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19. Disruptive Behavioral Disorders

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

Nora has recently been feeling anxious, sometimes sad, and occasionally complains of headaches and stomachaches without a clear medical cause. Which term best describes turning emotions inward, often presenting as anxiety, depression, or somatic complaints?

a)

Impulse control skills

b)

Externalizing behaviors

c)

Internalizing processes

d)

Self-regulation capacity

2.

Jackson has been arguing with his teachers, blaming his peers for his problems, and refusing to follow classroom rules for more than six months, but he has not committed any serious rights violations. Which diagnosis is most consistent?

a)

Antisocial Personality Disorder

b)

Conduct Disorder

c)

Intermittent Explosive Disorder

d)

Oppositional Defiant Disorder

3.

Michael is known to have sudden episodes where he loses control and reacts with intense anger, often resulting in brief violent outbursts. Which feature is most characteristic of these Intermittent Explosive Disorder episodes?

a)

Sustained rage over several hours

b)

Calm dissociation after conflict

c)

Planned retaliatory aggression

d)

Brief violent outbursts of anger

4.

Benjamin is frequently caught breaking windows in his neighborhood and repeatedly vandalizing property. Which behavior pattern most strongly supports a diagnosis of Conduct Disorder?

a)

Short disproportionate anger bursts

b)

Hostile defiance toward authority

c)

Repetitive property destruction acts

d)

Persistent internalizing symptoms

5.

Avery is working as a nurse on a busy hospital unit. During her shift, a patient suddenly becomes disruptive and the situation escalates quickly. Which nursing action should Avery prioritize?

a)

Ensure environmental safety first

b)

Deliver lengthy psychoeducation

c)

Confront inconsistencies forcefully

d)

Apply positive reinforcement immediately

6.

A 16-year-old named Jackson has a history of chronic rule-breaking, theft, and aggression. He lacks remorse for his actions and is charming with staff members. Which outcome risk should be anticipated for Jackson after he turns 18?

a)

Development of generalized anxiety disorder

b)

Resolution to normal adult behavior

c)

Transition to Intermittent Explosive Disorder

d)

Progression to Antisocial Personality Disorder

7.

Liam is a 9-year-old student who often struggles to focus on his schoolwork, finds it hard to sit still during class, and sometimes acts without thinking. Which set best describes the core symptom domains Liam might be experiencing?

a)

Hallucinations, delusions, catatonia

b)

Apathy, anhedonia, psychomotor slowing

c)

Memory loss, rigidity, mutism

d)

Inattention, hyperactivity, impulsivity

8.

Mason is a preschooler who has dyslexia. Which task is he most likely to struggle with?

a)

Solving complex algebraic equations

b)

Composing multi-paragraph essays

c)

Typing with ten-finger proficiency

d)

Learning letters and basic sounds

9.

Olivia is a teacher who works with students across different autism spectrum levels. She notices a consistent pattern of challenges among her students. What pattern is most characteristic?

a)

Social communication deficits and repetitive behaviors

b)

Progressive motor weakness and spasticity

c)

Acute memory loss and fluctuating consciousness

d)

Intermittent psychosis with rapid mood cycling

10.

David, Benjamin, and Ethan have different levels of Autism Spectrum Disorder (ASD). Match each of their ASD functional levels with the typical support need they would require.

a)

Level 1: requires support; Level 2: substantial support; Level 3: very substantial support

b)

Level 1: independent living; Level 2: occasional reminders; Level 3: minimal supervision

c)

Level 1: constant supervision; Level 2: rare assistance; Level 3: no support needed

d)

Level 1: crisis-only help; Level 2: therapy optional; Level 3: peer mentoring

11.

Elijah, a 12-year-old boy, is brought to the clinic because his parents have noticed he frequently makes sudden, repetitive movements and sounds, such as blinking and throat clearing. He also has difficulty focusing in school and sometimes shows obsessive behaviors. Based on these clinical features, which diagnosis is most likely?

a)

Progressive dementia and gait disturbance

b)

Motor and vocal tics, often with ADHD or OCD

c)

Language delay and severe visual impairment

d)

Seizures with chronic gastrointestinal disease

12.

Kai is a child with neurodevelopmental disorders attending school. Which nursing intervention most appropriately supports Kai in the classroom?

a)

Provide unstructured environments with minimal guidance

b)

Use consistent routines and simple, direct instructions

c)

Rely on punishment-based time-outs exclusively

d)

Avoid individualized education plans at school

13.

Maya, a 72-year-old woman, is brought to the clinic by her family. They report that she became confused and disoriented suddenly over the past day, with her symptoms varying in severity throughout the day. Which feature best differentiates delirium from dementia in clinical onset?

a)

Gradual onset with steady decline

b)

Progressive personality changes

c)

Acute onset with fluctuating course

d)

Irreversible decline of cognition

14.

James visits his doctor for a routine check-up. The doctor decides to use the Mini-Mental State Exam as part of the screening. Which domains is the doctor primarily assessing with this exam?

a)

Executive function, visuospatial skills, praxis

b)

Orientation, memory, attention, language

c)

Mood, insight, judgment, impulse control

d)

Sleep, appetite, energy, psychomotor speed

15.

