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A nurse is interviewing a school-age child who has intermittent explosive disorder (IED). Which of the following behaviors should the nurse expect the client to exhibit?
- A. Lack of remorse for behavior
- B. Mild outbursts with provocation
- C. Blaming others for their behavior
- D. Difficulty coping with stressors
Correct Answer: A
Rationale: The correct answer is A: Lack of remorse for behavior. In intermittent explosive disorder (IED), individuals exhibit sudden and intense episodes of aggression or violence. They may act impulsively without considering consequences or feeling remorse afterward. This lack of remorse is a key characteristic of IED, distinguishing it from other behavioral disorders like conduct disorder where remorse might be present. Choices B, C, and D are incorrect because mild outbursts with provocation, blaming others for behavior, and difficulty coping with stressors are not specific to IED but can be seen in various other behavioral disorders or stress-related conditions.
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Give Dobutamine 5.5 mcg/kg/min. The drug is available as 750 mg in 500 ml of fluid. The client weighs 220 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include the unit of measure for each answer).
Correct Answer: 22
Rationale: To calculate mcg/min: 5.5 mcg/kg/min * 220 lb * (1 kg/2.2 lb) = 1,100 mcg/min. To convert mcg/hr: 1,100 mcg/min * 60 min/hr = 66,000 mcg/hr. To find ml/hr: 750 mg / 500 ml = 1.5 mg/ml. 5.5 mcg/kg/min * 220 lb * (1 kg/2.2 lb) = 1,100 mcg/min. 1,100 mcg/min * 60 min/hr = 66,000 mcg/hr. 66,000 mcg/hr / 1,000 = 66 mg/hr. 66 mg/hr / 1.5 mg/ml = 44 ml/hr. Therefore, the correct answer is 22 mcg/min, 66,000 mcg/hr, and 44 ml/hr. Other choices are
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?
- 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: D
Rationale: The correct answer is D, as a child raised by a parent with major depressive disorder is at risk for conduct disorder due to the potential lack of emotional support, inconsistent parenting, and exposure to negative behaviors. This can lead to the child developing conduct issues. Choices A, B, and C do not directly correlate with the development of conduct disorder as they do not involve a significant risk factor like living with a parent with major depressive disorder.
A nurse is planning care for a client who has dependent personality disorder. Which of the following actions should the nurse plan to take?
- A. Monitor the client closely to prevent self-mutilation.
- B. Set limits to prevent exploitation of other clients.
- C. Give positive feedback when the client is assertive with staff or clients.
- D. Discourage flamboyant or seductive behaviors.
Correct Answer: C
Rationale: The correct answer is C: Give positive feedback when the client is assertive with staff or clients. This is because individuals with dependent personality disorder often struggle with low self-esteem and lack of confidence in their own abilities. By providing positive feedback when the client demonstrates assertiveness, the nurse can reinforce and encourage this behavior, ultimately promoting the client's independence and self-confidence.
Choice A is incorrect because monitoring for self-mutilation is more relevant for clients with other mental health disorders such as borderline personality disorder. Choice B is incorrect as setting limits to prevent exploitation is more appropriate for clients with antisocial personality disorder. Choice D is incorrect as discouraging flamboyant or seductive behaviors is more relevant for clients with histrionic personality disorder.
A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)
- A. Impulsive behaviors
- B. Sleeping for long periods of time
- C. Interacting with others in a flirtatious way
- D. Dressing in black or grey clothing
- E. Talking in rapid,continuous speech
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. Impulsive behaviors, interacting flirtatiously, and talking rapidly are classic manifestations of manic behavior in bipolar disorder. Impulsive actions can lead to risky behaviors. Flirtatious interactions are often inappropriate and lack boundaries. Rapid, continuous speech is a hallmark of mania, reflecting racing thoughts and pressured speech. Choices B and D do not align with manic behavior. Sleeping for long periods is more indicative of depression, while dressing in black or grey clothing does not directly correlate with manic episodes.
A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?
- A. Myxedema coma
- B. Goiters
- C. Sjogren's syndrome
- D. Hashimoto's disease
Correct Answer: A
Rationale: The correct answer is A: Myxedema coma. In hypothyroidism, untreated individuals can develop myxedema coma, a severe condition characterized by extreme hypothyroidism leading to decreased mental status, hypothermia, and respiratory depression, which can be fatal if not promptly treated. Myxedema coma is a medical emergency requiring immediate intervention.
B: Goiters are enlarged thyroid glands and are not typically fatal.
C: Sjogren's syndrome is an autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.
D: Hashimoto's disease is an autoimmune condition causing hypothyroidism but does not lead to myxedema coma.