A child of 11 years, diagnosed with oppositional defiant disorder, becomes angry and defiant over

the rules of the day treatment program. The nurse at whom the child is shouting might defuse the
situation by

a. suggesting that B go to the gym and shoot baskets.
b. placing B in a basket hold.
c. calling staff to seclude B.
d. providing as-needed anxiolytic medication.


A
Redirecting the expression of feelings into nondestructive, age-appropriate behaviors such as a
physical activity helps the child learn how to modulate the expression of feelings and exert
self-control. This is the least restrictive alternative of those listed and should be tried before
resorting to more restrictive measures.

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