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1. A child is expelled from school for repeated fighting and vandalizing school property. The school
nurse and counselor meet with the parents to explain that the child may benefit from counseling as the
child is experiencing signs of which disorder?
A) Oppositionaldefiant disorder
B) Asperger's syndrome
C) Attentiondeficit hyperactivity disorder
D) Conduct disorder Ans: D
Feedback:
Conduct disorder is characterized by persistent antisocial behavior in children and adolescents that
significantly impairs their ability to function in social, academic, or occupational areas. Behavioral
symptoms include physical fights, destruction of property, vandalism, and serious violation of rules
among others. ODD consists of an enduring pattern of uncooperative, defiant, and hostile behavior
toward authority figures without major antisocial violations. Asperger's disorder is a pervasive
developmentaldisorder characterized by the sameimpairments of social interactionand restricted
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stereotyped behaviors seen in autistic disorder, but there are no language or cognitive delays. Attention
deficit hyperactivity disorder (ADHD) is characterized by inattentiveness, overactivity, and
impulsiveness.
2. A child has been displaying behaviors associated with conduct disorder. The nurse should
further assess for which common risk factors seen in children with conduct disorder. Select all that
apply.
A) Poor family functioning
B) Strict disciplinary practices
C) Family history of substance abuse
D) Possible child abuse
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E) Poverty conditions
Ans: A, C, D, E Feedback:
Risk factors includepoorparenting, low academic achievement, poorpeer relationships, low self-esteem,
poor family functioning, marital discord, family history of substance abuse and psychiatric problems,
child abuse, inconsistent parental responses, exposure to violence in the media, and community
socioeconomic disadvantages such as inadequate housing, crowded conditions, and poverty. Protective
factors include resilience, family support, positive peer relationships, and good health. Page1
3. arecharacteristics of intermittentexplosivedisorder (IED)? Select all that apply. A) The episode
mayoccur with seemingly no warning.
B) They usually last less than 30 minutes.
C) Afterward, the personwithIED will not have any remorse.
D) It involvesrepeated episodesof impulsive,aggressive, violent behavior, and angry verbal
outbursts.
E) The intensity of the emotional outburst is usually within proportion to the stressor or
situation.
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Ans: A, B, D Feedback:
Intermittent explosive disorder (IED) involves repeated episodes of impulsive, aggressive, violent
behavior and angry verbal outbursts, usually lasting less than 30 minutes. During these episodes, there
may be physical injury to others, destruction of property, and injury to the individual as well. The
intensity of the emotional outburst is grossly out of proportion to the stressor or situation. The episode
may occur with seemingly no warning. Afterward, the individualmay be embarrassed and feelguilty or
remorseful for his or her actions, but thatdoes not prevent futureimpulsive, aggressive outbursts.
4. Whichdisorder is exemplified by vandalism, conning others, running away from home, verbal
bullying and intimidation, drinking alcohol, and sexual promiscuity?
A) Intermittentexplosive disorder
B) Mild conduct disorder
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C) Oppositionaldefiance Disorder
D) Moderate conduct disorder
Ans: D
Feedback:
Examples of moderate conduct disorder include vandalism, conning others, running away from home,
verbal bullying and intimidation, drinking alcohol, and sexual promiscuity. Intermittent explosive
disorder (IED) involves repeated episodes of impulsive, aggressive, violentbehavior and angry
verbaloutbursts, usually lasting less than 30 minutes. In mild conduct disorder, the child has some
conduct problems that cause relatively minor harm to others. Examples include repeated lying, truancy,
minor shoplifting, and staying out late without permission. Oppositional defiant disorder (ODD) consists
of an enduring pattern of uncooperative, defiant, disobedient, and hostile behavior toward authority
figures without major antisocial violations.
5. An 11-year-old child talks to the school nurseabout a single episode of disruptive behavior in
class. The child states, ìI had a stomachache and felt like vomiting. I couldn't help it. I was just so mad at
my dad.î Which would be the most appropriate response by the nurse?
A) ìIcan see that you're angry. Let's look at better ways to express it.î
B) ìIcan understand your anger, but you can't disrupt the classroom.î
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C) ìIfyou can get rid of your anger, perhaps your stomachache will go away.î
D) ìPerhaps it would be helpful if you letyour dad know you're angry.î
Ans: A
Feedback:
A child at this age may have difficulty expressing negative or intense emotions verbally; the nurse's
response helps teach the child appropriate expressions of anger.
