A client and their spouse come to talk with the nurse about their suspicion that the client may have intermittent explosive disorder after researching it on the internet. Which behaviors reported by the spouse indicate that the client may be experiencing this disorder? (Select all that apply.)
The explosive episode does not provide a feeling of relief in the client.
The spouse states that the client is mild-mannered and kind unless this occurs.
After having an explosive anger episode, the client was embarrassed and apologetic.
The client punched a hole in the wall and broke furniture during an episode.
The spouse states that the anger arises from something that is not even a big issue.
Correct Answer : B,D,E
Choice A reason: Not feeling relief after an explosive episode can indicate that the behavior is not a controlled release of tension, which is characteristic of intermittent explosive disorder.
Choice B reason: Being mild-mannered and kind does not necessarily indicate intermittent explosive disorder; this behavior could be part of a normal range of personality traits.
Choice C reason: Feeling embarrassed and apologetic after an episode is common in intermittent explosive disorder, as individuals often regret their actions.
Choice D reason: Physical aggression, such as punching walls and breaking furniture, is a key indicator of intermittent explosive disorder.
Choice E reason: Anger that is disproportionate to the situation, especially over minor issues, is a hallmark of intermittent explosive disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E","F"]
Explanation
Choice A reason: Exploring is a therapeutic technique that involves delving into a client's experiences and feelings, which can be beneficial in understanding their perspective.
Choice B reason: Silence can be a therapeutic technique that gives clients space to think and express themselves.
Choice C reason: Voicing doubt can undermine the client's confidence and is not considered a therapeutic response.
Choice D reason: Challenging may confront the client in a non-therapeutic way, potentially leading to defensiveness.
Choice E reason: Disapproving can make clients feel judged and is not conducive to a therapeutic relationship.
Choice F reason: Agreeing may not always be therapeutic as it can prevent clients from exploring all aspects of their issues.
Correct Answer is B
Explanation
Choice A reason: This choice does not typically relate to illness anxiety disorder, as the concern is usually about having an illness, not the aftermath of confirmed physical health issues.
Choice B reason: Constant worry about the undiagnosed presence of an illness is a hallmark of illness anxiety disorder, where individuals are preoccupied with having or acquiring a serious illness despite medical evaluation and reassurance.
Choice C reason: Sudden loss of peripheral sensation is more indicative of a neurological condition rather than illness anxiety disorder.
Choice D reason: An obsession over a fictitious defect in physical appearance is characteristic of body dysmorphic disorder, not illness anxiety disorder.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
