A nurse is interviewing a school-age child who has intermittent explosive disorder (IED). Which of the following behaviors should the nurse expect the client to exhibit?

Lack of remorse for behavior

Mild outbursts with provocation

Blaming others for their behavior

Difficulty coping with stressors

Answer and Explanation

The Correct Answer is A

A. Lack of remorse for behavior. Individuals with IED often have difficulty controlling impulses and may not feel remorseful for their actions. Lack of remorse is a characteristic feature of IED, where aggressive or explosive behaviors are often impulsively driven.

B. Mild outbursts with provocation: IED outbursts are typically disproportionate to the provocation.

C. Blaming others for their behavior: Although not a universal trait, some individuals with IED may shift blame onto others after their aggressive episodes. This behavior can strain relationships and hinder personal growth.

D. Difficulty coping with stressors: IED often involves poor coping mechanisms. Individuals struggle to manage stress, leading to explosive reactions. Their inability to handle stress contributes to the disorder’s severity.

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Correct Answer is B

Explanation

A. "Appearing pleased after an aggressive or impulsive act has not been directly linked to intermittent explosive disorder.": This statement is incorrect because individuals with IED may indeed feel a sense of relief or satisfaction following an outburst.

B. "Appearing pleased after an aggressive or impulsive act can be a sense of relief rather than being happy." This response is appropriate because it acknowledges that the satisfaction or pleasure observed is more likely related to relief from tension rather than genuine happiness.

C. "Appearing pleased after an aggressive or impulsive act is a manifestation of lack of empathy or compassion.": While empathy and compassion can be impaired in some cases of mental health disorders, this statement doesn't directly address the observed behavior in IED.

D. "Appearing pleased after an aggressive or impulsive act is within the control of your child.": This statement oversimplifies the complex nature of IED, which involves difficulties in controlling aggressive impulses.

Correct Answer is ["20"]

Explanation

Heparin infusion calculation:

Heparin dose ordered: 1000 units per hour
Heparin concentration: 25,000 units in 500 mL
Conversion: 1 mL = 500 units

Calculations:

Units per hour = 1000 units
Units per mL = 25,000 units / 500 mL = 50 units/mL
mL per hour = 1000 units / 50 units/mL = 20 mL/hr

Answer: The IV pump should be set to 20 mL/hr.

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A nurse is interviewing a school-age child who has intermittent explosive disorder (IED). Which of the following behaviors should the nurse expect the client to exhibit?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Administer heparin 1000 units per hour IV. The pharmacy supplies the heparin infusion as 25.000 units in 500 mL DSW. What will the IV pump be set to? (Include unit of measure with answer).

Correct Answer is ["20"]

Explanation

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