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. "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.

A. "Take this medication before a meal or several hours after a meal." B. "Take this medication during your morning meal." C. "Take this medication with a full glass of water or fruit juice." D. "Take this medication with high-protein foods."

Correct Answer is A

Explanation

A. "Take this medication before a meal or several hours after a meal." Levothyroxine absorption can be affected by food, so it's generally recommended to take it on an empty stomach to ensure consistent absorption. Food, particularly high-fiber or calcium-rich foods, can interfere with levothyroxine absorption, hence taking it before meals or a few hours after meals helps optimize its effectiveness.

B. "Take this medication during your morning meal.": This may not ensure consistent absorption as food can still interfere with medication absorption.

C. "Take this medication with a full glass of water or fruit juice.": While water is recommended for swallowing pills, it doesn't address timing or food interactions.

D. "Take this medication with high-protein foods.": Protein content in food does not affect levothyroxine absorption directly.

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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

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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?

Correct Answer is A

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.)