An advanced practice nurse is working with a child diagnosed with oppositional defiant disorder. What action by the nurse is most appropriate?
A.
Assess the child's performance at school.
B.
Facilitate genetic testing for the entire family.
C.
Screen the child for other psychosocial problems.
D.
Warn the parents not to leave siblings alone with the child.
ANS: C
Children with both oppositional defiant disorder and conduct disorder often have other psychological comorbidities. The nurse should screen the child for other problems. Assessing performance at school may be important in some cases, but is not the most appropriate action. Genetic testing is not done for this disorder. Siblings may be at risk when being left alone with the child, but this would need individual assessment and is not applicable to all children with this disorder.
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