6. The nurse is using limit setting with a child diagnosed with conduct disorder. Which statement
reflects the most effective way for the nurse to set limits with the child?
A) ìThatis not allowed here. Youwill lose a privilege. You need to stop.î
, TESTBANKFORPSYCHIATRIC
MENTALHEALTHNURSING7TH
EDITIONBYVIDEBECK
B) ìStopwhat you are doing. Go to your room.î
C) ìIwould appreciate if you would not do that.î
D) ìWhydo you do these things?î Ans: A
Feedback:
The nursemustset limits on unacceptable behavior at the beginning of treatment. Limit setting
involvesthree steps: (1) informingclients of the rule or limit; (2)explaining the consequences if clients
exceed the limit; and (3) stating expected behavior.
7. A client with conduct disorder starts yelling at another client and calling the client insulting
names. Whichis the most appropriate response by the nurse?
A) ìHowwould you feel if someone yelled at you like that?î
B) ìWhat'sthe matter with you? Don't you know any better?î
C) ìYellingat others is unacceptable. Youneed to let staff know you're upset.î
D) ìYou'restill having problems controlling your anger.î
Ans: C
Feedback:
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The nurse mustshow acceptance of clients as worthwhile persons even if their behavior is unacceptable.
This means that the nursemust be matter of fact about setting limits and must not make judgmental
statements about clients. He or she must focus only on the behavior.
8. is the mostcommonly used treatmentfor oppositional defiant disorder?
A) Pharmacologic treatment
B) Parenttraining modelsof behavioral interventions
C) Individual therapy D) ìBoot campî Ans: B
Feedback:
Treatment for ODD is based on parent management training models of behavioral interventions. These
programs are based on the idea that ODD problem behaviors are learned and inadvertently reinforced in
MENTALHEALTHNURSING7TH
EDITIONBYVIDEBECK
LATEST
PsychiatricMentalHealthNursing7thEditionTestBank
1. A child is expelled from school for repeated fighting and vandalizing school property. The school
nurse and counselor meet with the parents to explain that the child may benefit from counseling as the
child is experiencing signs of which disorder?
A) Oppositionaldefiant disorder
B) Asperger's syndrome
C) Attentiondeficit hyperactivity disorder
D) Conduct disorder Ans: D
Feedback:
Conduct disorder is characterized by persistent antisocial behavior in children and adolescents that
significantly impairs their ability to function in social, academic, or occupational areas. Behavioral
symptoms include physical fights, destruction of property, vandalism, and serious violation of rules
among others. ODD consists of an enduring pattern of uncooperative, defiant, and hostile behavior
toward authority figures without major antisocial violations. Asperger's disorder is a pervasive
developmentaldisorder characterized by the sameimpairments of social interactionand restricted
LATEST
PsychiatricMentalHealthNursing7thEditionTestBank
stereotyped behaviors seen in autistic disorder, but there are no language or cognitive delays. Attention
deficit hyperactivity disorder (ADHD) is characterized by inattentiveness, overactivity, and
impulsiveness.
2. A child has been displaying behaviors associated with conduct disorder. The nurse should
further assess for which common risk factors seen in children with conduct disorder. Select all that
apply.
A) Poor family functioning
B) Strict disciplinary practices
C) Family history of substance abuse
D) Possible child abuse
,TESTBANKFORPSYCHIATRIC
MENTALHEALTHNURSING7TH
EDITIONBYVIDEBECK
E) Poverty conditions
Ans: A, C, D, E Feedback:
Risk factors includepoorparenting, low academic achievement, poorpeer relationships, low self-esteem,
poor family functioning, marital discord, family history of substance abuse and psychiatric problems,
child abuse, inconsistent parental responses, exposure to violence in the media, and community
socioeconomic disadvantages such as inadequate housing, crowded conditions, and poverty. Protective
factors include resilience, family support, positive peer relationships, and good health. Page1
3. arecharacteristics of intermittentexplosivedisorder (IED)? Select all that apply. A) The episode
mayoccur with seemingly no warning.
B) They usually last less than 30 minutes.
C) Afterward, the personwithIED will not have any remorse.
D) It involvesrepeated episodesof impulsive,aggressive, violent behavior, and angry verbal
outbursts.
E) The intensity of the emotional outburst is usually within proportion to the stressor or
situation.
