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MH final – Flashcard Essay

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A client states that she is anxious about separating from her emotionally abusive husband because she hasn’t worked in many years. Using Beck’s cognitive triad, the nurse understands that the client is concerned primarily about what?
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Threats about her future
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A 47-year-old client who is in marital counseling states that the client works obsessively because otherwise the client will lose the client’s job and the couple will go bankrupt. What is this an example of?
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Cognitive distortion
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The education provided to a client receiving cognitive behavioral therapy provides the client with information on the nature and course of the disorder and …
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empowers clients to engage in a collaborative approach to their care.
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Changing negative thought patterns as means to improve mood and behavior is the basis of …
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Cognitive behavior therapy
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Which of the following components is part of the cognitive triad? Select all that apply.
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Oneself World Future
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Which type of cognitive intervention identifies the possible solutions before addressing the problem?
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Solution-focused behavior therapy
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Dysfunctional consequences follow which type of belief?
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rigid
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A therapist meeting with a client for the first time plans to use a type of therapy that focuses more on solutions than problems and that asks the client to explore his or her life. This type of therapy is referred to as …
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Solution-focused brief therapy
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A client is using cognitive therapy as an adjunct treatment for bipolar disorder. Which would be an overall goal for this client related to the use of cognitive therapy for this condition?
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The client will engage in self-care independent of professional assistance.
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A client reports anxiety over “sounding stupid” when talking to strangers. As a part of cognitive behavioral therapy, the client is expected to speak to a stranger on the bus ride home and to journal about the experience. What information will be evaluated to determine the effect the activity has on the client’s irrational belief about “sounding stupid”?
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What actually happened compared to what the client feared would happen
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From the standpoint of cognitive therapy, the term cognition refers to what?
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How clients think about themselves and their world
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Which types of questions reinforce the client’s successes and the strengths needed to achieve those successes?
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Compliments
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An “all or nothing at all” thought process is an example of which theme associated with irrational beliefs?
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Absolute thinking
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An individual’s life rules that act as a filter for cognitive distortions are known as what?
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Schema
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An instructor is teaching a class about the use of cognitive therapies in psychiatric nursing. Which statement made by a student identifies a need for further instruction?
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“Lengths of stay for clients in inpatient settings are becoming longer each year.”
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Which statement made by the client identifies a misconception of the goal of cognitive behavioral therapy (CBT) that the nurse should address initially?
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“Concentrating on past mistakes will help me make better decisions in the future.”
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Which statement made by the nurse focuses on the fundamental component of cognitive behavioral therapy (CBT)?
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“The next time you feel like a failure, remind yourself how well you raised your children.”
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Which statement made by a client receiving cognitive behavioral therapy (CBT) demonstrates a basic assumption made by the psychiatric health care staff that influences the care provided?
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“I know I can do this; I can control my temper.”
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A client who is to receive cogntive behavior therapy asks the nurse, “What will we be focusing on with this type of therapy?” Which information would the nurse intergrate into the response?
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dysfunctional thinking through the examination of the cognitive triad
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Which statement demonstrates a client’s cognitive distortion about success in a course the client is enrolled in?
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“I didn’t make an A on that test; I’m never going to pass this course.”
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A client with extreme anxiety associated with flying is involved in cognitive behavior therapy to help manage those fears. Which statement demonstrates the client’s attempt to refute the belief that supports the fear of flying?
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“I’ve read that flying is safer than traveling in a car.”
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A psychiatric nurse knows that with solution-focused behavior therapy (SFBT), it is important for the interventions used to focus on which of the following types of goals?
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Specific and achievable
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Which statement made by a client engaged in solution-focused behavior therapy (SFBT) demonstrates an understanding of a fundamental assumption of this form of therapy?
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“I’m trying to find ways to change how I function when I’m faced with a frustrating situation.”
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A psychiatric-mental health nurse is providing care to patient who is receiving rational emotive behavior therapy (REBT). Based on the nurses understanding of this therapy, which technique would the nurse expect to be used? Select all that apply.
