Author Question: A 15-year-old was placed in a residential program after truancy, running away, and an arrest for ... (Read 62 times)

Metfan725 · **on:** Jul 19, 2018

A 15-year-old was placed in a residential program after truancy, running away, and an arrest for theft. At the program, the adolescent refused to join in planned activities and pushed a staff member, causing a fall.

Which approach by nursing staff will be most therapeutic?

a. Planned ignoring
b. Establish firm limits
c. Neutrally permit refusals
d. Coaxing to gain compliance

Question 2

A 15-year-old ran away from home six times and was arrested for shoplifting. The parents told the court, We can't manage our teenager. The adolescent is physically abusive to the mother and defiant with the father.

Which diagnosis is supported by this adolescent's behavior?

a. Attention deficit hyperactivity disorder (ADHD)
b. Posttraumatic stress disorder (PTSD)
c. Intermittent explosive disorder
d. Conduct disorder

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

Answer to Question 1

ANS: B
Firm limits are necessary to ensure physical safety and emotional security. Limit setting will also protect other patients from the teen's thoughtless or aggressive behavior. Permitting refusals to participate in the treatment plan, ignoring, coaxing, and bargaining are strategies that do not help the patient learn to abide by rules or structure.

Answer to Question 2

ANS: D
Conduct disorders are manifested by a persistent pattern of behavior in which the rights of others and age-appropriate societal norms are violated. Intermittent explosive disorder is a pattern of behavioral outbursts characterized by an inability to control aggressive impulses in adults 18 years and older. Criteria for ADHD and PTSD are not met in the scenario.