Which assessment findings support a diagnosis of ODD?

Correct Answer: A

Rationale: The correct answer is A because the assessment findings of being negative, hostile, and blaming others for misbehavior are characteristic of Oppositional Defiant Disorder (ODD). These behaviors align with the pattern of defiance and anger seen in individuals with ODD. Choices B, C, and D do not align with the typical symptoms of ODD. Choice B describes symptoms more indicative of Tourette syndrome, choice C describes conduct disorder behaviors, and choice D is more related to anxiety or trauma rather than ODD.

Correct Answer: A

Rationale: The correct answer is A because it directly addresses the patient's past coping mechanisms, providing insight into their ability to manage stress. This question helps the nurse understand the patient's strategies and resources for dealing with challenging situations. By asking about past experiences, the nurse can assess the patient's resilience and adaptive coping skills. Option B focuses on immediate needs and comfort, not on assessing coping skills. Option C explores the patient's current emotional state but doesn't specifically target coping strategies. Option D delves into the marital relationship dynamics, which may not directly assess the patient's personal coping skills in this situation.

Correct Answer: A

Rationale: The correct answer is A because establishing mutual respect as a group norm from the beginning sets clear expectations and encourages all members to uphold it. By emphasizing the importance of respect in the first session, the leader proactively guides the group towards a positive and respectful environment. This approach promotes a shared understanding among all members, fostering a supportive and inclusive atmosphere. Choices B, C, and D are incorrect because they do not focus on proactively establishing mutual respect as a fundamental value within the group. B excludes potential members based on assumptions, which may not align with the goal of building self-esteem. C provides information but does not actively promote respect within the group. D, while addressing disrespectful behavior, does not lay the groundwork for mutual respect as a core principle.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Subgroup formation: The covert glances and subtle criticism indicate a potential subgroup forming within the therapy group. 2. Lack of inclusivity: The behavior suggests that these members are excluding others and forming a separate clique. 3. Disruptive dynamics: Subgroups can disrupt the cohesion and effectiveness of the main group. 4. Nodding in agreement: This behavior reinforces the idea of a separate subgroup agreeing with each other. Summary: B: Disregarding others due to boredom does not explain the specific behaviors observed. C: Frustration with slower members would manifest differently and would not involve covert glances and subtle criticism. D: Ineffectiveness of leadership may contribute to subgroup formation, but it does not directly explain the observed behaviors.

Correct Answer: B

Rationale: The correct answer is B: Medication education group. A staff nurse with 2 months' psychiatric experience is best qualified to conduct a medication education group. This choice aligns with the nurse's level of expertise and scope of practice, focusing on providing education about medications commonly used in psychiatric settings. Psychodynamic/psychoanalytic group (A) requires advanced training and expertise. Existential/Gestalt group (C) and Family therapy group (D) involve complex dynamics and specialized skills beyond the nurse's current experience level. Conducting a medication education group allows the nurse to utilize their knowledge to support patients in understanding and managing their medications effectively.