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Varcarolis Chapter 21 Impulse Control Disorders 2026–2027: Questions, Answers, Study Guide & Exam Review

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Prepare for psychiatric and mental health nursing exams with this comprehensive 2026–2027 study resource covering Varcarolis Chapter 21 on impulse control disorders. Review practice questions and answers addressing key concepts such as impulse control, behavioral patterns, contributing factors, assessment findings, therapeutic communication, patient safety, nursing interventions, treatment approaches, coping strategies, and recovery-focused care. Designed for nursing students, this study guide helps reinforce essential psychiatric nursing concepts, strengthen clinical reasoning, support exam preparation, and build confidence for mental health nursing examinations.

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Varcarolis ChapterVarcarolis
21 ImpulseChapter
Control
21Disorders
Impulse Control
Questions
Disorders
& Answers
Questions
2026_2027
& Answers
_ Study
2026_2027
Guide & Exam
_ Study
Prep.pdf
Guide & Exam Prep.pdf Page 1




Varcarolis Chapter 21 Impulse Control
Disorders Questions & Answers
2026/2027 | Study Guide & Exam Prep




Page 1 of 41 Varcarolis Chapter 21 Impulse Control
PageDisorders
1 of 41 Questions & Answers 2026_2027 _ Study Guide & Exam Prep.pdf

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1. 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.


a. The adolescent and parents create and agree to a behavioral contract with rules, rewards,
and consequences.


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 following the rules. The adolescent will continue to experience anger and frustration. The

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adolescent and parents must continue with family therapy to work on boundary and
communication issues. It is not necessary to separate the adolescent from the family to work
on these issues. Separation is detrimental to the healing process. While it is helpful for the
adolescent to identify peers who are a positive influence, its more important for behavior to
be managed for an adolescent diagnosed with a conduct disorder.




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2. A 15-year-old ran away from home six times and was arrested for shoplifting. The parents
told the court, We cant manage our teenager. The adolescent is physically abusive to the
mother and defiant with the father. Which diagnosis is supported by this adolescents
behavior?


a. Attention deficit hyperactivity disorder (ADHD)


b. Posttraumatic stress disorder (PTSD)


c. Intermittent explosive disorder


d. Conduct disorder


d. Conduct disorder


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.


Page 4 of 41 Page 4 of 41 Varcarolis Ch. 21 Impulse Control Disorders.pdf

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