last 6 months

(don’t need to memorize this just undersatnd)

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5
Q

Intermittent Explosive Disorder

A

recurrent behavioral outbursts:

  • verbal aggression
  • three behavioral outbursts that involve damage or destruction of property

behavior outbursts are out of proportion to the event

no premeditation, may feel guilty after outburst but doesn’t stop them from responding this way again

causes distress

age of 6YO or older

actions cannot be explained by another mental health disorder, substance use disorder, or medical issue

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6
Q

Intermittent Explosive Disorder: Tx

A

Pharmacology:

  • fluoxetine: SSRI
  • lithium
  • anticonvulsant mood stabilizers

CBT
Anger management
Relaxation techniques

avoidance of alcohol and other substances

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7
Q

Conduct Disorder

A

pattern of behavior where basic rights of others or societal norms are violated

3 of 15 criteria in 12 month period

ex) bullies, threatens, initiation of fighting, use of weapon that could cause harm, physically cruel to others/animals, stolen, forced sexual activity, etc.

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8
Q

Conduct Disorder: Classification

A

mild
moderate
severe

conduct problems increase in intensity or cause more harm to others as you progress from mild to severe

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9
Q

Conduct Disorder: Etiology

A

unknown
genetic vulnerability
environmental adversity
factors such as poor coping

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10
Q

Conduct Disorder: Onset

A

childhood: sx before 10 YO
adolescent: no behaviors of conduct disorder until after 10YO

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11
Q

Conduct Disorder: Risk Factors

A

low self esteem
poor parenting
peer relationships
academic achievements

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12
Q

Conduct Disorder: Protective Factors

A

resiliency
family support
positive peer relationships

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13
Q

Conduct Disorder: Tx

A

parent education
family therapy
social skills training
mediations/therapy

early intervention and prevention is more effective than tx

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14
Q

Conduct Disorder: Nursing Dx

A

ineffective coping
noncompliance
risk for other-directed violence

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15
Q

Ineffective Coping: Nursing Interventions

A
  • encourage discussion regarding thoughts and feelings
  • give positive feedback for appropriate discussions/behaviors
  • teach limit setting
  • teach and practice problem solving
  • role model social skills
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16
Q

Risk for other-directed violence: Nursing Interventions

A
  • investigate any threats or statements of suicide
  • ask the client to leave the situation if loss of behavioral control
  • time out procedure (cooling off period)
  • feeling diary
  • assist in identifying alternatives to acting out
17
Q

Noncompliance: Nursing Interventions

A
  • inform client of expectations
  • do not make exceptions to rules
  • validate feelings while remaining firm on denying exceptions
  • maintain consistency w/ responses
  • designate one staff member per shift to be main point of contact
  • institute a daily schedule
  • give positive feedback for completion of tasks on schedule
18
Q

Disruptive Behavior: Related Disorders

A

kleptomania: theft of items not of necessity to a person for personal use or money
pyromania: intentional fire setting