Anger, Aggression, and Violence Flashcards
Define Anger
an emotional response to frustration of desires, a threat to one’s needs or a challenge
Define Aggression
an action or behavior that results in a verbal or physical attack
Violence
always an objectionable act that involves intentional use of force that results in or has the potential to result in injury to another person
What are the neurotransmitters play a vital role in anger and aggression?
- serotonin
- dopamine
- GABA
What is the emotional center of the brain?
amygdala
What are some Dx for anger or aggression?
- risk for other-directed violence
- risk for self-directed violence
- Ineffective coping
- Stress overload
- impaired impulse control
What are some psychosocial interventions for an agitated or aggressive pt?
- Attempt to determine what the pt is feeling
- If behavior escalates use meds, seclusion, or restraints
- Always stay about 1 ft farther than the pt can reach with arms or legs
- Talk slowly in short sentences using a low and calm voice
What are the 3 meds given during aggressive or violent incidents?
- Haldol- delusional and hallucination
- Ativan- agitation
- Cogentin or Benadryl- drowsiness
What is the role of a nurse for a pt in recovery?
a role model and educator
When it is important to place a pt in seclusion or on restraints?
only when a pt is DTS, DTO and no less restrictive alt is available
Seclusion
involuntary confinement of a pt alone in a room or area from which the pt is physically prevented from leaving
Restraints
any manual, physical or mechanical device, material or equipment that immobilizes or reduces the ability of a pt to move his or her arms, legs, body or head freely
Do you need a dr’s order to apply restraints or put a pt in seclusion?
not in an emergency situation, the order may be received after the fact
