Retreat to a neutral place so clients can regain self control
Time Out
Problems with person's ability to regulate their own emotions or behaviors
Disruptive behavior disorders
The codependent fish that follows Ariel on her undersea adventures:
Flounder
Seen to particularly reduce aggressive tendency since serotonin deficiencies are often linked to causation
SSRI antidepressants
T/F: Treatment for school aged children with oppositional defiant disorder includes individual therapy
FALSE
Inform client of rule or limit, explain consequences if clients exceed limit, state accepted behavior
Limit-Setting
Persistent behavior that violates societal norms, rules, laws, and the rights of others
Conduct disorders
Especially significant risk factor for conduct disorder
Child abuse
Client who presents a clear danger to others (physical aggression) may be prescribed an antipsychotic medication such as:
Risperidone (Risperdol)
Studies have shown that adolescents with conduct disorder engage in higher risk behaviors starting at age ___.
12
Impulsive, repetitive theft of items not needed by person, either for personal use or monetary gain
Kleptomania
Enduring pattern of uncooperative/defiant/disobedient and hostile behavior towards authority figures
Oppositional defiant disorder
"Difficult" children have a disadvantage, in that they are commonly mislabeled as having what?
Conduct disorder
Clients with labile moods may benefit from _________ or another mood stabilizer.
Lithium
Withdraws, overly shy, sulks, prefers to be alone, crying spells, secretive, dizziness, are all examples of _______________ behaviors.
Internalizing
Repeated, intentional fire setting
Pyromania
Repeated episodes of impulsive, aggressive, violent behavior and angry verbal outbursts
Intermittent Explosive Disorder
Onset is most common in adolescence, more prevalent in males and clients may have a comorbid psychiatric disorder, including ADHD, substance abuse, ODD, anxiety disorders and depression
Intermittent Explosive disorder
T/F:"Boot camp" or incarceration is an effective means for treatment of conduct disorder
FALSE
Individuals that should NOT be diagnosed with conduct disorder include:
1. Nursing students studying mental health
2. Children who show aggression towards animals
3. Immigrants from war ravaged countries
4. People living in high crime areas
5. Children who display normal behavior for their age
6. Children that display signs related to antisocial personality disorder in adults
1, 3, 4, 5
Lying, swearing, screaming, angry outbursts, etc. are examples of:
Externalizing behaviors
Characteristic of children with conduct disorder; do not empathize with others and do not feel bad or guilty
callous and unemotional behavior
Treatment goals for ODD
Learning appropriate behavior and refraining from inappropriate behavior
T/F: Combination therapies including medications and cognitive behavioral therapy are more effective than each intervention alone
TRUE
Number of conduct problems increases as does the amount of harm to others. E.g. vandalism, verbal bullying, drinking alcohol
Moderate severity conduct disorder
Serial killer that Dajana emphasized in her brochure about antisocial personality disorder; may have had conduct disorder as a child
Ted Bundy
Effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorders is:
Consistent limit setting
A 16 yr old with ODD is most likely to have difficulty in relationships with
1. family friends
2. law enforcement
3. parents (mother, father, or both)
4. Peers of the same age group
5. school superintendent
6. store manager at work
2,3,5,6
Parents of a child with ODD are referred to a parent management training program. The parents ask the nurse what to expect from these sessions. The best response by the nurse is:
You will learn behavior management techniques to use at home with your child.
What behavioral disorder does Plankton from SpongeBob have signs of?
Intermittent Explosive Disorder