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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Decreased thyrotropin receptor antibodies: Graves' disease is characterized by the presence of thyrotropin receptor antibodies, so they are typically increased, not decreased.

B. Decreased free thyroxine index: Graves' disease typically results in increased levels of thyroid hormones, not decreased.

C. Decreased triiodothyronine: T3 levels may be elevated in Graves' disease due to increased thyroid hormone production.

D. Decreased thyroid-stimulating hormone (TSH): Graves' disease causes excessive thyroid hormone production, leading to suppressed TSH levels. TSH is typically low in hyperthyroidism because the thyroid gland is overactive and not being stimulated by the pituitary gland.

A. Lack of remorse for behavior B. Mild outbursts with provocation C. Blaming others for their behavior D. Difficulty coping with stressors

Correct Answer is A

Explanation

A. Lack of remorse for behavior. Individuals with IED often have difficulty controlling impulses and may not feel remorseful for their actions. Lack of remorse is a characteristic feature of IED, where aggressive or explosive behaviors are often impulsively driven.

B. Mild outbursts with provocation: IED outbursts are typically disproportionate to the provocation.

C. Blaming others for their behavior: Although not a universal trait, some individuals with IED may shift blame onto others after their aggressive episodes.This behavior can strain relationships and hinder personal growth.

D. Difficulty coping with stressors: IED often involves poor coping mechanisms. Individuals struggle to manage stress, leading to explosive reactions.Their inability to handle stress contributes to the disorder’s severity.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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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.)