ANGER AND AGGRESSION - FINAL EXAM

Question 1

anger

Answer 1

emotional response to frustration, threat or challenge

Question 2

aggression

Answer 2

action or behavior resulting in verbal or physical attack

Question 3

violence

Answer 3

intentional use of force causing harm

Question 4

violence is most frequent in

Answer 4

ED, ICU, geriatric, psych

Question 5

comorbidity

Answer 5

PTSD, substance use, bipolar, chronic illness including hypertension, inflammation, cardio disease

Question 6

risk factors

Answer 6

genetics, brain abnl or TBI, behavioral(learned) and social learning(imitate) theory

Question 7

safety assessment

Answer 7

observe pt mannerisms, stance and verbal ques

Question 8

trauma informed care

Answer 8

explain everything to pt as if everyone has had trauma

Question 9

ensuring safety

Answer 9

avoid wearing dangling items, dont stand in front of pt or door, know layout, ensure extra staff, have one person talk to, avoid confrontation, provide feedback

Question 10

manage escalating pt

Answer 10

consider behaviors that cause harm to self and others, avoid over and under reaction, asses acting out

Question 11

proxemics

Answer 11

observant, avoid aggressive positioning/hand placement, personal space, communication

Question 12

deescalation techniques

Answer 12

maintain vigilance, calm and non judgemental, simple communication, eye contact, person space, silence, remove audience, limit setting, DONT argue

Question 13

seclusion

Answer 13

involuntary confinement preventing pt from leaving that requires doctor orderr

Question 14

restraints

Answer 14

immobilizing and restricting movement that requires doctors order

Question 15

manual restraints

Answer 15

holding someone down

Question 16

mechanical restraints = B52

Answer 16

diphenhydramine 50mg, haloperidol 5 mg, lorazepam 2 mg PO or IM, always offer PO first

Question 17

physical 4 point restraints

Answer 17

never tie to movable piece and get 2 fingers underneath, must sit with pt entire time and check q 15 mins for circulation, movement, and skin integrity

Question 18

order renewal for restraints

Answer 18

4 hrs for 18 and up, 2 hrs for 9-17, 1 hr for under 9

Question 19

documenting restraints

Answer 19

incident, alternatives, least restrictive method, rational, explanation, behaviors, treatment plan, understand behaviors and cause

Question 20

discontinuation of restraints

Answer 20

must meet least restrict mean and when behavior subsides

Question 21

alternative to restraint

Answer 21

increase staff, verbal deescalation, relaxation techniques, meds, decrease stimuli

Question 22

pt debrief

Answer 22

situation, past behavior, triggers, staff involvement, consequences

Question 23

debrief staff

Answer 23

interventions, safety, prevention, types of restraints, feedback

Question 24

death reporting requirements

Answer 24

death occurs in restraints, 24 hrs after removal, 1 wk after restraints