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 A
Explanation
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.
Correct Answer is A
Explanation
A. "You will need to use a bathroom separate from other household members." This prevents others from exposure to radioiodine through bodily fluids. Radioiodine is excreted primarily through urine and to a lesser extent through saliva and sweat, necessitating separate bathroom use to minimize radiation exposure to others.
B. "You will need to remain at the hospital for the entire time the radioiodine is radioactive." Most RAI treatments for hyperthyroidism are done on an outpatient basis.
C. "A low fiber diet will be necessary." Unrelated to radioiodine treatment. There is no specific dietary restriction related to fiber for RAI treatment.
D. "Additional Immunizations will be needed for full protection." Not relevant to radioiodine treatment. Radioiodine treatment does not require additional immunizations.
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