Child Disruptive Behaviors

Question 1

Disruptive Behavior Disorders are characterized by:

Answer 1

Anger

Hostility

Aggression

Toward people people and or property

Question 2

Oppositional Defiant Disorder

Answer 2

Enduring pattern of uncooperative, defiant, disobedient, hostile behavior toward authority figures; no major antisocial violations

Question 3

Who is Oppositional Defiant Disorder common in?

Answer 3

Certain level of this behavior common in children and adolescents

Question 4

How do people with Oppositional Defiant Disorder view consequences?

Answer 4

Limited ability to make connection between behaviors and consequences

Question 5

What is the treatment for Oppositional Defiant Disorder?

Answer 5

Treatment—parent management training models of behavioral interventions

Question 6

How should parents act with kids who have Oppositional Defiant Disorder?

Answer 6

Parents need a lot of training- parents must be on the same page and must be consistent; if one parent keeps breaking- the child will go to that parent and the behavior continues

Question 7

Intermittent Explosive Disorder

Answer 7

Recurrent behavioral outbursts that can include verbal aggression or physical assault against animals /individuals

Question 8

How do kids with intermittent explosive disorder treat themselves and others?

Answer 8

May physically injure others and self

Question 9

How do kids with intermittent explosive disorder make kids feel after outburst?

Answer 9

May feel guilty after outbursts; this does not prevent future outbursts

Question 10

What is the treatment for intermittent explosive disorder?

Answer 10

Psychopharmacology

Cognitive–behavioral therapy

Anger management

Relaxation techniques

Avoidance of alcohol and other substances

Question 11

Conduct disorder

Answer 11

Persistent behavior that violates social norms or the basic rights of others

Question 12

What are the traits of someone with conduct disorder

Answer 12

Callous and unemotional traits*

Question 13

How do kids with conduct disorder feel?

Answer 13

Lacks remorse or guilt

Question 14

What is frequently associated with conduct disorder?

Answer 14

Frequently associated with reckless/risky behaviors

Question 15

If conduct disorder is not treated, what does this lead to?

Answer 15

Conduct disorder not treated, the child can develop an antisocial personality disorder

Question 16

What is a major issue with conduct disorder (having to do with others)

Answer 16

Rights of others are violated

Societal norms are disregarded

Aggression toward people or animals

Question 17

What other violations occur with conduct disorder?

Answer 17

Academic failure

Drug & alcohol abuse

Juvenile court involvement

Property destruction

Theft

Serious violation of the rules

Question 18

What is the treatment of conduct disorder?

Answer 18

Early intervention/prevention; parenting education, social skills training, family therapy, individual therapy, medications (in conjunction with treatment)

Question 19

If conduct disorder continues into adulthood, what does this place the child at risk for?

Answer 19

Continues into adulthood it places the individual at increased risk for antisocial personality disorder

Question 20

Conduct Disorder Assessment: History

Answer 20

History: disturbed peer relationships, aggression toward people or animals, destruction of property, deceitfulness, theft, truancy, running away, staying out all night

Question 21

Conduct Disorder Assessment: General appearance and motor behavior

Answer 21

typical for age group; may be sullen

Question 22

Conduct Disorder Assessment: Mood and affect

Answer 22

Mood and affect: quiet, reluctant to talk; openly hostile, angry; disrespectful

Question 23

Conduct Disorder Assessment: Thought process and content

Answer 23

perceive the world to be aggressive- not themselves

Question 24

Conduct Disorder Assessment: Sensorium and intellectual processes

Answer 24

poor grades because of academic underachievement

Question 25

Conduct Disorder Assessment: Judgment and insight:

Answer 25

limited; rule breaking; risky behavior

Question 26

Conduct Disorder Assessment: Self concept

Answer 26

tough appearance; low self-esteem

Question 27

Conduct Disorder Assessment: Roles and relationships

Answer 27

disruptive, possibly violent

Question 28

Conduct Disorder Assessment: Physiological and self care

Answer 28

often at risk for unplanned pregnancy, STDs; drug use

Question 29

Conduct Disorder an Nursing Process Application: Outcome identification

Answer 29

No injury to others or damage to property Participate in treatment Learn effective problem-solving and coping Use age-appropriate and acceptable behavior when interacting with others Verbalize positive, age-appropriate statements about self

Question 30

Conduct Disorder an Nursing Process Application: Interventions

Answer 30

Decreasing violence/increasing compliance with treatment Improving coping skills, self-esteem Promoting social interaction Providing client and family education

Question 31

For conduct disorder interventions, how could nurses decrease violence/increase compliance with treatment?

Answer 31

Limit setting with consistent enforcement Behavioral contracting; time-out

Question 32

Self Awareness when treating patients with Conduct Disorder

Answer 32

Recognize own beliefs and values about raising children. Be aware of feelings about child’s disruptive behaviors. Focus on client’s and family’s strengths, not just problems. Avoid a “blaming” attitude.