Anger/Agression & Violence Flashcards

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1
Q

What is anger?

A

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

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2
Q

What is aggression?

A

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

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3
Q

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

A

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.

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4
Q

What are the pharmacological interventions for an assault stage patient?

A

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

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5
Q

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

A

Olanz’apine

Zyprexa

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6
Q

Seclusion and restraint are used when?

A

Only when there is a clear danger to self or others

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7
Q

To seclude and restrain a patient what is required?

A

A dr’s order

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8
Q

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

A

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

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9
Q

How is anger a learned response?

A

Model in the home, Imitate others.

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10
Q

What three areas of the brain contribute to anger?

A

The limbic system, the amygdala, and the cortex.

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11
Q

How does the limbic system contribute to anger?

A

Be afraid of triggers agression for survival sake.

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12
Q

How does the amygdala function in anger?

A

Judges events for potential danger to keep us safe

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13
Q

How does the cortex function and anger?

A

Helps us decide whether or not to shoot

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14
Q

What is the biological etiology of anger?

A

Aggression result of decreased transmitter especially serotonin

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15
Q

How do brain abnormalities affect behavior?

A

They can cause violent behavior

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16
Q

Define IED

A

Intermittent explosive disorder

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17
Q

What are the two best predictors of violence?

A

A history of violence and impulse

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18
Q

What is the most important sign proceeding violence?

A

Hyperactive/agitation

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19
Q

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

A

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

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20
Q

What is the single best predictor of violence?

A

Previous history of violence

21
Q

What is a nursing outcome for aggression?

A

Aggression self control

22
Q

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

A

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.

23
Q

What are intermediate nursing outcomes for the patient with aggression?

A

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

24
Q

Is anger normal?

A

Yes

25
Q

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

A

Oriented person place time and event

26
Q

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

A

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

27
Q

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

A

Validation of the patients emotions.

28
Q

How do you validate the patients emotions?

A
  1. Use the patients name
  2. Repeat some of what patient says focusing on patients feelings.
  3. Let patient tell you more, empathize
29
Q

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

A

Least restrictive method to reduce aggression and prevent violence.

30
Q

Define seclusion.

A

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

31
Q

Define restraints.

A

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

32
Q

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

A

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

33
Q

Define positional asphyxia.

A

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

34
Q

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

A

Children and teens

35
Q

Define post exercise peril.

A

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

36
Q

What is the acronym ENPS used for?

A

Preventing aggression with an upset person who has healthy coping.

37
Q

Defined the acronym ENPS.

A

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

38
Q

What does anger protect us from?

A

Danger

39
Q

Define hostile anger.

A

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

40
Q

What is forgiveness?

A

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

41
Q

What are the four ways of dealing with anger?

A

Aggressive, passive aggressive, nonassertive, assertive.

42
Q

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

A

My needs are most important. (You win)

43
Q

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

A

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

44
Q

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

A

My needs are not important. (Loose)

45
Q

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

A

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

46
Q

Define cognitive restructuring and reframing

A

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

47
Q

Define “I” Messages.

A

Using assertiveness for interpersonal conflict

48
Q

What are DESC Scripps used for?

A

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