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A nurse is talking with the guardian of a school-aged child recently diagnosed with intermittent explosive disorder (IED). The guardian says. "My child is impulsive, acts out aggressively, and then seems pleased with themselves. How can my child be happy?" Which of the following responses should the nurse make?

"Appearing pleased after an aggressive or impulsive act has not been directly linked to intermittent explosive disorder."

"Appearing pleased after an aggressive or impulsive act can be a sense of relief rather than being happy."

"Appearing pleased after an aggressive or impulsive act is a manifestation of lack of empathy or compassion."

"Appearing pleased after an aggressive or impulsive act is within the control of your child."

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

A. "Take this medication before a meal or several hours after a meal." Levothyroxine absorption can be affected by food, so it's generally recommended to take it on an empty stomach to ensure consistent absorption. Food, particularly high-fiber or calcium-rich foods, can interfere with levothyroxine absorption, hence taking it before meals or a few hours after meals helps optimize its effectiveness.

B. "Take this medication during your morning meal.": This may not ensure consistent absorption as food can still interfere with medication absorption.

C. "Take this medication with a full glass of water or fruit juice.": While water is recommended for swallowing pills, it doesn't address timing or food interactions.

D. "Take this medication with high-protein foods.": Protein content in food does not affect levothyroxine absorption directly.

A. Withdrawing socially from family and friends B. Complaining about feeling great guilt or shame C. Engaging in risky behavior, such as fast driving D. Feeling physical and emotional pain that is unbearable

Correct Answer is D

Explanation

A. Withdrawing socially from family and friends: While social withdrawal can be a sign of depression and potential suicidal thoughts, it doesn't necessarily indicate immediate risk.

B. Complaining about feeling great guilt or shame: Reflects emotional distress but not an immediate risk indicator.

C. Engaging in risky behavior, such as fast driving: Risky behavior can be a sign of self-destructive tendencies, but it doesn't always indicate a suicide attempt.

D. Feeling physical and emotional pain that is unbearable: Feeling unbearable physical and emotional pain is a powerful indicator of desperation and can lead someone to consider suicide as an escape. This intense level of distress suggests a higher risk of immediate action.

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?

Correct Answer is A

Explanation

Which of the following is a warning sign that someone may be at immediate risk for attempting suicide?

Correct Answer is D

Explanation

A nurse has attended an in-service regarding the care of adolescent clients who have behavioral disruptive disorders. Which statement by the nurse indicates an understanding of these disorders?

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