Difficulty: Medium
Average Score: 74%
Simulated
A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?
Correct answer
D
Rationale
The correct answer is D: Put into practice consistent consequences for rule-breaking behavior. This intervention is crucial for managing behavior in children with ODD as it establishes clear boundaries and expectations, promoting accountability and teaching the child about cause and effect. Consistent consequences help the child understand the repercussions of their actions, leading to better self-regulation and behavioral control.
Choice A is incorrect because using physical restraints can escalate aggression and trauma in the child, making the situation worse. Choice B is incorrect as challenging chores may overwhelm the child and worsen their behavior. Choice C is incorrect as encouraging solitary play may isolate the child further and hinder social skill development.
In summary, prioritizing consistent consequences for rule-breaking behavior is essential in managing a child with ODD as it promotes accountability and teaches appropriate behavior, while the other choices may exacerbate the child's behavior issues.
Choice A is incorrect because using physical restraints can escalate aggression and trauma in the child, making the situation worse. Choice B is incorrect as challenging chores may overwhelm the child and worsen their behavior. Choice C is incorrect as encouraging solitary play may isolate the child further and hinder social skill development.
In summary, prioritizing consistent consequences for rule-breaking behavior is essential in managing a child with ODD as it promotes accountability and teaches appropriate behavior, while the other choices may exacerbate the child's behavior issues.