A child has been diagnosed with oppositional defiant disorder ...

[jilianpiloj]

A child has been diagnosed with oppositional defiant disorder (ODD). The parents ask the nurse what risk factors the child has for this disorder. Which response by the nurse is the most appropriate?
 
  A.
  I am not sure; you can ask the doctor during your appointment.
  B.
  It seems to be an inherited problem from a recessive gene.
  C.
  The etiology seems to be complex, with multiple causes.
  D.
  Unfortunately, nobody knows what causes this condition.

Question 2

An advanced practice nurse is working with a child diagnosed with oppositional defiant disorder. What action by the nurse is most appropriate?
 
  A.
  Assess the child's performance at school.
  B.
  Facilitate genetic testing for the entire family.
  C.
  Screen the child for other psychosocial problems.
  D.
  Warn the parents not to leave siblings alone with the child.

[sokh]

Answer to Question 1

ANS: C
The etiology of ODD is complex and multifactoral, so it is difficult to identify specific risk factors. The nurse may not know the answer, but should find out and inform the parents directly. ODD is not an inherited recessive condition. Although the exact cause of (and therefore risk factors for) ODD is not known, simply stating this fact does not give the parents any useful information. The nurse should provide whatever information there is regarding this condition.

Answer to Question 2

ANS: C
Children with both oppositional defiant disorder and conduct disorder often have other psychological comorbidities. The nurse should screen the child for other problems. Assessing performance at school may be important in some cases, but is not the most appropriate action. Genetic testing is not done for this disorder. Siblings may be at risk when being left alone with the child, but this would need individual assessment and is not applicable to all children with this disorder.