Disruptive Behavior Disorders Review

This set of flashcards covers key concepts and clinical manifestations related to Disruptive Behavior Disorders, their management, and associated interventions. Useful for exam preparation.

Disruptive Behavior Disorder (DBD)

A group of disorders characterized by persistent patterns of defiant, impulsive, and antisocial behavior that violate the rights of others or societal norms.

Oppositional Defiant Disorder (ODD)

A disorder characterized by a pattern of angry/irritable moods, defiant behavior towards authority figures, and vindictiveness.

Clinical manifestations of ODD

Symptoms must include at least four of the following: losing temper, easily annoyed, angry, arguing with authority, refusing rules, deliberately annoying others, blaming others, and being vindictive.

Remember ARGUE BADLY

An acronym to remember key symptoms of ODD: Argues, Refuses rules, Gets annoyed easily, Unpleasant, Blames others, Annoys others on purpose, Displays temper, Loses control, Yells.

Conduct Disorder (CD)

A more severe behavioral disorder than ODD, characterized by serious violations of rules, physical aggression, destruction of property, and deceitfulness.

Remember BULLY FOR BAD CRIMES

An acronym to remember key symptoms of CD: Bullies, Uses weapons, Lies, Late at night, Yells/fights, Forced sexual activity, On fire (setting), Runs away, Breaks into property, Animal/people cruelty.

Management of out-of-control behavior

Prioritize safety, use verbal de-escalation techniques, and consider seclusion or restraints as a last resort.

Seclusion

Placing a patient in a safe, secure room to regain control without risk of harm.

Time-out as a behavior management technique

Brief removal from a reinforcing environment to allow the child to cool off and regain self-control.

Gestures of Calm Parental Reassurance

Involves providing calm and supportive presence to ease emotional outbursts rather than isolating the child.

Antisocial Personality Disorder

A pervasive pattern of disregard for the rights of others, often evolving from conduct disorder into adulthood.

Cognitive Behavioral Therapy (CBT) in Conduct Disorder

A therapeutic approach to help develop better anger management, moral reasoning, and problem-solving skills.

Risk factors for Conduct Disorder

Include biological factors like low cortisol levels, environmental influences such as parental rejection, and early childhood behavioral issues.

Intermittent Explosive Disorder

Characterized by recurrent impulsive episodes of aggressive behavior that are disproportionate to the situation.

Clinical manifestations of ADHD

Includes inattention, hyperactivity, and impulsivity, often treated with medications and behavioral therapy.

Tourette's Disorder

A neurological disorder characterized by multiple motor tics and at least one vocal tic.

Stigma around Tics

Concerns about social perceptions can exacerbate the distress associated with tic disorders.

Neuroleptic Malignant Syndrome (NMS)

A life-threatening reaction to antipsychotic medications characterized by hyperthermia, severe muscle rigidity, and altered mental status.

Serotonin Syndrome

A potentially life-threatening condition caused by excessive serotonergic activity, often due to medication interactions.

Stages of grief (Kübler-Ross)

Include Denial, Anger, Bargaining, Depression, and Acceptance, representing the process of coping with loss.

Positive vs Negative Symptoms of Schizophrenia

Positive symptoms include hallucinations and delusions, while negative symptoms include flat affect and social withdrawal.

Therapeutic vs Nontherapeutic Communication

Therapeutic communication facilitates supportive engagement, while non-therapeutic communication can impede the nurse-patient relationship.