Anger/Agression & Violence

Question 1

What is anger?

Answer 1

Anger is an emotional response to frustration of desires, A threat to one’s needs (emotional or physical), or a challenge.

Question 2

What is aggression?

Answer 2

An action or behavior that results in verbal or physical attack.

Question 3

What are the pharmacological intervention’s for a pre-assault stage patient?

Answer 3

Identify anxiety and aggression signs early, talk with the patient to help become calmer, if anxiety increases and talking is not effective assess the need for a PRN medication.

Question 4

What are the pharmacological interventions for an assault stage patient?

Answer 4

Have staff ready to assist you, use atypical antipsychotic, IM injections for treatment of acute symptoms of anger and aggression.

Question 5

What is the best treatment choices for medications for the aggressive behavior of the patient?

Answer 5

Olanz’apine

Zyprexa

Question 6

Seclusion and restraint are used when?

Answer 6

Only when there is a clear danger to self or others

Question 7

To seclude and restrain a patient what is required?

Answer 7

A dr’s order

Question 8

If a doctor is not present can the nurse still use seclusion and restraint’s?

Answer 8

Yes but the nurse must call the physician immediately after placing the patient in seclusion or Restraints

Question 9

How is anger a learned response?

Answer 9

Model in the home, Imitate others.

Question 10

What three areas of the brain contribute to anger?

Answer 10

The limbic system, the amygdala, and the cortex.

Question 11

How does the limbic system contribute to anger?

Answer 11

Be afraid of triggers agression for survival sake.

Question 12

How does the amygdala function in anger?

Answer 12

Judges events for potential danger to keep us safe

Question 13

How does the cortex function and anger?

Answer 13

Helps us decide whether or not to shoot

Question 14

What is the biological etiology of anger?

Answer 14

Aggression result of decreased transmitter especially serotonin

Question 15

How do brain abnormalities affect behavior?

Answer 15

They can cause violent behavior

Question 16

Define IED

Answer 16

Intermittent explosive disorder

Question 17

What are the two best predictors of violence?

Answer 17

A history of violence and impulse

Question 18

What is the most important sign proceeding violence?

Answer 18

Hyperactive/agitation

Question 19

If the patient’s behavior escalates what do you do?

Answer 19

Provide feedback. “You seem very upset”. This allows you to open discussion of the patients feelings.

Question 20

What is the single best predictor of violence?

Answer 20

Previous history of violence

Question 21

What is a nursing outcome for aggression?

Answer 21

Aggression self control

Question 22

What are short term nursing outcomes for the patient with aggression?

Answer 22

Identify went angry, express anger verbally and not act out, refrain from physical aggression of person or property, use specific techniques to control anger, identify situations that precipitate anger.

Question 23

What are intermediate nursing outcomes for the patient with aggression?

Answer 23

Upholds contract to restrain aggressive behavior, maintains control without supervision.

Question 24

Is anger normal?

Answer 24

Yes

Question 25

What is the first nursing intervention for clients with cognitive defects such as dementia?

Answer 25

Oriented person place time and event

Question 26

What is the second nursing intervention for clients with cognitive defects such is dementia?

Answer 26

Repeat the clients name don't touch the client offer use of bathroom, don't give client food if they are acting out

Question 27

What is the third nursing intervention for clients with cognitive defects such as dementia?

Answer 27

Validation of the patients emotions.

Question 28

How do you validate the patients emotions?

Answer 28

1. Use the patients name 2. Repeat some of what patient says focusing on patients feelings. 3. Let patient tell you more, empathize

Question 29

What must you try before you secluded and or restrain a patient?

Answer 29

Least restrictive method to reduce aggression and prevent violence.

Question 30

Define seclusion.

Answer 30

Involuntary confinement alone in a room that the patient is physically prevented from leaving.

Question 31

Define restraints.

Answer 31

Any manual method, physical or mechanical device, material, or equipment that restricts freedom of movement; don't remove all restaurants at the same time.

Question 32

What must the patient first do before they are allowed to reintegrate back into the unit after being restrained or secluded?

Answer 32

Reintegration must be gradual the patient must first be able to follow commands and control behavior.

Question 33

Define positional asphyxia.

Answer 33

Inability to breeze, do not put person on abdomen especially a obese or young children because they cannot expand their lung cage.

Question 34

Sudden death from positional asphyxia has occurred in what age groups?

Answer 34

Children and teens

Question 35

Define post exercise peril.

Answer 35

Physiological changes in patient from the struggle may result in cardiac arrhythmias that do not respond to CPR.

Question 36

What is the acronym ENPS used for?

Answer 36

Preventing aggression with an upset person who has healthy coping.

Question 37

Defined the acronym ENPS.

Answer 37

E- empathize N- normalize P- problem solve S- set limits if necessary

Question 38

What does anger protect us from?

Answer 38

Danger

Question 39

Define hostile anger.

Answer 39

It is when we hold on to anger and we want revenge.

Question 40

What is forgiveness?

Answer 40

Not forgetting or condoning but choosing not to take revenge and to let it go.

Question 41

What are the four ways of dealing with anger?

Answer 41

Aggressive, passive aggressive, nonassertive, assertive.

Question 42

Give an example of the aggressive way of dealing with anger.

Answer 42

My needs are most important. (You win)

Question 43

Give an example of the passive aggressive way of dealing with anger.

Answer 43

I'll agree but not follow through. (Loose-loose)

Question 44

Give an example of the nonassertive way of dealing with anger.

Answer 44

My needs are not important. (Loose)

Question 45

Give an example of the assertive way of dealing with anger.

Answer 45

Both of our needs are important. (Win-win)

Question 46

Define cognitive restructuring and reframing

Answer 46

Reinterpret behavior by using positive assumptions, it reduces own anger.

Question 47

Define "I" Messages.

Answer 47

Using assertiveness for interpersonal conflict

Question 48

What are DESC Scripps used for?

Answer 48

For interpersonal conflict, never give a consequence it won't carry out.