A nurse is discussing the risks associated with untreated disruptive disorders with a client and their family. Which of the following are potential risks of untreated disruptive behavioral disorders? (Select All that Apply.)

Choice A rationale While disruptive behavioral disorders can indirectly lead to stress and unhealthy lifestyle choices which may contribute to hypertension, hypertension itself is not a direct or primary consequence explicitly linked to the psychopathology of these disorders. It's more of a general health risk than a specific risk. Choice B rationale Disruptive behavioral disorders often manifest as difficulties with impulse control, aggression, and defiance of authority. These behaviors significantly impair an individual's ability to adhere to rules, collaborate with colleagues, and manage conflict in a professional setting, making sustained employment extremely challenging. Choice C rationale The impulsivity, emotional dysregulation, and sensation-seeking behaviors often associated with untreated disruptive disorders increase vulnerability to engaging in risky behaviors, including substance use. Substances can be used as maladaptive coping mechanisms for underlying distress or as part of a general pattern of disinhibition. Choice D rationale Persistent patterns of rule-breaking, aggression, and antisocial behaviors, which characterize many disruptive behavioral disorders, frequently lead to encounters with law enforcement. This can escalate to arrests, charges, and subsequent legal problems, impacting an individual's freedom and future opportunities. Choice E rationale Untreated disruptive behavioral disorders are frequently comorbid with mood disorders, including depression. The chronic struggles with social relationships, academic or occupational failure, and internal distress stemming from the disorder can significantly contribute to the development or exacerbation of depressive symptoms. Choice F rationale The core features of disruptive disorders, such as anger outbursts, aggression, defiance, and difficulty with empathy, severely impair an individual's ability to form and maintain healthy interpersonal relationships. This often leads to conflict, alienation, and significant strain on family and peer connections.