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."
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3"]
Explanation
Lidocaine infusion calculation:
- Lidocaine dose ordered: 2 mg/min
- Lidocaine concentration: 2 gm in 500 mL
- Conversion factor: 1 mg = 1000 mcg
Calculations:
- Convert Lidocaine dose to mcg/min: 2 mg/min × 1000 mcg/mg = 2000 mcg/min
- Lidocaine concentration is 2 gm in 500 mL, which equals 4000 mcg/mL.
- Calculate mL/hr:
- mL/hr = (2000 mcg/min × 60 min/hr) / 4000 mcg/mL = 3 mL/hr
Answer:
- mL/hr: 3 mL/hr
Correct Answer is D
Explanation
A. The child was not promoted to the next grade: Academic performance alone does not directly correlate with conduct disorder.
B. The child moved to three new homes over a two-year period: Transience can contribute to instability but is not a direct risk factor for conduct disorder.
C. The child's best friend was absent from the child's birthday party: Social relationships are important, but absence from a birthday party is not a significant risk factor for conduct disorder.
D. The child has been raised by a parent who has recurring major depressive disorder. Exposure to parental mental illness, such as major depressive disorder, can create stressful family environments that contribute to the development of conduct disorder.
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