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 ["7.2"]
Explanation
Dopamine infusion calculation:
- Client weight: 176 pounds
- Dopamine dose ordered: 3 mcg/kg/min
- Dopamine concentration: 500 mg in 250 mL
- Conversion factor: 1 mg = 1000 mcg
- 1 kg = 2.2 pounds
Calculations:
- Convert client weight to kg: 176 lbs / 2.2 lbs/kg = 80 kg
- Calculate mcg/min: 3 mcg/kg/min × 80 kg = 240 mcg/min
- Calculate mcg/hr: 240 mcg/min × 60 min/hr = 14400 mcg/hr
- Calculate mL/hr: Dopamine concentration is 2 mg/250 mL, which equals 2000 mcg/mL.
- mL/hr = 14400 mcg/hr / 2000 mcg/mL = 7.2 mL/hr
Answers:
- mcg/min: 240 mcg/min
- mcg/hr: 14400 mcg/hr
- mL/hr: 7.2 mL/hr
Correct Answer is A
Explanation
A. Enoxaparin. Enoxaparin is a low molecular weight heparin used for prophylaxis against DVT. It works by inhibiting clotting factors and is commonly used postoperatively to prevent DVT formation.
B. Alteplase (tPA): Alteplase is a thrombolytic agent used to dissolve clots and is not used for DVT prophylaxis.
C. Warfarin: Warfarin requires monitoring and has a delayed onset, making it less suitable for immediate postoperative DVT prophylaxis.
D. Clopidogrel: Clopidogrel is an antiplatelet agent and is not typically used for DVT prophylaxis postoperatively.
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