A nurse is interviewing a school-age child who has intermittent explosive disorder (IED). Which of the following behaviors should the nurse expect the client to exhibit?

Lack of remorse for behavior

Mild outbursts with provocation

Blaming others for their behavior

Difficulty coping with stressors

Answer and Explanation

The Correct Answer is A

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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Correct Answer is C

Explanation

A. Xerostomia: Dry mouth, not typically associated with DIC.

B. Bradycardia: Not typically seen in DIC; usually, there is tachycardia due to the underlying condition.

C. Epistaxis. Epistaxis is a common physical finding in DIC due to bleeding tendencies. DIC leads to consumption of clotting factors and platelets, resulting in bleeding manifestations like epistaxis.

D. Hypertension: Hypotension is more common due to widespread clotting and bleeding.

A. "Appearing pleased after an aggressive or impulsive act has not been directly linked to intermittent explosive disorder." B. "Appearing pleased after an aggressive or impulsive act can be a sense of relief rather than being happy." C. "Appearing pleased after an aggressive or impulsive act is a manifestation of lack of empathy or compassion." D. "Appearing pleased after an aggressive or impulsive act is within the control of your child."

Correct Answer is B

Explanation

A. "Appearing pleased after an aggressive or impulsive act has not been directly linked to intermittent explosive disorder.": This statement is incorrect because individuals with IED may indeed feel a sense of relief or satisfaction following an outburst.

B. "Appearing pleased after an aggressive or impulsive act can be a sense of relief rather than being happy." This response is appropriate because it acknowledges that the satisfaction or pleasure observed is more likely related to relief from tension rather than genuine happiness.

C. "Appearing pleased after an aggressive or impulsive act is a manifestation of lack of empathy or compassion.": While empathy and compassion can be impaired in some cases of mental health disorders, this statement doesn't directly address the observed behavior in IED.

D. "Appearing pleased after an aggressive or impulsive act is within the control of your child.": This statement oversimplifies the complex nature of IED, which involves difficulties in controlling aggressive impulses.

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A nurse is interviewing a school-age child who has intermittent explosive disorder (IED). Which of the following behaviors should the nurse expect the client to exhibit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client and suspects the client is experiencing DIC. Which of the following physical findings should the nurse anticipate?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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