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PsychiatricMentalHealthNursing7thEditionTestBank
Ans: A, B, D Feedback:
Intermittent explosive disorder (IED) involves repeated episodes of impulsive, aggressive, violent
behavior and angry verbal outbursts, usually lasting less than 30 minutes. During these episodes, there
may be physical injury to others, destruction of property, and injury to the individual as well. The
intensity of the emotional outburst is grossly out of proportion to the stressor or situation. The episode
may occur with seemingly no warning. Afterward, the individualmay be embarrassed and feelguilty or
remorseful for his or her actions, but thatdoes not prevent futureimpulsive, aggressive outbursts.
4. Whichdisorder is exemplified by vandalism, conning others, running away from home, verbal
bullying and intimidation, drinking alcohol, and sexual promiscuity?
A) Intermittentexplosive disorder
B) Mild conduct disorder
,TESTBANKFORPSYCHIATRIC
MENTALHEALTHNURSING7TH
EDITIONBYVIDEBECK
C) Oppositionaldefiance Disorder
D) Moderate conduct disorder
Ans: D
Feedback:
Examples of moderate conduct disorder include vandalism, conning others, running away from home,
verbal bullying and intimidation, drinking alcohol, and sexual promiscuity. Intermittent explosive
disorder (IED) involves repeated episodes of impulsive, aggressive, violentbehavior and angry
verbaloutbursts, usually lasting less than 30 minutes. In mild conduct disorder, the child has some
conduct problems that cause relatively minor harm to others. Examples include repeated lying, truancy,
minor shoplifting, and staying out late without permission. Oppositional defiant disorder (ODD) consists
of an enduring pattern of uncooperative, defiant, disobedient, and hostile behavior toward authority
figures without major antisocial violations.
5. An 11-year-old child talks to the school nurseabout a single episode of disruptive behavior in
class. The child states, ìI had a stomachache and felt like vomiting. I couldn't help it. I was just so mad at
my dad.î Which would be the most appropriate response by the nurse?
A) ìIcan see that you're angry. Let's look at better ways to express it.î
B) ìIcan understand your anger, but you can't disrupt the classroom.î
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PsychiatricMentalHealthNursing7thEditionTestBank
C) ìIfyou can get rid of your anger, perhaps your stomachache will go away.î
D) ìPerhaps it would be helpful if you letyour dad know you're angry.î
Ans: A
Feedback:
A child at this age may have difficulty expressing negative or intense emotions verbally; the nurse's
response helps teach the child appropriate expressions of anger.
6. The nurse is using limit setting with a child diagnosed with conduct disorder. Which statement
reflects the most effective way for the nurse to set limits with the child?
A) ìThatis not allowed here. Youwill lose a privilege. You need to stop.î
, TESTBANKFORPSYCHIATRIC
MENTALHEALTHNURSING7TH
EDITIONBYVIDEBECK
B) ìStopwhat you are doing. Go to your room.î
C) ìIwould appreciate if you would not do that.î
D) ìWhydo you do these things?î Ans: A
Feedback:
The nursemustset limits on unacceptable behavior at the beginning of treatment. Limit setting
involvesthree steps: (1) informingclients of the rule or limit; (2)explaining the consequences if clients
exceed the limit; and (3) stating expected behavior.
7. A client with conduct disorder starts yelling at another client and calling the client insulting
names. Whichis the most appropriate response by the nurse?
A) ìHowwould you feel if someone yelled at you like that?î
B) ìWhat'sthe matter with you? Don't you know any better?î
C) ìYellingat others is unacceptable. Youneed to let staff know you're upset.î
D) ìYou'restill having problems controlling your anger.î
Ans: C
Feedback:
LATEST
PsychiatricMentalHealthNursing7thEditionTestBank
The nurse mustshow acceptance of clients as worthwhile persons even if their behavior is unacceptable.
This means that the nursemust be matter of fact about setting limits and must not make judgmental
statements about clients. He or she must focus only on the behavior.
8. is the mostcommonly used treatmentfor oppositional defiant disorder?
A) Pharmacologic treatment
B) Parenttraining modelsof behavioral interventions
C) Individual therapy D) ìBoot campî Ans: B
Feedback:
Treatment for ODD is based on parent management training models of behavioral interventions. These
programs are based on the idea that ODD problem behaviors are learned and inadvertently reinforced in
