Ch 23- Disruptive Behavior Disorders

Ch 23- Disruptive Behavior Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. 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?
A) Oppositional defiant disorder
B) Asperger’s syndrome
C) Attention deficit hyperactivity disorder
D) Conduct disorder
Ans: D
Feedback:
Conduct disorder is characterized by persistent antisocial behavior in children and
adolescents that significantly impairs their ability to function in social, academic, or
occupational areas. Behavioral symptoms include physical fights, destruction of
property, vandalism, and serious violation of rules among others. ODD consists of an
enduring pattern of uncooperative, defiant, and hostile behavior toward authority figures
without major antisocial violations. Asperger’s disorder is a pervasive developmental
disorder characterized by the same impairments of social interaction and restricted
stereotyped behaviors seen in autistic disorder, but there are no language or cognitive
delays. Attention deficit hyperactivity disorder (ADHD) is characterized by
inattentiveness, overactivity, and impulsiveness.
2. 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. Select all that apply.
A) Poor family functioning
B) Strict disciplinary practices
C) Family history of substance abuse
D) Possible child abuse
E) Poverty conditions
Ans: A, C, D, E
Feedback:
Risk factors include poor parenting, low academic achievement, poor peer relationships,
low self-esteem, poor family functioning, marital discord, family history of substance
abuse and psychiatric problems, child abuse, inconsistent parental responses, exposure
to violence in the media, and community socioeconomic disadvantages such as
inadequate housing, crowded conditions, and poverty. Protective factors include
resilience, family support, positive peer relationships, and good health.
Page 2
3. Which are characteristics of intermittent explosive disorder (IED)? Select all that apply.
A) The episode may occur with seemingly no warning.
B) They usually last less than 30 minutes.
C) Afterward, the person with IED will not have any remorse.
D) It involves repeated episodes of impulsive, aggressive, violent behavior, and
angry verbal outbursts.
E) The intensity of the emotional outburst is usually within proportion to the stressor
or situation.
Ans: A, B, D
Feedback:
Intermittent explosive disorder (IED) involves repeated episodes of impulsive,
aggressive, violent behavior and angry verbal outbursts, usually lasting less than 30
minutes. During these episodes, there may be physical injury to others, destruction of
property, and injury to the individual as well. The intensity of the emotional outburst is
grossly out of proportion to the stressor or situation. The episode may occur with
seemingly no warning. Afterward, the individual may be embarrassed and feel guilty or
remorseful for his or her actions, but that does not prevent future impulsive, aggressive
outbursts.
4. Which disorder is exemplified by vandalism, conning others, running away from home,
verbal bullying and intimidation, drinking alcohol, and sexual promiscuity?
A) Intermittent explosive disorder
B) Mild conduct disorder
C) Oppositional defiance Disorder
D) Moderate conduct disorder
Ans: D
Feedback:
Examples of moderate conduct disorder include vandalism, conning others, running
away from home, verbal bullying and intimidation, drinking alcohol, and sexual
promiscuity. Intermittent explosive disorder (IED) involves repeated episodes of
impulsive, aggressive, violent behavior and angry verbal outbursts, usually lasting less
than 30 minutes. In mild conduct disorder, the child has some conduct problems that
cause relatively minor harm to others. Examples include repeated lying, truancy, minor
shoplifting, and staying out late without permission. Oppositional defiant disorder
(ODD) consists of an enduring pattern of uncooperative, defiant, disobedient, and
hostile behavior toward authority figures without major antisocial violations.