Try Naxlex NCLEX-RN (Free-Trial)

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Confusion: Not typically associated with iron deficiency anemia.

B. Fatigue. Fatigue is a hallmark symptom due to decreased oxygen-carrying capacity of the blood. Iron is essential for hemoglobin, and without sufficient iron, oxygen delivery to tissues is impaired, leading to fatigue.

C. Pain: Pain is not a typical symptom of iron deficiency anemia.

D. Slurred speech: Neurological symptoms like slurred speech are not typically seen in iron deficiency anemia unless severe.

A. "Exposure to sunlight will help to strengthen your eyes." B. "These are unusual symptoms. I will ask the provider for an ophthalmology referral." C. "Eye drops and dim lighting can improve your symptoms." D. "Surgery will be necessary to correct the damage to your eyes."

Correct Answer is C

Explanation

A. "Exposure to sunlight will help to strengthen your eyes.": Sunlight exposure is not recommended as it can exacerbate symptoms.

B. "These are unusual symptoms. I will ask the provider for an ophthalmology referral.": These symptoms are characteristic of Graves' ophthalmopathy and do not require an immediate referral unless severe.

C. "Eye drops and dim lighting can improve your symptoms." These interventions can help alleviate discomfort associated with dryness and light sensitivity in hyperthyroidism-related eye changes (Graves' ophthalmopathy). Dim lighting reduces glare, which can be uncomfortable for clients with sensitivity to light. Eye drops can provide lubrication for dry eyes.

D. "Surgery will be necessary to correct the damage to your eyes.": Surgery is considered for severe cases or when other treatments fail, not typically as an initial intervention.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client who is newly diagnosed with hyperthyroidism and reports dry eyes and sensitivity to light. The nurse notes that the client's eyes have a bulging appearance. Which of the following should the nurse include in the client's plan of care?

Correct Answer is C

Explanation

Which of the following factors may contribute to an increased risk of suicide?

The nurse in the emergency room is reviewing the health record of a client who is being evaluated for Graves' disease. The nurse should identify which of the following laboratory results is an expected finding?

A nurse is assessing a school-age child who recently loaded a virus onto their teacher's computer after receiving a poor grade on a science project. The child's guardian tells the nurse their child often bullies the other kids at school. Which of the following diagnoses should the nurse expect?

What is the definition of substance misuse?

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

What treatment is commonly used for aggressive behavior disorder?

Administer a continuous Dopamine infusion at 3 mcg/kg/min. The drug is available as 600 mg in 1000 ml of fluid. The client's weight is 110 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include unit of measure with each answer)