A 12-year-old boy has been the neighborhood bully for several ...

[rosent76]

A 12-year-old boy has been the neighborhood bully for several years. His peers avoid him. His
  mother says she cannot believe a thing he tells her. Recently he was observed shooting at several
  dogs with a pellet gun.
 
  Yesterday he was caught setting fire to a dumpster outside a supermarket. A
  nurse could assess his behaviors as being most consistent with
  a. conduct disorder.
  b. attention deficit.
  c. anxiety over separation from parent.
  d. defiance of authority.

Question 2

The wife of a client being cared for in hospice has begun to micromanage the client's care, seeing
  to each and every detail herself.
 
  She angrily tells the hospice nurse the care the hospice aide and
  other family members provide leaves the client uncomfortable, so she must do everything herself.
  She asks Why is this happening? Why can't someone help before I go crazy? The hospice nurse
  should
  a. provide teaching about anticipatory grieving.
  b. refer the client for crisis intervention.
  c. assign new hospice personnel to the case.
  d. arrange for hospitalization for the client.

[fur]

Answer to Question 1

A
The behaviors mentioned are most consistent with DSM-IV-TR criteria for conduct disorder, for
example, aggression against people and animals; destruction of property; deceitfulness; rule
violations; and impairment in social, academic, or occupational functioning. The behaviors are not
consistent with attention deficit and separation anxiety and are more pervasive than defiance of
authority.

Answer to Question 2

A
The behaviors described in the scenario are consistent with anticipatory grieving. The client needs to
receive education about the process of anticipatory grieving and counseling to validate what she is
experiencing and enhance coping with the physical, emotional, and cognitive symptoms she is
experiencing. The other options are not appropriate to the situation.