A 15-year-old adolescent has run away from home six times. After ...

[piesebel]

A 15-year-old adolescent has run away from home six times. After the adolescent was arrested for prostitution, the parents told the court, We can't manage our teenager. The adolescent is physically abusive to the mother and defiant with the father.
 
  The adolescent's problem is most consistent with criteria for:
 
  a. Attention deficit hyperactivity disorder ADHD.
  b. Childhood depression.
  c. Conduct disorder CD.
  d. autism spectrum disorder ASD

Question 2

A 15-year-old adolescent is referred to a residential program after an arrest for theft and running away from home. At the program, the adolescent refuses to participate in scheduled activities and pushes a staff member, causing a fall.
 
  Which approach by the nursing staff would be most therapeutic?
 
  a. Neutrally permit refusals
  b. Coax to gain compliance
  c. Offer rewards in advance
  d. Establish firm limits

[kjo;oj]

Answer to Question 1

ANS: C
CDs are manifested by a persistent pattern of behavior in which the rights of others and age-appropriate societal norms are violated. The Diagnostic and Statistical Manual of Mental Disorders (fourth edition, text revision) (DSM-IV-TR) identifies CDs as: serious violations of rules. The patient's clinical manifestations do not coincide with the other disorders listed.

Answer to Question 2

ANS: D
Firm limits are necessary to ensure physical safety and emotional security. Limit setting will also protect other patients from the teenager's thoughtless or aggressive behavior. Permitting refusals to participate in the treatment plan, coaxing, and bargaining are strategies that do not help the patient learn to abide by rules or structure.