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 A

Explanation

A. Lethality of the method and availability of means. Assessing the method and means helps determine the immediacy and seriousness of the threat. Knowing the lethality of the method and whether the means are readily available informs the level of intervention needed to keep the client safe.

B. Client's educational and economic background: While socioeconomic factors can influence mental health, they are not immediate priorities in a suicidal crisis.

C. Client's insight into the reasons for the decision: Insight is important for understanding motivations but is secondary to immediate safety concerns.

D. Quality of the client's social support: Social support is crucial but is secondary to assessing imminent risk of harm.

A. Decreased thyrotropin receptor antibodies B. Decreased free thyroxine index C. Decreased triiodothyronine D. Decreased thyroid-stimulating hormone (TSH)

Correct Answer is D

Explanation

A. Decreased thyrotropin receptor antibodies: Graves' disease is characterized by the presence of thyrotropin receptor antibodies, so they are typically increased, not decreased.

B. Decreased free thyroxine index: Graves' disease typically results in increased levels of thyroid hormones, not decreased.

C. Decreased triiodothyronine: T3 levels may be elevated in Graves' disease due to increased thyroid hormone production.

D. Decreased thyroid-stimulating hormone (TSH): Graves' disease causes excessive thyroid hormone production, leading to suppressed TSH levels. TSH is typically low in hyperthyroidism because the thyroid gland is overactive and not being stimulated by the pituitary gland.

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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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