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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Client eats red meat daily: Red meat is a good source of iron. Daily consumption of red meat, if tolerated, would be less likely to be a risk factor.
B. Client has had gastric bypass surgery: Gastric bypass surgery can limit iron absorption from food.
C. Client has had treatment for gastrointestinal cancer: Treatments like surgery or radiation can damage the intestines, affecting iron absorption.
D. Client eats mostly prepackaged, processed foods: Processed foods are often low in iron content.
E. Client has ulcerative colitis: Chronic inflammatory bowel conditions like ulcerative colitis can lead to blood loss and iron deficiency. Can lead to malabsorption of nutrients, including iron.
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.
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