A 12-year-old has engaged in bullying for several years. The parents say, "We can't believe anything our child says." Recently this child shot a dog with a pellet gun and set fire to a neighbor's trash bin. The child's behaviors support the diagnosis of:
a. attention deficit hyperactivity disorder.
b. intermittent explosive disorder.
c. defiance of authority.
d. conduct disorder.
ANS: D
The behaviors mentioned are most consistent with criteria for conduct disorder, for example, aggression against people and animals; destruction of property; deceitfulness; rule violations; and impairment in social, academic, or occupational functioning. Intermittent explosive disorder is a pattern of behavioral outbursts characterized by an inability to control aggressive impulses in adults 18 years and older. The behaviors are not consistent with attention deficit and are more pervasive than defiance of authority. See related audience response question.
You might also like to view...
Health education is an integral component of all nurse–person interactions. However, certain individuals have a greater need for health education than others
Which one of the following individuals likely has the greatest need for health education? A) An IV drug user who is receiving antibiotics for the treatment of endocarditis B) A young adult who has suffered traumatic injuries in a motorcycle accident C) The parents of an infant who has been admitted for treatment of respiratory syncytial virus (RSV) D) An elderly woman who has just been diagnosed with congestive heart failure (|CHF)
The nurse is instructing a patient on the reasons why leg stretching exercises should be done every morning before getting out of bed. This nurse is implementing which principle of restorative care?
a. Teach rationale of self-care skills b. Promote optimum functional ability c. Utilize a holistic approach d. Prevent deterioration and complications
If a penny-pinching patient rationalizes personal behavior, a nurse will expect that the patient is most likely to:
a. call other people wasteful. b. start spending money liberally. c. claim to exemplify the virtue of thrift. d. give vast amounts of money to charity on death.
Provide an example to demonstrate understanding of the meaning of this statement: "Circular communication by a family nurse goes two ways."
What will be an ideal response?