The nurse is planning care for a child who has intermittent explosive disorder (IED). The nurse should identify which of the following goals are appropriate for this client?
(Select All that Apply.)
The child will demonstrate effective problem-solving skills.
The child will acknowledge they have a genetic disorder.
The child will verbalize age-appropriate feelings of self-worth.
The family will be able to express their concerns.
The child will sign a behavior contract.
The child will learn to isolate when feeling angry.
Correct Answer : A,E,F
A. The child will demonstrate effective problem-solving skills. Teaching problem-solving skills can help the child manage triggers and reduce explosive behaviors.
B. The child will acknowledge they have a genetic disorder: This is not directly related to managing IED behaviors.
C. The child will verbalize age-appropriate feelings of self-worth: Important for emotional development but not specific to managing IED.
D. The family will be able to express their concerns: Family involvement is important but not a behavioral goal for the child.
E. The child will sign a behavior contract: A behavior contract can outline expectations and consequences, promoting positive behavior change. This can be part of a behavioral management plan.
F. The child will learn to isolate when feeling angry: Teaching coping skills like isolation can help manage behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
A. Areas of ecchymosis on the torso. Ecchymosis on the torso, especially in non-ambulatory children, can be concerning for abuse. Unexplained bruises in unusual locations or patterns are red flags for physical abuse.
B. Mismatched clothing: Typically not an indicator of abuse but could suggest neglect.
C. Abrasions on knees: Common in active children and not specific to abuse.
D. Abdominal rebound tenderness: Could indicate abdominal pathology but not necessarily abuse.
E. Round burn marks on forearms: Could suggest burns but not specific to abuse without further context.
Correct Answer is A
Explanation
A. Low socioeconomic status: Low socioeconomic status can contribute to stressors and lack of resources, increasing the risk of abusive behaviors like shaking. Stressors related to poverty and inadequate support systems can contribute to caregiver frustration and abuse.
B. Inadequate parental education: Education levels can influence parenting practices but are not as directly linked to the physical act of shaking.
C. Having multiple siblings: Having multiple children does not directly increase the risk of shaking unless coupled with other stressors.
D. Physical disability of the caregiver: While disabilities can pose challenges, they do not inherently increase the risk of shaking a child.
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