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","C","D","E"]
Explanation
A. Client eats red meat daily: Red meat is a good source of iron. Daily consumption of red meat, if tolerated, would be less likely to be a risk factor.
B. Client has had gastric bypass surgery: Gastric bypass surgery can limit iron absorption from food.
C. Client has had treatment for gastrointestinal cancer: Treatments like surgery or radiation can damage the intestines, affecting iron absorption.
D. Client eats mostly prepackaged, processed foods: Processed foods are often low in iron content.
E. Client has ulcerative colitis: Chronic inflammatory bowel conditions like ulcerative colitis can lead to blood loss and iron deficiency. Can lead to malabsorption of nutrients, including iron.
Correct Answer is B
Explanation
A. The use-even one time-of any substance: Too broad and does not specify harm or misuse. Using a prescribed medication once wouldn't necessarily be misuse.
B. The use of a psychoactive compound/drug/substance in an amount or frequency that causes harm to the person or others. Defines misuse as harmful use impacting health or safety. Substance misuse involves using substances in a way that causes harm, which can include physical, psychological, or social consequences.
C. The use of any substance in a manner, situation, amount or frequency that can cause harm to users or to those around them: While this choice highlights potential harm, it lacks specificity regarding psychoactive substances. It’s a broader concept that may include non-psychoactive substances as well.
D. The use of a psychoactive compound/drug/substance that poses hazards to health and impacts all aspects of the client's life: This definition is comprehensive but not as succinct as choice B. It encompasses physical, psychological, and social consequences of substance misuse.
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