The nurse is planning care for a child who has intermittent explosive disorder (IED). The nurse should identify which of the following goals are appropriate for this client?
(Select All that Apply.)

The child will demonstrate effective problem-solving skills.

The child will acknowledge they have a genetic disorder.

The child will verbalize age-appropriate feelings of self-worth.

The family will be able to express their concerns.

The child will sign a behavior contract.

The child will learn to isolate when feeling angry.

Answer and Explanation

Correct Answer : A,E,F

A. The child will demonstrate effective problem-solving skills. Teaching problem-solving skills can help the child manage triggers and reduce explosive behaviors.

B. The child will acknowledge they have a genetic disorder: This is not directly related to managing IED behaviors.

C. The child will verbalize age-appropriate feelings of self-worth: Important for emotional development but not specific to managing IED.

D. The family will be able to express their concerns: Family involvement is important but not a behavioral goal for the child.

E. The child will sign a behavior contract: A behavior contract can outline expectations and consequences, promoting positive behavior change. This can be part of a behavioral management plan.

F. The child will learn to isolate when feeling angry: Teaching coping skills like isolation can help manage behavior.

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Correct Answer is B

Explanation

A. The use-even one time-of any substance: Too broad and does not specify harm or misuse. Using a prescribed medication once wouldn't necessarily be misuse.

B. The use of a psychoactive compound/drug/substance in an amount or frequency that causes harm to the person or others. Defines misuse as harmful use impacting health or safety. Substance misuse involves using substances in a way that causes harm, which can include physical, psychological, or social consequences.

C. The use of any substance in a manner, situation, amount or frequency that can cause harm to users or to those around them: While this choice highlights potential harm, it lacks specificity regarding psychoactive substances. It’s a broader concept that may include non-psychoactive substances as well.

D. The use of a psychoactive compound/drug/substance that poses hazards to health and impacts all aspects of the client's life: This definition is comprehensive but not as succinct as choice B. It encompasses physical, psychological, and social consequences of substance misuse.

A. "I feel angry when you leave me." B. "I wish you would not make me angry" C. "It makes me angry when you interrupt me." D. "You'd better listen to me."

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.

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The nurse is planning care for a child who has intermittent explosive disorder (IED). The nurse should identify which of the following goals are appropriate for this client? (Select All that Apply.)

Nursing Test Bank

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What is the definition of substance misuse?

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Explanation

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Correct Answer is D

Explanation

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The nurse is planning care for a child who has intermittent explosive disorder (IED). The nurse should identify which of the following goals are appropriate for this client?
(Select All that Apply.)