Final Exam: NR606/ NR 606 (NEW Update
2024/ 2025) Diagnosis & Management in
Psychiatric Mental Health II Practicum
Review |Weeks 5-8 | Questions and
... [Show More] Verified
Answers| 100% Correct| A Grade-
Chamberlain
QUESTION
disruptive behavioral disorders
Answer:
-Disruptive, impulse-control, & conduct disorders
-problems with emotional & behavioral regulation
-often violate others' rights
-bring ind. into conflict with social norms & authority figures
-Behaviors often severe, frequent, occur in varied settings, can have serious consequences
-more common in boys than girls
-first onset in childhood or adolescence
-Common diagnosis:
• oppositional defiant disorder
• conduct disorder
• intermittent explosive disorder
QUESTION
Oppositional Defiant Disorder (ODD)
Answer:
-hallmark: persistent angry & irritable mood, argumentative & defiant behavior, &
vindictiveness
-behavioral features may present with or without (-) mood
-symptom expression in one setting
• commonly the home
• severe cases symptoms may present in various settings
-symptom expression impairs social functioning of the ind.
• more evident, interactions with peers or adults they know
-Onset: early childhood
• symptoms commonly persist into adulthood
-frequently occurs comorbidly with ADHD & often precedes development of conduct disorder
-high co-occurrence rates with anxiety & MDDs
-associated with increased risk for suicide ideation
-Prevalence rates: 1%-11%, more prevalent in boys than girls
QUESTION
ODD diagnosis
Answer:
-behaviors must have (-) consequences & must not be associated exclusively with a psychotic,
substance use, depressive, or bipolar disorder.
• must also not meet diagnostic criteria for DMDD
-First, 4 or more of the following symptoms must have occurred during an interaction with one
or more individuals that are not siblings within the last 6 months:
• Angry/Irritable Mood
➣often loses temper
➣is often easily annoyed
➣is often angry and resentful
• Argumentative/Defiant Behavior
➣argues with authority figures or adults
➣actively defies or refuses to follow rules or requests from authority figures
➣deliberately annoys others
➣blames others for their mistakes or misbehavior
• Vindictiveness
➣has been spiteful or vindictive at least twice within the past 6 months
-Second, symptom persistence & frequency must exceed typical developmental behaviors r/t the
child's age, gender, & culture.
• For children under age 5, behaviors must occur on most days for at least six months.
• For people 5 and older, the behaviors must occur at least once per week for at least six months.
QUESTION
The severity of ODD is determined by:
Answer:
the number of settings in which the behaviors occurred.
QUESTION
ODD and DMDD Diagnosis Considerations
Answer:
-DMDD shares many symptoms with ODD, many individuals meet diagnostic criteria for both
disorders
• ODD cannot be diagnosed if criteria are also met for DMDD. ➣These circumstances, should
receive a diagnosis of DMDD
QUESTION
ODD stigma
Answer:
-reactive behavior & trauma responses are mischaracterized as self-control issues
-Some mental health providers are calling for a revision of the DSM-5-TR ODD
• use neutral terminology, behavior (reactive) or state (dysregulated) rather than a disposition
(oppositional and defiant)
QUESTION
Conduct disorder
Answer:
-severe behaviors that violate societal norms or the rights of others, may involve aggression
towards others, animals, theft, &/or the destruction of property
-developmental relationship between ODD & conduct disorder
-Behaviors may present as early as pre-school, though more serious symptom [Show Less]