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Nursing Clinical Decision Making

“Understanding and Treating Disruptive Behavior in a Child with a Traumatic Past: A Case Study”

Mary Rose is nine years old. She is adopted. Her biological mother suffered from depression and her biological father was abusive. Mary Rose was removed from the home at age three, but not before witnessing excessive arguing between her parents, including physical fighting. Mary Rose spent time in foster care before being adopted three years ago. She has had difficulty adjusting to her new family and school. She initiates fights with her classmates and seems to enjoy intimidating them. She takes others’ possessions and destroys them just for fun. Last week she rode her bicycle outside of her neighborhood and was gone for three hours. She lied to her parents about where she had been and couldn’t understand why they were worried about her.
Concept Map Information
What is the Main diagnosis for Mary Rose? 
What are the Key symptoms?
What differential diagnoses did you consider and why? 
What is your treatment recommendation and why? 
What is the Prognosis?
Resources for this activity
What are Disruptive, Impulse Control, and Conduct Disorders?
https://www.psychiatry.org/patients-families/disruptive-impulse-control-and-conduct-disorders/what-are-disruptive-impulse-control-and-conduct-disorders
Disruptive, impulse control, and conduct disorders
https://youtu.be/XH46Nm1QOcg