Impulse Control Practice Test

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In planning care for a patient with intermittent explosive disorder, which nursing intervention is most appropriate?
Correct Answer:
Establishing a trusting relationship with the patient
Explanation:
Establishing a trusting, therapeutic relationship is crucial because it creates a safe space for the patient to acknowledge anger and triggers without fear of judgment. When trust is present, the patient is more willing to engage in conversation about what sparks explosive episodes, participate in de-escalation techniques, and learn coping strategies for impulse control. This relationship lays the foundation for ongoing assessment of risk, consistent boundary setting, and collaborative safety planning, all of which help prevent harms to self or others. The other options don’t fit the plan as well. A vitamin supplement has no direct effect on impulse control or aggression. Encouraging isolation removes the opportunity to practice coping skills and reduces support, which can worsen regulation of impulses. Providing long periods of unsupervised time increases risk during potential outbursts and misses the chance to supervise, guide, and intervene early.

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