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Humor Role-playing Suggestion Operant conditioning
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A nurse working in a psychiatric facility identifies the goal of cognitive therapy (CT) to be what?
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Restructure how a person perceives events.
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The client asks the nurse to explain the role one’s schema plays in determining mental health. Which statement describes the concept of schema?
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“It’s the rules you’ve created about how you will see yourself and your world.”
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Which question asked of a client being treated with solution-focused behavioral therapy is an example of a miracle question?
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“How would your life be different if you woke up tomorrow without any anxiety?”
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A psychiatric-mental health nurse is teaching a client about cognitive behavioral therapy. Which client statement demonstrates an understanding of the fundamental framework of this therapy?
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“My distorted beliefs about how I look are responsible for my distorted thoughts.”
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Which is an assumption of solution-focused behavior therapy?
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Change is most likely to occur when the focus is on what is changeable.
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Cognitive behavioral therapy is not effective with which client population?
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Thought disorders
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In which of the following environments did cognitive interventions have their beginning?
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Long-term inpatient settings
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A psychiatric-mental health nurse is describing solution-focused behavior therapy. Which statement reflects an assumption upon which solution-focused behavior therapy is based? Select all that apply.
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“You have strengths and abilities that will help you manage this problem.” “There is no right or wrong way to view your situation.” “Change is most likely to occur when the focus is on that which can be changed.”
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A psychiatric-mental health nurse is working with several clients who are hospitalized for mential illness. The nurse would anticipate the use of solution-focused approaches with clients experiencing which issue?
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Schizophrenia
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A therapist is using solution-focused behavior therapy (SFBT). A nursing student is observing the session and asks afterward why the therapist did not mention the client’s problems. What is the best response by the therapist?
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“In SFBT, it is best to focus on strengths and successes as opposed to a diagnosis.”
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A nursing student has heard that material on the next test is difficult to master and many students have failed this particular test over the last few years. The student chooses to go skiing for the weekend instead of studying for the test and ultimately fails. The student then blames the test, not the lack of attention to study. This is an example of which cognitive process?
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Cognitive distortion
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Considering that cognitive behavioral therapy (CBT) requires a clear understanding of one’s own belief system, which client is not a candidate for effective CBT?
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The client diagnosed with schizophrenia 2 years ago.
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All except which are cognitive therapy techniques?
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Listing primary defenses used in life
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Cognitive interventions are based on the concept of cognition. Who developed cognitive behavioral therapy?
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Aaron Beck
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Who developed cognitive therapy for persons with depression?
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Aaron Beck
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Cognitive techniques focus on the client’s patterns of which type of thinking?
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Automatic
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A psychiatric-mental health nurse is reading a journal article about cognitive behavioral therapy. The article is describing the cognitive processes involved in the developing of mental disorders. The nurse demonstrates understanding of the article by identifying which factor as influencing schema development? Select all that apply.
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Ethnicity Culture Gender Religious affiliation
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Which question asked by the nurse demonstrates an attempt to implement cognitive behavioral therapy (CBT) with a client who has stated, “I’m worthless”?
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“Can you identify one quality you admire in yourself?”
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A psychiatric-mental health nurse is assessing a client. Which client statement would the nurse interpret as demonstrating a functional thought associated with self-confidence regarding an upcoming exam?
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“I’ve read the chapter but I’m going to review my notes as well.”
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Which response by a client involved in solution focused brief therapy demonstrates an understanding of the fundamental principles of this form of therapy?
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“Finding ways to manage my anger will allow my relationships to be so much more fulfilling.”
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A psychiatric-mental health nurse is assisting a client who is receiving cognitive behavioral therapy. The client is inthe engagement and assessment phase. When interacting with the client, which statement by the nurse reinforces the primary theme of this phase?
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“The problems created by your illness are serious; CBT will help you manage them more effectively.”
