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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You have had a gastrointestinal bleed.": While this can cause fatigue due to anemia, it's not directly related to sickle cell anemia.
B. "You have fewer red blood cells." Sickle cell anemia causes chronic hemolysis, leading to anemia and fatigue. The characteristic sickle-shaped cells are less flexible and prone to hemolysis, resulting in fewer functional red blood cells and reduced oxygen-carrying capacity.
C. "You have an autoimmune disease.": Sickle cell anemia is not an autoimmune disorder.
D. "You have a low ferritin level.": Ferritin levels may be affected, but the primary cause of fatigue in sickle cell anemia is anemia itself, not low ferritin.
Correct Answer is C
Explanation
A. Stable employment: Provides stability but does not necessarily prevent crisis during personal or environmental upheaval.
B. Positive coping skills: Mitigates crisis risk but does not eliminate it entirely.
C. History of trauma. Past traumatic experiences can predispose individuals to crisis during similar stressful situations. Previous trauma can lead to heightened stress responses and difficulty coping with subsequent stressors.
D. Strong social support system: Helps buffer stress but does not prevent crisis in all situations.
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