Anger/Agression & Violence Flashcards
What is anger?
Anger is an emotional response to frustration of desires, A threat to one’s needs (emotional or physical), or a challenge.
What is aggression?
An action or behavior that results in verbal or physical attack.
What are the pharmacological intervention’s for a pre-assault stage patient?
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.
What are the pharmacological interventions for an assault stage patient?
Have staff ready to assist you, use atypical antipsychotic, IM injections for treatment of acute symptoms of anger and aggression.
What is the best treatment choices for medications for the aggressive behavior of the patient?
Olanz’apine
Zyprexa
Seclusion and restraint are used when?
Only when there is a clear danger to self or others
To seclude and restrain a patient what is required?
A dr’s order
If a doctor is not present can the nurse still use seclusion and restraint’s?
Yes but the nurse must call the physician immediately after placing the patient in seclusion or Restraints
How is anger a learned response?
Model in the home, Imitate others.
What three areas of the brain contribute to anger?
The limbic system, the amygdala, and the cortex.
How does the limbic system contribute to anger?
Be afraid of triggers agression for survival sake.
How does the amygdala function in anger?
Judges events for potential danger to keep us safe
How does the cortex function and anger?
Helps us decide whether or not to shoot
What is the biological etiology of anger?
Aggression result of decreased transmitter especially serotonin
How do brain abnormalities affect behavior?
They can cause violent behavior
Define IED
Intermittent explosive disorder
What are the two best predictors of violence?
A history of violence and impulse
What is the most important sign proceeding violence?
Hyperactive/agitation
If the patient’s behavior escalates what do you do?
Provide feedback. “You seem very upset”. This allows you to open discussion of the patients feelings.