A client and their spouse come to talk with the nurse about their suspicion that the client may have intermittent explosive disorder after researching it on the internet. Which behaviors reported by the spouse indicate that the client may be experiencing this disorder? (Select all that apply.)

The explosive episode does not provide a feeling of relief in the client.

The spouse states that the client is mild-mannered and kind unless this occurs.

After having an explosive anger episode, the client was embarrassed and apologetic.

The client punched a hole in the wall and broke furniture during an episode.

The spouse states that the anger arises from something that is not even a big issue.

Answer and Explanation

Correct Answer : B,D,E

Choice A reason: Not feeling relief after an explosive episode can indicate that the behavior is not a controlled release of tension, which is characteristic of intermittent explosive disorder.

Choice B reason: Being mild-mannered and kind does not necessarily indicate intermittent explosive disorder; this behavior could be part of a normal range of personality traits.

Choice C reason: Feeling embarrassed and apologetic after an episode is common in intermittent explosive disorder, as individuals often regret their actions.

Choice D reason: Physical aggression, such as punching walls and breaking furniture, is a key indicator of intermittent explosive disorder.

Choice E reason: Anger that is disproportionate to the situation, especially over minor issues, is a hallmark of intermittent explosive disorder.

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Correct Answer is C

Explanation

Choice A reason: Informing a therapist about suicidal thoughts is a positive step and indicates good understanding.

Choice B reason: Recognizing the family as a support system shows appropriate understanding of social support in managing somatization disorder.

Choice C reason: This statement indicates a misunderstanding, as caffeine may temporarily alleviate fatigue but does not address the underlying issues of somatization disorder.

Choice D reason: Understanding the need to stop smoking due to its effects on the heart is a correct understanding of managing physical symptoms.

A. Persistently ask the same question until answered. B. Give the client ample time to answer the questions asked. C. Ask simple questions instead of compound questions. D. Provide simple explanations to the client as often as required. E. Take frequent breaks during the interview process.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A reason: Persistently asking the same question can increase agitation in clients with dementia.

Choice B reason: Allowing ample time for responses can reduce pressure and agitation in clients with dementia.

Choice C reason: Simple questions are easier for clients with dementia to understand and respond to.

Choice D reason: Providing simple explanations can help clients with dementia understand the purpose of the questions.

Choice E reason: Taking frequent breaks can help prevent fatigue and agitation during the assessment process.

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A client and their spouse come to talk with the nurse about their suspicion that the client may have intermittent explosive disorder after researching it on the internet. Which behaviors reported by the spouse indicate that the client may be experiencing this disorder? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client about their diagnosis of somatization disorder prior to the termination phase of the nurse-client relationship. Which statement by the client indicates a need for additional teaching?

Correct Answer is C

Explanation

Correct Answer is ["B","C","D","E"]

Explanation

The nurse is providing a high-school prevention program for adolescents and parents about eating disorders. Which important preventative measures will the nurse educate the group regarding? (Select all that apply.)

A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?

A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?

A nurse is planning discharge for a client who has borderline personality disorder. Which of the following interventions should be included for this client?

Which is a psychosocial explanation for the development of personality disorders?

A client began taking lithium for the treatment of bipolar disorder approximately one month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing reply?

When a community health nurse arrives at the home of a client diagnosed with Bulimia Nervosa and finds the client unconscious on the floor with a history of using laxatives, what is the most likely cause of the client's current state?

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client engages in constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?