The family of a child diagnosed with an impulse control disorder ...

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The family of a child diagnosed with an impulse control disorder needs help to function more adaptively. Which aspect of the child's plan of care will be provided by an advanced practice nurse rather than a staff nurse?
 
  a. Leading an activity group
  b. Providing positive feedback
  c. Formulating nursing diagnoses
  d. Dialectical behavioral therapy (DBT)

Question 2

Shortly after the parents announced that they were divorcing, a 15-year-old became truant from school and assaulted a friend. The adolescent told the school nurse, I'd rather stay in my room and listen to music.
 
  It's easier than thinking about what is happening in my family. Which nursing diagnosis is most applicable?
 
  a. Chronic low self-esteem related to role within the family
  b. Decisional conflict related to compliance with school requirements
  c. Ineffective coping related to adjustment to changes in family relationships
  d. Disturbed personal identity related to self-perceptions of changing family dynamics

[nathang24]

Answer to Question 1

ANS: D
The advanced practice nurse role includes individual, group, and family psychotherapist; educator of nurses, other professions, and the community; clinical supervisor; consultant to professional and nonprofessional groups; and researcher. Dialectical behavioral therapy (DBT) is an aspect of psychotherapy. The distracters describe actions of a nurse generalist.

Answer to Question 2

ANS: C
Depression is often associated with impulse control disorder. The correct nursing diagnosis refers to the patient's dysfunctional management of feelings associated with upcoming changes to the family. The teen displays self-imposed isolation. The distracters are not supported by data in the scenario.