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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. Pernicious anemia: Typically involves vitamin B12 deficiency, not associated with heavy menstrual periods.

B. Folic acid deficiency anemia: Presents with similar symptoms but does not typically cause heavy menstrual bleeding.

C. Iron deficiency anemia. Iron deficiency anemia is characterized by low hemoglobin and hematocrit due to insufficient iron for red blood cell production. Symptoms of weakness, fatigue, and heavy menstrual bleeding are classic signs of iron deficiency anemia, which is confirmed by low hemoglobin and hematocrit levels.

D. Sickle cell anemia: Characterized by sickle-shaped red blood cells and is genetic in nature, not related to heavy menstrual 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

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspects which of the following types of anemia?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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