Author Question: A nurse works with an adolescent who was placed in a residential program after multiple episodes of ... (Read 46 times)

meagbuch · **on:** Jul 19, 2018

A nurse works with an adolescent who was placed in a residential program after multiple episodes of violence at school. Establishing rapport with this adolescent is a priority because: (select all that apply)

a. it is a vital component of implementing a behavior modification program.
b. a therapeutic alliance is the first step in a nurse's therapeutic use of self.
c. the adolescent has demonstrated resistance to other authority figures.
d. acceptance and trust convey feelings of security for the adolescent.
e. adolescents usually relate better to authority figures than peers.

Question 2

Which assessment findings support a diagnosis of oppositional defiant disorder?

a. Negative, hostile, and spiteful toward parents. Blames others for misbehavior.
b. Exhibits involuntary facial twitching and blinking; makes barking sounds.
c. Violates others' rights; cruelty toward people or animals; steals; truancy.
d. Displays poor academic performance and reports frequent nightmares.

chinwesucks · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B, D
Trust is frequently an issue because the adolescent may never have had a trusting relationship with an adult. Trust promotes feelings of security and is the basis of the nurse's therapeutic use of self. Adolescents value peer relationships over those related to authority. Rewards for appropriate behavior are the main component of behavior modification programs.

Answer to Question 2

ANS: A
Oppositional defiant disorder is a repeated and persistent pattern of having an angry and irritable mood in conjunction with demonstrating defiant and vindictive behavior. The distracters identify findings associated with conduct disorder, anxiety disorder, and Tourette's syndrome.