A 16-year-old adolescent with a conduct disorder (CD) has been in ...

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A 16-year-old adolescent with a conduct disorder (CD) has been in a residential program for 3 months. Which outcome should occur before discharge?
 
  a. The teen and parents create and consent to a behavioral contract with rules, rewards, and consequences.
  b. The teen completes an application to enter a military academy for continued structure and discipline.
  c. The teen is temporarily placed with a foster family until the parents complete a parenting skills class.
  d. The teen has an absence of anger and frustration for 1 week.

Question 2

A child with attention deficit hyperactivity disorder (ADHD) is going to begin medication therapy. The nurse should plan to teach the family about which classification of medications?
 
  a. Central nervous system stimulants
  b. Monoamine oxidase inhibitors (MAOIs)
  c. Antipsychotic medications
  d. Anxiolytic medications

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Answer to Question 1

ANS: A
The patient and the parents must agree on a behavioral contract that clearly outlines rules, expected behaviors, and consequences for misbehavior. It must also include rewards for following the rules. The patient will continue to experience anger and frustration. The patient and parents must continue with family therapy to work on boundary and communication issues. Separating the patient from the family to work on these issues is not necessary, and separation is detrimental to the healing process.

Answer to Question 2

ANS: A
Central nervous system stimulants increase blood flow to the brain and have proven helpful in reducing hyperactivity in children and adolescents with ADHD. The other medication categories listed would not be appropriate.