als of comparable age and developmental level (APA, 2000). The disorder typically begins by 8 years of age and usually not later 1. 11. Manifestations associated with ADHD (e.g., attention diffiPredisposing Factorsdisorder.than in girls and is often a developmental antecedent to conduct Oppositional Defithan early adolescence. The disorder is more prevalent in boys Defi 2. The that occurs more frequently than is t ypically obser ved in individu-defiDisorders Usually First Diagnosed in Infancy, Childhood, or Adolescence ant, disobedient, and hostile behavior toward authority fi a. Refer to this section under Conduct Disorder.PhysiologicalPsychosocial a. nedin children with conduct disorder.culties, impulsiveness, and hyperactivity) are very common DSM-IV-TRtrol are issues for parents, or if they exercise authority tal oppositionalism as hostility and a deliberate effort on Theory of Family Dynamics.the part of the child to be in control. If power and con-ents interpret average or increased levels of developmen-the development of oppositional defifor their own needs, a power struggle can be established between the parents and the child that sets the stage for defi ant Disorder nes this disorder as a pattern of negativistic, It is t hought t hat some pa r- ant disorder. gures ●^29 -
2506_Ch02_014-053.indd Sec1:29 2506 Ch 02 014 - 053 .indd 4. Blames others for mistakes and misbehavior. 5. Has poor peer relationships. Common Nursing Diagnoses and Interventions for Clients with Disruptive Behavior Disorders(Interventions are applicable to various health care settings, such as in-patient and partial hospitalization, community outpatient clinic, home health, and private practice.) S 1. Characterized by passive-aggressive behaviors such as stub-Symptomatology 3. In severe cases, there may be elective mutism, enuresis, en- 2. Other symptoms that may be evident are running away, school ec 1 avoidance, school underachievement, temper tantrums, fiignoring the communication of others, and unwillingness to tivism, testing of limits, resistance to directions, deliberately ing, and argumentativeness.copresis, or eating and sleeping problems.bornness, procrastination, disobedience, carelessness, nega-compromise.: 29 (Subjective and Objective Data) ght- 1 10/1/10 9:33:20 AM 0 / 1 / 10 9 : 33 : 20 AM
