An adolescent client with fetal alcohol syndrome was arrested for assaulting another teenager because the other teenager distracted him and the client missed his bus. The nurse realizes the client's outburst was most likely due to:

Question

1. Fetal alcohol syndrome.
2. Fetal alcohol syndrome and environmental stressor.
3. Dislike of the other teenager.
4. Anger over being distracted.

Answer 1

2. Fetal alcohol syndrome and environmental stressor.

Rationale:
Early brain injury, as with prenatal alcohol exposure, is a risk factor in aggression but is not enough by itself. When the injury is combined with other genetic factors and environmental stressors, impulsiveness and aggression may be triggered. The client's outburst was most likely due to the fetal alcohol syndrome and an environmental stressor. There is not enough information to determine whether the client likes or dislikes the other teenager or if the client was angry because he was distracted.