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A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

"Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use."

There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you."

"Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature."

"It's a common misconception that there is a medication available to treat every health problem."

Answer and Explanation

The Correct Answer is A

A. "Medication is usually not prescribed to treat oppositional defiant disorder. Let's discuss some behavioral strategies you can use." Behavioral interventions are the mainstay of treatment for ODD. Medications are not typically recommended unless there are comorbid conditions like ADHD or aggression that do not respond to behavioral interventions alone.

B. There are many medications that will help your child manage aggression and destructiveness. The health care provider will discuss them with you: This statement is misleading as medications are not first-line for ODD.

C. "Medication is not used to treat this oppositional defiant disorder because it is behavioral in nature.": This is an oversimplification; while primarily behavioral, medications might be considered in certain cases.

D. "It's a common misconception that there is a medication available to treat every health problem.": This statement dismisses the possibility of appropriate medication when needed.

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Correct Answer is D

Explanation

A. Engaging in regular physical exercise: Physical exercise is generally associated with positive mental health benefits and is not a risk factor for suicide.

B. Having a positive self-esteem: Higher self-esteem is protective against suicide rather than a risk factor.

C. Having a strong social support system: Social support is protective against suicide, reducing isolation and providing emotional resources.

D. Experiencing a history of trauma or abuse. Correct Answer. Trauma or abuse history is a well-established risk factor for suicide, contributing to psychological distress, hopelessness, and increased vulnerability.

A. Enoxaparin B. Alteplase (tPA) C. Warfarin D. Clopidogrel

Correct Answer is A

Explanation

A. Enoxaparin. Enoxaparin is a low molecular weight heparin used for prophylaxis against DVT. It works by inhibiting clotting factors and is commonly used postoperatively to prevent DVT formation.

B. Alteplase (tPA): Alteplase is a thrombolytic agent used to dissolve clots and is not used for DVT prophylaxis.

C. Warfarin: Warfarin requires monitoring and has a delayed onset, making it less suitable for immediate postoperative DVT prophylaxis.

D. Clopidogrel: Clopidogrel is an antiplatelet agent and is not typically used for DVT prophylaxis postoperatively.

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A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

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