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 ["0.25"]
Explanation
Dopamine infusion calculation based on weight and concentration.
- Dopamine dose ordered: 3 mcg/kg/min
- Dopamine concentration: 600 mg in 1000 mL (or 600 mcg/mL)
- Client's weight: 110 pounds (converted to kg: 110 lbs / 2.2 = 50 kg)
Calculations:
- mcg/min = 3 mcg/kg/min × 50 kg = 150 mcg/min
- mcg/hr = 150 mcg/min × 60 min/hr = 9000 mcg/hr
- mL/hr = 150 mcg/min / 600 mcg/mL = 0.25 mL/hr
Answers:
- mcg/min = 150 mcg/min
- mcg/hr = 9000 mcg/hr
- mL/hr = 0.25 mL/hr
Correct Answer is B
Explanation
A. Hypotension: Hyperthyroidism typically causes increased cardiac output and can lead to normal or elevated blood pressure, not hypotension.
B. Tachycardia. Elevated thyroid hormones increase metabolic rate and sympathetic nervous system activity, leading to tachycardia.
C. Slow respiratory rate: There is no direct effect of hyperthyroidism on respiratory rate.
D. Decreased body temperature: Hyperthyroidism is associated with increased metabolism, which can lead to heat intolerance and increased body temperature, not decreased.
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