ODD is a repeated and persistent pattern of having an angry and irritable mood in conjunction with demonstrating defiant and vindictive behavior. The distracters identify findings associated with CD, anxiety disorder, and Tourette’s syndrome. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 21-3 to 5, 44 (Table 21-1) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity MULTIPLE RESPONSE
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1. A nurse on an adolescent psychiatric unit assesses a newly admitted 14-year-old. An impulse
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control disorder is suspected. Which aspects of the patient’s history support the suspected diagnosis? (Select all that apply.) a. Family history of mental illness b. Allergies to multiple antibiotics c. Long history of severe facial acne d. Father with history of alcohol abuse e. History of an abusive relationship with one parent
nd
ANS: A, D, E
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Parents who are abusive, rejecting, or overly controlling cause a child to suffer detrimental effects. Other stressors associated with impulse control disorders can include major disruptions such as placement in foster care, severe marital discord, or a separation of parents. Substance abuse by a parent is common. Acne and allergies are not aspects of the history that relate to the behavior.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 21-17, 44 (Table 21-1) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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2. What are the primary distinguishing factors between the behavior of persons diagnosed with
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ODD and those with CD? The person diagnosed with (Select all that apply) a. ODD relives traumatic events by acting them out. b. ODD tests limits and disobeys authority figures. c. ODD has difficulty separating from loved ones. d. CD uses stereotypical or repetitive language. e. CD often violates the rights of others.
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ANS: B, E
eB
Persons diagnosed with ODD are negativistic, disobedient, and defiant toward authority figures without seriously violating the basic rights of others, whereas persons with CD frequently behave in ways that do violate the rights of others and age-appropriate societal norms. Reliving traumatic events occurs with PTSD. Stereotypical language behaviors are seen in persons with autism spectrum disorders.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 21-44 (Table 21-1) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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