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. Lethality of the method and availability of means. Assessing the method and means helps determine the immediacy and seriousness of the threat. Knowing the lethality of the method and whether the means are readily available informs the level of intervention needed to keep the client safe.
B. Client's educational and economic background: While socioeconomic factors can influence mental health, they are not immediate priorities in a suicidal crisis.
C. Client's insight into the reasons for the decision: Insight is important for understanding motivations but is secondary to immediate safety concerns.
D. Quality of the client's social support: Social support is crucial but is secondary to assessing imminent risk of harm.
Correct Answer is D
Explanation
A. Mood swings and irritability: These can be symptoms of PTSD, but they are also common in other mental health conditions.
B. Difficulty falling asleep or staying asleep: Sleep disturbances are frequent in PTSD, but not specific to it.
C. Excessive worry and anxiety: Anxiety is a hallmark symptom of PTSD, but it doesn't differentiate PTSD from other anxiety disorders.
D. Flashbacks and intrusive memories are a defining characteristic of PTSD. They involve reliving the traumatic event in a very vivid and distressing way, often involuntarily. This makes them a strong indicator of PTSD.
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