A child has been diagnosed with oppositional defiant disorder (ODD). The parents ask the nurse what risk factors the child has for this disorder. Which response by the nurse is the most appropriate?
A.
"I am not sure; you can ask the doctor during your appointment."
B.
"It seems to be an inherited problem from a recessive gene."
C.
"The etiology seems to be complex, with multiple causes."
D.
"Unfortunately, nobody knows what causes this condition."
ANS: C
The etiology of ODD is complex and multifactoral, so it is difficult to identify specific risk factors. The nurse may not know the answer, but should find out and inform the parents directly. ODD is not an inherited recessive condition. Although the exact cause of (and therefore risk factors for) ODD is not known, simply stating this fact does not give the parents any useful information. The nurse should provide whatever information there is regarding this condition.
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