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After being arrested for prostitution, an adolescent client has been referred to a mental health clinic by a juvenile officer. The client has a history of truancy and being physically abusive to siblings. From the history gathered during assessment, the nurse might anticipate which diagnosis?
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conduct disorder
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After teaching a group of nursing students about learning disorders, the instructor determines that additional teaching is needed when the group identifies which of the following as a reflecting a reading disability?
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Reading disability has only recently been identified in the literature.
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A child with an existing diagnosis of attention deficit hyperactivity disorder shows signs and symptoms of depression. Which would most likely be prescribed?
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Selective serotonin and norepinephrine reuptake inhibitor (SSNRI)
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A nurse is conducting a presentation about autism spectrum disorder for a group of parents. When describing this condition, the nurse would identify that approximately 50% of those with this condition also experience which of the following?
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Intellectual disability
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The nurse understands that when working with a child with a disruptive behavior disorder, the family must be included in the care. Which is one of the best ways the nurse can advocate for the child?
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Teach the parents age-appropriate expectations of the child.
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The parents of a child with attention deficit hyperactivity disorder (ADHD) bring the child for a follow-up visit. During the visit, they tell the nurse that the child receives the first dose of methylphenidate at about 7:30 a.m. every morning before leaving for school. The teacher and school nurse have noticed a return in the child’s overactivity and distractibility just before lunch. The child’s second dose is scheduled for about 12 p.m. Which might the nurse suggest as a possible solution to control the child’s symptoms a bit more effectively?
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Switch to a longer-acting preparation.
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A 10-year-old child with Tourette’s disorder is receiving haloperidol as part of his treatment plan. When assessing the child at a follow up visit, which statement by the child would lead the nurse to suspect that he is experiencing a side effect of the drug?
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“Sometimes I feel like I’m so sleepy.”
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After educating the parents of a child diagnosed with ADHD on the disorder and its treatment, the nurse determines that the education has been effective when the parents state which of the following?
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“We need to remember that our son is not a bad kid; he just has difficulty with impulse control and attention.”
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Impaired attachment in infancy and childhood may manifest in which of the following ways later in life?
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Anxiety and aggression
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Which is a disturbance of the normal fluency and time patterning of speech?
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Stuttering
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A 15-year-old boy being treated for depression will most likely be given which of the following first-line pharmacologic treatments?
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Serotonin reuptake inhibitors
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Which of the following statements reflects accurately the effects of childhood mental illness?
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Untreated mental illness in childhood often results in long-term mental illness in adults.
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The mother of a 6-year-old boy reports that the child has had increasing somatic complaints that have no physical basis and disappear when he is allowed to remain home from school. The nurse should suspect what?
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The child has a school phobia.
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When presenting information about conduct disorders to a community group, the nurse is asked, “Which is the best setting for care of a client with conduct disorders when parents cannot provide safe, structured environments and adequate supervision for the client?” Which would be the most appropriate reply by the nurse?
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Residential treatment settings
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Which of the following are examples of practical skills within the context of adaptive behavior? Select all that apply.
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Travel Health care Activities of daily living
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After educating a group of students on attention deficit hyperactivity disorder (ADHD), the instructor determines that additional education is required when the group identifies which as a typical characteristic?
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Language difficulty
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When developing the plan of care for the family of a child with a neurodevelopmental disorder, which of the following would be least appropriate to include?
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Excluding the parents from being included in the plan of care
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A nurse is assessing a child diagnosed with autism spectrum disorder. When assessing the child’s communication, which of the following would the nurse expect to find? Select all that apply.
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Echolalia Delayed language skills
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A nurse is providing community education regarding adolescents with oppositional defiance disorder (ODD). Which point should the nurse include in the educational session?
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Behavior problems can develop when parental figures pay attention to a child’s maladaptive behaviors
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The mother of a 6-year-old boy with attention deficit hyperactivity disorder asks to speak to the nurse about her son’s disruptive behavior. The nurse would be most therapeutic by saying which of the following?
