A 15-year-old has been referred to the adolescent mental health ...

[dbose]

A 15-year-old has been referred to the adolescent mental health clinic by the juvenile court after
  being arrested for prostitution. She has run away from home several times and has lived in homeless
  shelters.
 
  Her parents told the court they could not manage her, that she was physically abusive to her
  mother and defiant and hostile to her father. From the
  history, the nurse might anticipate that the psychiatrist will consider the diagnosis of
  a. attention-deficit hyperactivity disorder.
  b. autistic disorder.
  c. conduct disorder.
  d. childhood depression.

Question 2

A client is noted to have a high level of non-goal-directed motor activity, running from chair to chair
  in the solarium. He is wide eyed and seems terror stricken.
 
  He cries They're coming They're
  coming He neither follows staff direction nor responds to verbal efforts to calm him. The initial
  nursing intervention of highest priority is to
  a. provide for client safety.
  b. increase environmental stimuli.
  c. respect the client's personal space.
  d. encourage clarification of feelings.

[lkanara2]

Answer to Question 1

C
Conduct disorders are manifested by a persistent pattern of behavior in which the rights of others
and age-appropriate societal norms are violated. DSM-IV-TR identifies this type of conduct disorder
as conduct disorder: serious violations of rules. The client's clinical manifestations do not coincide
with DSM-IV-TR descriptions of the other disorders.

Answer to Question 2

ANS: A
Safety is of highest priority because the client experiencing panic is at high risk for self-injury
related to increased non-goal-directed motor activity, distorted perceptions, and disordered thoughts.
Option B: The goal should be to decrease environmental stimuli. Option C is a lower priority than
safety. Option D: Clarification of feelings cannot take place until the level of anxiety is lowered.