Author Question: An adolescent diagnosed with conduct disorder has aggression, impulsivity, hyperactivity, and mood ... (Read 51 times)

Chelseaamend · **on:** Jul 19, 2018

An adolescent diagnosed with conduct disorder has aggression, impulsivity, hyperactivity, and mood symptoms. The treatment team believes this adolescent may benefit from medication.

The nurse anticipates the health care provider will prescribe which type of medication?

a. Second-generation antipsychotic
b. Anti-anxiety medication
c. Calcium channel blocker
d. Beta-blocker

Question 2

An 11-year-old diagnosed with oppositional defiant disorder becomes angry over the rules at a residential treatment program and begins shouting at the nurse. What is the nurse's initial action to defuse the situation?

a. Say to the child, Tell me how you're feeling right now.
b. Take the child swimming at the program's pool.
c. Establish a behavioral contract with the child.
d. Administer an anxiolytic medication.

EAN94 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
Medications for conduct disorder are directed at problematic behaviors such as aggression, impulsivity, hyperactivity, and mood symptoms. Second-generation antipsychotics are likely to be prescribed. Beta-blocking medications may help to calm individuals with intermittent explosive disorder by slowing the heart rate and reducing blood pressure. Calcium channel blockers reduce blood pressure but are not used for persons with impulse control problems. An anti-anxiety medication will not assist with impulse control.

Answer to Question 2

ANS: B
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 is the least restrictive alternative and should be tried before resorting to measures that are more restrictive. A shouting child will not likely engage in a discussion about feelings. A behavioral contract could be considered later, but first the situation must be defused.