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Worksheets19. Disruptive Behavioral Disorders
Total questions: 30
Worksheet time: 15mins
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?
Impulse control skills
Externalizing behaviors
Internalizing processes
Self-regulation capacity
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?
Antisocial Personality Disorder
Conduct Disorder
Intermittent Explosive Disorder
Oppositional Defiant Disorder
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?
Sustained rage over several hours
Calm dissociation after conflict
Planned retaliatory aggression
Brief violent outbursts of anger
Benjamin is frequently caught breaking windows in his neighborhood and repeatedly vandalizing property. Which behavior pattern most strongly supports a diagnosis of Conduct Disorder?
Short disproportionate anger bursts
Hostile defiance toward authority
Repetitive property destruction acts
Persistent internalizing symptoms
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?
Ensure environmental safety first
Deliver lengthy psychoeducation
Confront inconsistencies forcefully
Apply positive reinforcement immediately
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?
Development of generalized anxiety disorder
Resolution to normal adult behavior
Transition to Intermittent Explosive Disorder
Progression to Antisocial Personality Disorder
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?
Hallucinations, delusions, catatonia
Apathy, anhedonia, psychomotor slowing
Memory loss, rigidity, mutism
Inattention, hyperactivity, impulsivity
Mason is a preschooler who has dyslexia. Which task is he most likely to struggle with?
Solving complex algebraic equations
Composing multi-paragraph essays
Typing with ten-finger proficiency
Learning letters and basic sounds
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?
Social communication deficits and repetitive behaviors
Progressive motor weakness and spasticity
Acute memory loss and fluctuating consciousness
Intermittent psychosis with rapid mood cycling
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.
Level 1: requires support; Level 2: substantial support; Level 3: very substantial support
Level 1: independent living; Level 2: occasional reminders; Level 3: minimal supervision
Level 1: constant supervision; Level 2: rare assistance; Level 3: no support needed
Level 1: crisis-only help; Level 2: therapy optional; Level 3: peer mentoring
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?
Progressive dementia and gait disturbance
Motor and vocal tics, often with ADHD or OCD
Language delay and severe visual impairment
Seizures with chronic gastrointestinal disease
Kai is a child with neurodevelopmental disorders attending school. Which nursing intervention most appropriately supports Kai in the classroom?
Provide unstructured environments with minimal guidance
Use consistent routines and simple, direct instructions
Rely on punishment-based time-outs exclusively
Avoid individualized education plans at school
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?
Gradual onset with steady decline
Progressive personality changes
Acute onset with fluctuating course
Irreversible decline of cognition
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?
Executive function, visuospatial skills, praxis
Orientation, memory, attention, language
Mood, insight, judgment, impulse control
Sleep, appetite, energy, psychomotor speed
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?
Middle-aged adults with chronic illness
Children and other vulnerable groups
Healthy adolescents in school sports
New parents with strong social support
Noah, a patient diagnosed with schizophrenia, becomes increasingly agitated while on the psychiatric unit. What is the nursing priority action?
Begin detailed psychoeducation immediately
Ensure safety and initiate de-escalation
Increase sensory stimulation in the milieu
Challenge delusions using confrontation
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?
Word salad incoherence
Neologisms invention
Clang associations
Echolalia repetition
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?
Tangential thinking
Echolalia repetition
Alogia poverty
Perseveration focus
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?
Emotional reasoning
All-or-nothing thinking
Automatic thoughts
Overgeneralization bias
After starting antipsychotic therapy, Mason keeps pacing around the room and reports an inner sense of restlessness. Which term fits this presentation?
Akathisia restlessness
Anergia low energy
Apathy low interest
Psychomotor agitation
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?
Displacement to safer target
Reaction formation opposite
Rationalization plausible excuse
Projection attributing feelings
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?
Autonomy right to choose
Justice fair treatment
Fidelity faithfulness
Veracity truthfulness
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?
Offer the patient fluids to prevent dehydration from alcohol withdrawal
Reassure the patient that the hallucinations are not real
Move the patient to a room by themselves to calm down
Administer prescribed antipsychotic medication and ensure a safe environment
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?
“Let’s do an activity to get your mind off of that.”
“That sounds frightening. Tell me more about how you’re feeling.”
“Why do you believe that the FBI is tracking you?”
“The FBI does not track people in that way. That is not true.”
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?
PTSD
Dissociative Identity Disorder
Bipolar I Disorder
Schizophrenia
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?
Ask what is causing the anxiety
Administer alprazolam
Stay with the client and speak calmly
Notify the provider shortly and return shortly
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?
MAOIs such as phenelzine and tranylcypromine
SSRIs such as sertraline and citalopram
SNRIs such as venlafaxine and duloxetine
TCAs such as amitriptyline and nortriptyline
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?
Buspirone for non-benzodiazepine anxiolysis
Lorazepam for fewer active metabolites
Alprazolam for quick panic symptom control
Diazepam for rapid GABAergic sedation
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?
Second-generation: higher EPS with minimal NMS risk
First-generation: higher EPS and risk of NMS
Second-generation: no metabolic effects and no EPS
First-generation: low EPS and metabolic syndrome
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?
Increase dose to improve mood stabilization
Continue dose and recheck level tomorrow
Hold lithium and assess for severe toxicity signs
Administer benzodiazepine for tremor relief
