A child known as the neighborhood bully says, Nobody can tell me ...

[captainjonesify]

A child known as the neighborhood bully says, Nobody can tell me what to do. After receiving a poor grade on a science project, this child secretly loaded a virus on the teacher's computer. These behaviors support a diagnosis of:
 
  a. conduct disorder.
  b. oppositional defiant disorder.
  c. intermittent explosive disorder.
  d. attention deficit hyperactivity disorder.

Question 2

An adolescent acts out in disruptive ways. When this adolescent threatens to throw a pool ball at another adolescent, which comment by the nurse would set appropriate limits?
 
  a. Attention everyone: we are all going to the craft room.
  b. You will be taken to seclusion if you throw that ball.
  c. Do not throw the ball. Put it back on the pool table.
  d. Please do not lose control of your emotions.

[jrpg123456]

Answer to Question 1

ANS: B
Oppositional defiant disorder is a repeated and persistent pattern of having an angry and irritable mood in conjunction with demonstrating defiant and vindictive behavior. Loading a virus is a vindictive behavior in retribution for a poor grade. Persons with conduct disorder are aggressive against people and animals; destroy property; are deceitful; violate rules; and have impaired social, academic, or occupational functioning. There is no evidence of explosiveness or distractibility.

Answer to Question 2

ANS: C
Setting limits uses clear, sharp statements about prohibited behavior and guidance for performing a behavior that is expected. The incorrect options represent a threat, use of restructuring (which would be inappropriate in this instance), and a direct appeal to the child's developing self-control that may be ineffective.

[captainjonesify]

Excellent

[amandalm]

Thanks for the timely response, appreciate it