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 ["B","C","D","E"]

Explanation

A. Client eats red meat daily: Red meat is a good source of iron. Daily consumption of red meat, if tolerated, would be less likely to be a risk factor.

B. Client has had gastric bypass surgery: Gastric bypass surgery can limit iron absorption from food.

C. Client has had treatment for gastrointestinal cancer: Treatments like surgery or radiation can damage the intestines, affecting iron absorption.

D. Client eats mostly prepackaged, processed foods: Processed foods are often low in iron content.

E. Client has ulcerative colitis: Chronic inflammatory bowel conditions like ulcerative colitis can lead to blood loss and iron deficiency. Can lead to malabsorption of nutrients, including iron.

A. Low socioeconomic status B. Inadequate parental education C. Having multiple siblings D. Physical disability of the caregiver

Correct Answer is A

Explanation

A. Low socioeconomic status: Low socioeconomic status can contribute to stressors and lack of resources, increasing the risk of abusive behaviors like shaking. Stressors related to poverty and inadequate support systems can contribute to caregiver frustration and abuse.

B. Inadequate parental education: Education levels can influence parenting practices but are not as directly linked to the physical act of shaking.

C. Having multiple siblings: Having multiple children does not directly increase the risk of shaking unless coupled with other stressors.

D. Physical disability of the caregiver: While disabilities can pose challenges, they do not inherently increase the risk of shaking a child.

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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?

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