An 11-year-old child, who has been diagnosed with oppositional ...

[pragya sharda]

An 11-year-old child, who has been diagnosed with oppositional defiant disorder ODD, becomes angry over the rules at a residential treatment program and begins shouting at the nurse. Select the best method to defuse the situation.
 
  a. Suggest that the child go to the gym and shoot baskets.
  b. Administer an antipsychotic medication.
  c. Place the child in a basket-hold.
  d. Call a staff member to seclude the child.

Question 2

A 12-year-old child has been the neighborhood bully for several years. The parents say, We can't believe anything our child says. Recently, the child shot a dog with a pellet gun and set fire to a trash bin outside a store.
 
  The child's behaviors are most consistent with:
 
  a. conduct disorder CD.
  b. attention deficit ADHD.
  c. defiance of authority.
  d. anxiety over separation from a parent.

[14vl19]

Answer to Question 1

ANS: A
Redirecting the expression of feelings into nondestructive age-appropriate behaviors such as a physical activity helps the child learn how to modulate the expression of feelings and exert self-control. This method is the least restrictive alternative of those listed and should be tried before resorting to more restrictive measures.

Answer to Question 2

ANS: A
The behaviors mentioned are most consistent with the DSM-IV-TR criteria for CD: 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 ADHD and separation anxiety and are more pervasive than defiance of authority.

[pragya sharda]

TYSM

[Sarahjh]

Excellent