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“It must be difficult to handle your son at home.”
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Which of the following statements would indicate that medication teaching for the parents of a 6-year-old child with attention deficit hyperactivity disorder (ADHD) has been effective?
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“We’ll be sure to record his weight on a weekly basis.”
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Brain images of people with ADHD have suggested decreased metabolism in which of the following cerebral lobes?
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Frontal
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Which of the following should be included in the education plan for a client receiving methylphenidate?
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Adverse effects include hypertension and nervousness.
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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 and are formulating a collaborative plan. The child is experiencing signs of which disorder?
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Conduct disorder
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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?
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“That is not allowed here. You will lose a privilege. You need to stop.”
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Which is likely to be most effective for adolescents with conduct disorder?
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Early intervention
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Which is true of the time-out strategy that may be used for persons with conduct disorder?
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It is retreat to a neutral place, so clients can regain self-control.
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Which is an effective way for parents to deal with problem behaviors in children and to prevent later development of conduct disorders?
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Attending group-based parenting classes
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Which are important points for the nurse to consider when working with clients with disruptive behavior disorders and their families? Select all that apply.
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Remember to focus on the client’s strengths and assets, as well as their problems. Avoid a “blaming” attitude toward clients and/or families. Focus on positive actions to improve situations and/or behaviors.
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A nurse is working with a group of school-age children diagnosed with disruptive behavior disorders. Based on the nurse’s understanding of these disorders, which would the nurse identify as the most effective psychosocial intervention for this group?
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parent education
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Assessment of an 8-year-old client reveals communication difficulties and an inability to manage age-appropriate tasks. The child undergoes standardized testing. An intelligent quotient (IQ) of which would support a diagnosis of intellectual disability?
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65
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The client is 6-year-old who has been diagnosed with autism spectrum disorder. Which symptom would the client display?
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The client spends time alone with little interest in making friends.
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ADHD is characterized by inattentiveness, overactivity, and impulsiveness. Which of the following would the nurse identify related to inattentiveness?
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Missing details
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When assisting the parents of a child diagnosed with ADHD, which of the following would the nurse suggest? Select all that apply.
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Set clear limits with consequences Keep to regular routines Maintain a calm environment
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A nurse is seeing a female client who has been mandated to counseling sessions after shoplifting numerous times. Which disruptive behavior disorder is the client most likely experiencing?
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kleptomania
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A nurse is assessing a 10-year-old child who is displaying behaviors that are consistent with oppositional defiance disorder. When conducting the assessment, the nurse should also assess for which co-morbidity?
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attention deficit hyperactivity disorder
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A nurse is seeing an adolescent with a diagnosis of conduct disorder for the first time to establish goals for treatment. During the first meeting, the adolescent yells a profanity at the nurse and states, “This is pointless.” What is the nurse’s best response?
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“I want to continue to work with you but I don’t accept the language you have chosen.”
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The nurse is conducting a health history of a 35-year-old male client with a history of intermittent explosive disorder, diagnosed in adolescence. The nurse should include an assessment of which health issue?
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increased blood pressure
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After completing a series of parent training sessions with parents of an 8-year-old client with oppositional defiant disorder, the child’s mother calls the nurse with concerns. The mother states, “What you taught us isn’t working, can you please talk to my child about his behavior?” Which is the nurse’s most effective response?
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“Please tell me more about what you are having difficulty with.”
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An 8-year-old boy has been diagnosed with ADHD. His mother is shocked that he will be prescribed a psychostimulant, stating, “His whole problem is that he’s too stimulated, not understimulated!” Which of the following facts should underlie the nurse’s response to the mother?
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Psychostimulants stimulate the areas of the brain that control attention, impulses, and self-regulation of behavior.
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The nurse is counseling a family whose child has autism. When describing this condition, which would the nurse most likely include?
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Onset before child is 2.5 years old
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When providing education to the parents of a client with conduct disorder, which is a valid teaching point?
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Use ‘I’ language and express an emotion when setting limits.