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 D

Explanation

A. "I feel angry when you leave me." Asserts feelings without blaming or threatening.

B. "I wish you would not make me angry." Implies blame and places responsibility on the other person.

C. "It makes me angry when you interrupt me." Asserts feelings without blaming.

D. "You'd better listen to me." Implies a threat and demands compliance. Aggressive communication involves imposing demands or threats on others.

A. "If you become pregnant, low thyroid hormone levels can affect your developing fetus." B. "Hypothyroidism can cause autoimmune disorders overtime." C. "Low thyroid hormone levels will cause your metabolism to speed up and heart rate to increase." D. "Low blood pressure is usually associated with hypothyroidism."

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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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

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