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A nurse is talking with the guardian of a school-aged child recently diagnosed with intermittent explosive disorder (IED). The guardian says. "My child is impulsive, acts out aggressively, and then seems pleased with themselves. How can my child be happy?" Which of the following responses should the nurse make?

"Appearing pleased after an aggressive or impulsive act has not been directly linked to intermittent explosive disorder."

"Appearing pleased after an aggressive or impulsive act can be a sense of relief rather than being happy."

"Appearing pleased after an aggressive or impulsive act is a manifestation of lack of empathy or compassion."

"Appearing pleased after an aggressive or impulsive act is within the control of your child."

Answer and Explanation

The Correct Answer is B

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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Correct Answer is C

Explanation

A. Coma: Possible in severe cases but not universally anticipated.

B. Hypothermia: Incorrect. Thyroid storms typically causes hyperthermia, not hypothermia.

C. Tachycardia. Tachycardia is a hallmark of thyroid storms due to excessive thyroid hormone levels stimulating the heart. Increased metabolic rate and sympathetic activity lead to rapid heart rate.

D. Fruity smelling breath: Not typically associated with thyroid storm.

A. The child was not promoted to the next grade. B. The child moved to three new homes over a two-year period. C. The child's best friend was absent from the child's birthday party. D. The child has been raised by a parent who has recurrent major depressive disorder.

Correct Answer is D

Explanation

A. The child was not promoted to the next grade: Academic performance alone does not directly correlate with conduct disorder.

B. The child moved to three new homes over a two-year period: Transience can contribute to instability but is not a direct risk factor for conduct disorder.

C. The child's best friend was absent from the child's birthday party: Social relationships are important, but absence from a birthday party is not a significant risk factor for conduct disorder.

D. The child has been raised by a parent who has recurring major depressive disorder. Exposure to parental mental illness, such as major depressive disorder, can create stressful family environments that contribute to the development of conduct disorder.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is experiencing a thyroid storm. Which of the following findings should the nurse anticipate?

Correct Answer is C

Explanation

A nurse is assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?

Correct Answer is D

Explanation

Claudette, the nurse, is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication

A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

Which of the following is a warning sign that someone may be at immediate risk for attempting suicide?

A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?

Which of the following is a risk factor for shaken baby syndrome?

The nurse is teaching a client about cellular hypertrophy. Which statement should be included in the teaching?

What treatment is commonly used for aggressive behavior disorder?

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia? (Select All that Apply.)