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 ["22"]
Explanation
Dobutamine infusion calculation:
- Client weight: 220 pounds
- Dobutamine dose ordered: 5.5 mcg/kg/min
- Dobutamine concentration: 750 mg in 500 mL
- Conversion factor: 1 mg = 1000 mcg
- 1 kg = 2.2 pounds
Calculations:
- Convert client weight to kg: 220 lbs / 2.2 lbs/kg = 100 kg
- Calculate mcg/min: 5.5 mcg/kg/min × 100 kg = 550 mcg/min
- Calculate mcg/hr: 550 mcg/min × 60 min/hr = 33000 mcg/hr
- Calculate mL/hr: Dobutamine concentration is 750 mg/500 mL, which equals 1500 mcg/mL.
- mL/hr = 33000 mcg/hr / 1500 mcg/mL = 22 mL/hr
Answers:
- mcg/min: 550 mcg/min
- mcg/hr: 33000 mcg/hr
- mL/hr: 22 mL/hr
Correct Answer is A
Explanation
A. "If you become pregnant, low thyroid hormone levels can affect your developing fetus." Hypothyroidism during pregnancy can lead to developmental issues in the fetus. Adequate thyroid hormone levels are crucial for fetal neurodevelopment and growth.
B. "Hypothyroidism can cause autoimmune disorders over time.": Hypothyroidism itself is often caused by autoimmune disorders like Hashimoto's thyroiditis, not the other way around.
C. "Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase.": This describes hyperthyroidism, not hypothyroidism.
D. "Low blood pressure is usually associated with hypothyroidism.": Hypothyroidism can lead to increased blood pressure, not low blood pressure.
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