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Assessment 3- N450 Conduct disorder (1)
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Assessment 3- N450 Conduct disorder (1)
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Assessment 3- N450 Conduct disorderWhich behavioral assessment in a child is most consistent with a diagnosis of conduct disorder?
A
Arguing with adults
B
Gross impairment in communication
C
Physical aggression toward others
D
Refusal to separate from caretaker - ANS-C
Physical aggression toward others
Physical aggression toward others is a significant criterion consistent with the diagnoses of
conduct disorder. Arguing with adults may indicate a lesser disorder, oppositional defiant
disorder. Conduct disorder is a problem that involves violation of social rules. Gross impairment
in communication and refusal to separate from a caretaker are behaviors that are more
consistent with other mental disorders that can affect children.
Alexi who has separation anxiety disorder has not attended school for 3 weeks, and she cries
and exhibits clinging behaviors when her mother encourages attendance. The priority nursing
action by the home-care psychiatric nurse would be to:
A
Assist the child in returning to school immediately with family support.
B
Arrange for a home-school teacher to visit for 2 weeks.
C
Encourage family discussion of various problem areas.
D
Use play therapy to help the child express her feelings - ANS-A
Assist the child in returning to school immediately with family support.
When a child refuses to attend school as part of separation anxiety disorder, it is important to
avoid reinforcing this behavior. The nurse's priority would be to assist the child to return to
school immediately with support from the family. Arranging for a home-school teacher would
reinforce the behavior of not attending school. Although encouraging family discussion of
problem areas and the use of play therapy are appropriate treatment interventions, the priority is
returning the child to school.
A 15-year-old boy was hospitalized in a psychiatric unit because he initiates frequent fights with
peers. Which implementation is most appropriate?
A
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