Author Question: A 16-year-old diagnosed with a conduct disorder has been in a residential program for 3 months. ... (Read 70 times)

neverstopbelieb · **on:** Jul 19, 2018

A 16-year-old diagnosed with a conduct disorder has been in a residential program for 3 months. Which outcome should occur before discharge?

a. The adolescent and parents create and agree to a behavioral contract with rules, rewards, and consequences.
b. The adolescent identifies friends in the home community who are a positive influence.
c. Temporary placement is arranged with a foster family until the parents complete a parenting skills class.
d. The adolescent experiences no anger and frustration for 1 week.

Question 2

A man who regularly experiences premature ejaculation tells the nurse, I feel like such a failure. It's so awful for both me and my partner. Select the nurse's most therapeutic response.

a. I sense you are feeling frustrated and upset.
b. Tell me more about feeling like a failure.
c. You are too hard on yourself.
d. What do you mean by awful?

nguyenhoanhat · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
The adolescent 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 adolescent will continue to experience anger and frustration. The adolescent and parents must continue with family therapy to work on boundary and communication issues. It is not necessary to separate the adolescent from the family to work on these issues. Separation is detrimental to the healing process. While it is helpful for the adolescent to identify peers who are a positive influence, it's more important for behavior to be managed for an adolescent diagnosed with a conduct disorder.

Answer to Question 2

ANS: A
Using reflection and empathy promotes trust and conveys concern to the patient. The distracters do not offer empathy, probe, and offer premature reassurance.