{"id":139799,"date":"2024-09-17T17:34:16","date_gmt":"2024-09-17T17:34:16","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=139799"},"modified":"2024-09-17T17:34:18","modified_gmt":"2024-09-17T17:34:18","slug":"a-client-and-their-spouse-come-to-talk-with-the-nurse-about-their-suspicion-that-the-client-may-have-intermittent-explosive-disorder-after-researching-it-on-the-internet","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/17\/a-client-and-their-spouse-come-to-talk-with-the-nurse-about-their-suspicion-that-the-client-may-have-intermittent-explosive-disorder-after-researching-it-on-the-internet\/","title":{"rendered":"A client and their spouse come to talk with the nurse about their suspicion that the client may have intermittent explosive disorder after researching it on the internet."},"content":{"rendered":"\n<p>A client and their spouse come to talk with the nurse about their suspicion that the client may have intermittent explosive disorder after researching it on the internet. Which behaviors reported by the spouse indicate that the client may be experiencing this disorder? (Select all that apply.)<\/p>\n\n\n\n<p>A.<br>The explosive episode does not provide a feeling of relief in the client.<\/p>\n\n\n\n<p>B.<br>The spouse states that the client is mild-mannered and kind unless this occurs.<\/p>\n\n\n\n<p>C.<br>After having an explosive anger episode, the client was embarrassed and apologetic.<\/p>\n\n\n\n<p>D.<br>The client punched a hole in the wall and broke furniture during an episode.<\/p>\n\n\n\n<p>E.<br>The spouse states that the anger arises from something that is not even a big issue.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answers are:<br><strong>B. The spouse states that the client is mild-mannered and kind unless this occurs.<\/strong><br><strong>C. After having an explosive anger episode, the client was embarrassed and apologetic.<\/strong><br><strong>D. The client punched a hole in the wall and broke furniture during an episode.<\/strong><br><strong>E. The spouse states that the anger arises from something that is not even a big issue.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>Intermittent Explosive Disorder (IED) is a psychiatric disorder characterized by sudden and intense episodes of anger or aggression that are out of proportion to the triggering situation. These episodes are typically brief, last for minutes to hours, and are often followed by feelings of remorse, embarrassment, or shame. Individuals with IED may feel extreme frustration or rage, but between episodes, they may appear calm and mild-mannered.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Behavioral Indicators:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mild-Mannered Between Episodes (B):<\/strong> One of the hallmark signs of IED is that individuals are typically calm or even kind when not in the middle of an episode. The fact that the spouse mentions the client is mild-mannered when the explosive anger episodes do not occur supports the possibility of IED. This indicates the episodes are not part of the client&#8217;s baseline behavior but rather abrupt and episodic.<\/li>\n\n\n\n<li><strong>Embarrassment or Apology After an Episode (C):<\/strong> After these outbursts, individuals often feel ashamed, embarrassed, or remorseful. This pattern of apology following an anger episode is common in IED. It reflects the client\u2019s recognition that their reaction was extreme, which further supports the diagnosis.<\/li>\n\n\n\n<li><strong>Violent Outbursts (D):<\/strong> Physical aggression, such as punching walls or breaking objects, is typical of IED. These violent acts are disproportionate to the situation and reflect an inability to control anger.<\/li>\n\n\n\n<li><strong>Anger Over Minor Issues (E):<\/strong> A key feature of IED is the intensity of the emotional outburst in response to seemingly insignificant stimuli. The spouse\u2019s report that the anger arises from minor issues is a red flag for IED. This points to the disproportionate nature of the client&#8217;s anger.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Not Included:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Feeling of Relief (A):<\/strong> This option is incorrect. People with IED often feel a sense of release or tension reduction after the episode. However, the absence of relief is not a diagnostic criterion, making this less relevant in diagnosing IED.<\/li>\n<\/ul>\n\n\n\n<p>By examining these behaviors, the nurse can begin to assess whether IED is a likely diagnosis, which may require further psychiatric evaluation and treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A client and their spouse come to talk with the nurse about their suspicion that the client may have intermittent explosive disorder after researching it on the internet. Which behaviors reported by the spouse indicate that the client may be experiencing this disorder? (Select all that apply.) A.The explosive episode does not provide a feeling [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-139799","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139799","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=139799"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139799\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=139799"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=139799"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=139799"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}