During a routine check-up at a community health clinic, the nurse is deciding which population to prioritize for vigilant screening for abuse. Which population is at highest risk and should be screened most carefully?

a)

Middle-aged adults with chronic illness

b)

Children and other vulnerable groups

c)

Healthy adolescents in school sports

d)

New parents with strong social support

16.

Noah, a patient diagnosed with schizophrenia, becomes increasingly agitated while on the psychiatric unit. What is the nursing priority action?

a)

Begin detailed psychoeducation immediately

b)

Ensure safety and initiate de-escalation

c)

Increase sensory stimulation in the milieu

d)

Challenge delusions using confrontation

17.

During a poetry class, Aiden creates a verse using words like “cat-hat-bat,” focusing on how the words sound together rather than their meaning. Which term best describes this way of choosing words?

a)

Word salad incoherence

b)

Neologisms invention

c)

Clang associations

d)

Echolalia repetition

18.

During a conversation with Jackson, a nurse notices that Jackson repeats the nurse’s exact words instead of forming original responses. Which phenomenon is this?

a)

Tangential thinking

b)

Echolalia repetition

c)

Alogia poverty

d)

Perseveration focus

19.

Avery failed one math test and now believes they are a complete failure at school, ignoring all their previous successes. What cognitive distortion is Avery experiencing?

a)

Emotional reasoning

b)

All-or-nothing thinking

c)

Automatic thoughts

d)

Overgeneralization bias

20.

After starting antipsychotic therapy, Mason keeps pacing around the room and reports an inner sense of restlessness. Which term fits this presentation?

a)

Akathisia restlessness

b)

Anergia low energy

c)

Apathy low interest

d)

Psychomotor agitation

21.

Grace is upset with her supervisor at work but instead of expressing her anger directly, she redirects her anger toward a safer target, like a pillow. Which defense mechanism is illustrated?

a)

Displacement to safer target

b)

Reaction formation opposite

c)

Rationalization plausible excuse

d)

Projection attributing feelings

22.

Ava is a nurse caring for a competent patient who wishes to make their own treatment choices. Which ethical principle is Ava applying in this situation?

a)

Autonomy right to choose

b)

Justice fair treatment

c)

Fidelity faithfulness

d)

Veracity truthfulness

23.

Liam, a patient with a dual diagnosis of schizophrenia and alcohol use disorder, is admitted to the psychiatric unit. He reports hearing threatening voices and feeling something crawling up his arms. Which nursing action should take priority?

a)

Offer the patient fluids to prevent dehydration from alcohol withdrawal

b)

Reassure the patient that the hallucinations are not real

c)

Move the patient to a room by themselves to calm down

d)

Administer prescribed antipsychotic medication and ensure a safe environment

24.

A nurse is caring for a patient diagnosed with schizophrenia who states, “The FBI has implanted a tracking device in my brain.” What is the most appropriate response from the nurse?

a)

“Let’s do an activity to get your mind off of that.”

b)

“That sounds frightening. Tell me more about how you’re feeling.”

c)

“Why do you believe that the FBI is tracking you?”

d)

“The FBI does not track people in that way. That is not true.”

25.

Teddy Daniels alternates between believing he is a U.S. Marshal and realizing he is a patient, with memory gaps and sudden personality changes. Which disorder best fits these symptoms?

a)

PTSD

b)

Dissociative Identity Disorder

c)

Bipolar I Disorder

d)

Schizophrenia

26.

Priya is in the emergency department and reports feeling short of breath, restless, and nervous, saying she feels “on edge.” The nurse suspects Priya is experiencing a panic attack. What is the priority nursing intervention?

a)

Ask what is causing the anxiety

b)

Administer alprazolam

c)

Stay with the client and speak calmly

d)

Notify the provider shortly and return shortly

27.

Noah has been prescribed an antidepressant and is advised to avoid tyramine-rich foods like aged cheese and cured meats to prevent a dangerous increase in blood pressure. Which class of antidepressant is Noah most likely taking?

a)

MAOIs such as phenelzine and tranylcypromine

b)

SSRIs such as sertraline and citalopram

c)

SNRIs such as venlafaxine and duloxetine

d)

TCAs such as amitriptyline and nortriptyline

28.

Olivia is experiencing acute anxiety and needs short-term relief. However, her doctor is concerned about her risk for dependence. Which anxiolytic choice best minimizes dependence risk while providing non-sedating relief?

a)

Buspirone for non-benzodiazepine anxiolysis

b)

Lorazepam for fewer active metabolites

c)

Alprazolam for quick panic symptom control

d)

Diazepam for rapid GABAergic sedation

29.

Mia is a medical student learning about antipsychotic medications. Her professor asks her which antipsychotic profile correctly pairs generation with a notable adverse effect pattern. Which should Mia choose?

a)

Second-generation: higher EPS with minimal NMS risk

b)

First-generation: higher EPS and risk of NMS

c)

Second-generation: no metabolic effects and no EPS

d)

First-generation: low EPS and metabolic syndrome

30.

Benjamin, a patient on lithium therapy, has a reported lithium level of 2.8 mEq/L during his routine checkup. Which clinical action is most appropriate based on toxicity thresholds?

a)

Increase dose to improve mood stabilization

b)

Continue dose and recheck level tomorrow

c)

Hold lithium and assess for severe toxicity signs

d)

Administer benzodiazepine for tremor relief