ATI LPN
Psychiatric Mental Health Nursing 8th Edition
Chapter 23 Questions
Question 1 of 5
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?
Correct Answer: D
Rationale: Conduct disorder involves persistent antisocial behaviors like fighting and vandalism, impairing function, unlike ODD (defiance without major violations), Asperger's (social and behavioral issues), or ADHD (inattention and impulsivity).
Question 2 of 5
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.
Correct Answer: A,C,D,E
Rationale: Risk factors for conduct disorder include poor family functioning, substance abuse history, child abuse, and poverty, but strict discipline is not specifically listed as a common risk factor.
Question 3 of 5
Which are characteristics of intermittent explosive disorder (IED)?
Correct Answer: A,B,D
Rationale: IED is characterized by sudden, short (<30 min), impulsive, aggressive outbursts disproportionate to the trigger, often followed by remorse, not lack of it.
Question 4 of 5
Which disorder is exemplified by vandalism, conning others, running away from home, verbal bullying and intimidation, alcohol, and sexual promiscuity?
Correct Answer: D
Rationale: Moderate conduct disorder includes behaviors like vandalism, conning, running away, bullying, alcohol use, and promiscuity, unlike IED (sudden outbursts), mild conduct disorder (less severe), or ODD (defiance without major violations).
Question 5 of 5
An 11-year-old child talks to the school nurse about a single episode of disruptive behavior in class. The child states, 'I had a stomachache and felt like vomiting. I couldn't help it. I was just so mad at my dad.' Which would be the most appropriate response by the nurse?
Correct Answer: A
Rationale: Teaching the child to express anger appropriately addresses the behavior constructively, unlike focusing on classroom rules, linking physical symptoms to anger, or redirecting to the parent.