An 11-year-old, who is diagnosed with oppositional defiant disorder, becomes angry and disruptive over the rules of the day treatment program. The nurse should de-escalate the situation by:
calling staff to place the child in the locked seclusion room.
placing the child in physical restraints.
providing a prn anxiolytic medication.
suggesting that the child go into the gym and shoot some baskets.
The Correct Answer is D
D. It offers the child a constructive way to release pent-up energy and frustration in a safe and non- confrontational manner. Physical activity can be a helpful tool in managing anger and disruptive behavior, as it allows the child to channel their emotions into a productive activity.
A. This option is not appropriate because it involves isolating the child in a locked room, which could further escalate the situation and may traumatize the child. Seclusion should only be used as a last resort in situations where the child or others are at risk of harm.
B. Physical restraints should only be used as a last resort in situations where the child poses an immediate danger to themselves or others. Using physical restraints can escalate the situation and may cause physical and psychological harm to the child.
C. Medication may be prescribed to manage symptoms of oppositional defiant disorder. However, using a PRN (as needed) anxiolytic medication to manage acute agitation should only be done under the guidance of a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. he CAGE questionnaire is a widely used screening tool for alcohol use disorder (AUD). It consists of four questions that assess the client's alcohol consumption, attempts to cut down or control drinking, feelings of guilt about drinking, and whether alcohol use interferes with daily activities or responsibilities.
B. The CIWA is a tool used to assess the severity of alcohol withdrawal symptoms in individuals with alcohol dependence who are undergoing detoxification or withdrawal management. The CIWA is not specifically used for screening alcohol use disorder but rather for monitoring and managing alcohol withdrawal symptoms in individuals with known alcohol dependence.
C. The AIMS is a tool used to assess for the presence and severity of abnormal involuntary movements, particularly those associated with antipsychotic medications or conditions such as tardive dyskinesia. It is not used for screening alcohol use disorder.
D. The ORT-OUD is a screening tool specifically designed to assess the risk of opioid use disorder (OUD) in individuals who are prescribed opioid medications for chronic pain. It is not used for screening alcohol use disorder.
Correct Answer is C
Explanation
C. Individuals with schizotypal personality disorder often exhibit aloof and isolative behaviors, coupled with a bland and apathetic manner. This condition is characterized by significant discomfort in social situations, leading to avoidance and a lack of close relationships.
A. Individuals with this disorder may exhibit odd or peculiar behaviors, but they typically do not display manipulative or exploitative tendencies seen in other personality disorders, such as narcissistic personality disorder.
B. individuals with schizotypal personality disorder may display odd or eccentric behaviors but they are less likely to exhibit consistent patterns of generosity or selflessness.
D. Individuals with this disorder may be hypersensitive to criticism or perceived slights from others, which can lead to feelings of social anxiety or discomfort. However, social withdrawal is not a typical finding.
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