Exam 1 - Psychiatric/Mental
Health Nursing practice
questions and answers
CORECT!
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. - answer ✅✅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.
A 15-year-old ran away from home six times and was
arrested for shoplifting. The parents told the court,
"We can't manage our teenager." The adolescent is
physically abusive to the mother and defiant with the
father. Which diagnosis is supported by this
adolescent's behavior?
a. Attention deficit hyperactivity disorder (ADHD)
b. Posttraumatic stress disorder (PTSD)
c. Intermittent explosive disorder
d. Conduct disorder - answer ✅✅D
,Conduct disorders are manifested by a persistent
pattern of behavior in which the rights of others and
age-appropriate societal norms are violated.
Intermittent explosive disorder is a pattern of
behavioral outbursts characterized by an inability to
control aggressive impulses in adults 18 years and
older. Criteria for ADHD and PTSD are not met in
the scenario.
A 15-year-old was placed in a residential program
after truancy, running away, and an arrest for theft. At
the program, the adolescent refused to join in
planned activities and pushed a staff member, causing
a fall. Which approach by nursing staff will be most
therapeutic?
a. Planned ignoring c. Neutrally permit refusals
b. Establish firm limits d. Coaxing to gain compliance
- answer ✅✅B
Firm limits are necessary to ensure physical safety and
emotional security. Limit setting will also protect
other patients from the teen's thoughtless or
aggressive behavior. Permitting refusals to participate
, in the treatment plan, ignoring, coaxing, and
bargaining are strategies that do not help the patient
learn to abide by rules or structure.
A 16-year-old diagnosed with a conduct disorder has
been in a residential program for 3 months. Which
outcome should occur before discharge?
a. The adolescent and parents create and agree to a
behavioral contract with rules, rewards, and
consequences.
b. The adolescent identifies friends in the home
community who are a positive influence.
c. Temporary placement is arranged with a foster
family until the parents complete a parenting skills
class.
d. The adolescent experiences no anger and
frustration for 1 week. - answer ✅✅A
The adolescent and the parents must agree on a
behavioral contract that clearly outlines rules,
expected behaviors, and consequences for
misbehavior. It must also include rewards for
Health Nursing practice
questions and answers
CORECT!
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. - answer ✅✅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.
A 15-year-old ran away from home six times and was
arrested for shoplifting. The parents told the court,
"We can't manage our teenager." The adolescent is
physically abusive to the mother and defiant with the
father. Which diagnosis is supported by this
adolescent's behavior?
a. Attention deficit hyperactivity disorder (ADHD)
b. Posttraumatic stress disorder (PTSD)
c. Intermittent explosive disorder
d. Conduct disorder - answer ✅✅D
,Conduct disorders are manifested by a persistent
pattern of behavior in which the rights of others and
age-appropriate societal norms are violated.
Intermittent explosive disorder is a pattern of
behavioral outbursts characterized by an inability to
control aggressive impulses in adults 18 years and
older. Criteria for ADHD and PTSD are not met in
the scenario.
A 15-year-old was placed in a residential program
after truancy, running away, and an arrest for theft. At
the program, the adolescent refused to join in
planned activities and pushed a staff member, causing
a fall. Which approach by nursing staff will be most
therapeutic?
a. Planned ignoring c. Neutrally permit refusals
b. Establish firm limits d. Coaxing to gain compliance
- answer ✅✅B
Firm limits are necessary to ensure physical safety and
emotional security. Limit setting will also protect
other patients from the teen's thoughtless or
aggressive behavior. Permitting refusals to participate
, in the treatment plan, ignoring, coaxing, and
bargaining are strategies that do not help the patient
learn to abide by rules or structure.
A 16-year-old diagnosed with a conduct disorder has
been in a residential program for 3 months. Which
outcome should occur before discharge?
a. The adolescent and parents create and agree to a
behavioral contract with rules, rewards, and
consequences.
b. The adolescent identifies friends in the home
community who are a positive influence.
c. Temporary placement is arranged with a foster
family until the parents complete a parenting skills
class.
d. The adolescent experiences no anger and
frustration for 1 week. - answer ✅✅A
The adolescent and the parents must agree on a
behavioral contract that clearly outlines rules,
expected behaviors, and consequences for
misbehavior. It must also include rewards for
