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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A 45-year-old female who has a family history of autoimmune disorders. Autoimmune disorders can increase the risk of some thyroid conditions, but not necessarily hyperthyroidism.
B. A 73-year-old male who has an iodine deficiency: Iodine deficiency can lead to goiter and hypothyroidism but is not a common cause of hyperthyroidism.
C. A 25-year-old female who has metabolic syndrome: Metabolic syndrome is not directly linked to thyroid dysfunction.
D. A 35-year-old male who has Graves' disease: Graves’ disease is an autoimmune disorder that leads to overproduction of thyroid hormones, resulting in hyperthyroidism..
Correct Answer is ["7.2"]
Explanation
Dopamine infusion calculation:
- Client weight: 176 pounds
- Dopamine dose ordered: 3 mcg/kg/min
- Dopamine concentration: 500 mg in 250 mL
- Conversion factor: 1 mg = 1000 mcg
- 1 kg = 2.2 pounds
Calculations:
- Convert client weight to kg: 176 lbs / 2.2 lbs/kg = 80 kg
- Calculate mcg/min: 3 mcg/kg/min × 80 kg = 240 mcg/min
- Calculate mcg/hr: 240 mcg/min × 60 min/hr = 14400 mcg/hr
- Calculate mL/hr: Dopamine concentration is 2 mg/250 mL, which equals 2000 mcg/mL.
- mL/hr = 14400 mcg/hr / 2000 mcg/mL = 7.2 mL/hr
Answers:
- mcg/min: 240 mcg/min
- mcg/hr: 14400 mcg/hr
- mL/hr: 7.2 mL/hr
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