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.

Answer and Explanation

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.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: Monitoring the client's weight daily is essential to track progress and adjust treatment plans accordingly.

Choice B reason: Staying with the client during and after meals helps prevent purging behaviors and provides emotional support.

Choice C reason: Providing small, frequent meals can help manage the client's intake without overwhelming them, which is suitable for someone with anorexia nervosa.

Choice D reason: Offering privileges for sustained weight gain can serve as positive reinforcement for healthy behaviors.

Choice E reason: Allowing the client to choose their meals is not recommended as it may lead to the selection of inadequate nutrition, which could hinder recovery.

A. "We will give the client frequent encouragement for eating well and maintaining the client's weight." B. "We will eat our evening meals together with no exceptions." C. "We will negotiate resolutions to family conflicts." D. "We will spend less time discussing troublesome family members."

Correct Answer is B

Explanation

Choice A reason: While encouragement is important, it does not necessarily indicate that the family understands the complexities of anorexia nervosa.

Choice B reason: Eating together can provide support and structure, which are important aspects of recovery in eating disorders.

Choice C reason: While resolving family conflicts is beneficial, it does not directly relate to understanding the eating disorder itself.

Choice D reason: Spending less time discussing troublesome family members does not reflect an understanding of how to support a family member with an eating disorder.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa with a body mass index (BMI) of 17.2. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

The nurse provides education to a client's family about the client's eating disorder, anorexia nervosa. Which statement would indicate that the education was effective?

Correct Answer is B

Explanation

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