Presentation is loading. Please wait.

Presentation is loading. Please wait.

Chapter 21 Impulse Control Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Similar presentations


Presentation on theme: "Chapter 21 Impulse Control Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc."— Presentation transcript:

1 Chapter 21 Impulse Control Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

2  Angry and irritable mood  Defiant and vindictive behavior  Experience  Social difficulties  Conflicts with authority figures  Academic problems Oppositional Defiant Disorder 2 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

3  Inability to control aggressive impulses  Adults 18 years or older  Leads to problems with  Interpersonal relationships  Occupational difficulties  Criminal difficulties Intermittent Explosive Disorder 3 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

4  Behavior is usually abnormally aggressive  Rights of others are violated and societal norms or rules are disregarded  Complications  Academic failure, school suspensions and dropouts, juvenile delinquency, drug and alcohol abuse, and juvenile court involvement Conduct Disorder 4 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

5  Childhood-onset conduct disorder  Adolescent-onset conduct disorder  Two problems  Pyromania  Kleptomania Conduct Disorder (Cont.) 5 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

6  Epidemiology  Comorbidity  Etiology  Biologic factors  Psychological factors  Environmental factors Conduct Disorder (Cont.) 6 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

7  Assessment  Suicide risk  Assessment tools  Self assessment  Diagnosis (Table 21-2)  Outcomes identification (Table 21-3) Application of the Nursing Process 7 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

8  Implementation  Psychosocial interventions  Pharmacological interventions  Health teaching and health promotion Nursing Process (Cont.) 8 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

9  Advanced practice interventions  Cognitive-behavioral therapy (CBT)  Psychodynamic psychotherapy  Dialectical behavioral therapy (DBT)  Parent-child interaction therapy (PCIT)  Parent management training (PMT)  Multisystemic therapy (MST) 9 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. Nursing Process (Cont.)

10  Teamwork and safety  Seclusion and restraint  Evaluation 10 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. Nursing Process (Cont.)

11 1.An adolescent with oppositional defiant disorder says, “My therapist doesn’t understand me. I want to see someone else.” Should this client have the option to change therapists? A.Yes B.No C.Not sure Audience Response Questions 11 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

12 2.An adolescent with a conduct disorder is taken to the principal’s office after assaulting and injuring another student. Which comment is this adolescent most likely to make? A.“I lost my temper, but it will not happen again.” B.“I’m sorry and embarrassed that this happened.” C.“I failed my math test, and guess I was just having a bad day.” D.“So what if that kid was hurt? I should have beaten him more.” Audience Response Questions 12 Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.


Download ppt "Chapter 21 Impulse Control Disorders Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc."

Similar presentations


Ads by Google