Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Mental health exam 2 > Anger, hostility, and aggression > Flashcards

Anger, hostility, and aggression Flashcards

1
Q

Normal human emotion

It is an strong, uncomfortable emotional response to frustration as perceived by the individual.

A

anger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how can anger be positive?

A

It can be positive if there is truly an unfair or wrong situation that needs to be righted.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how can anger be negative?

A

Anger becomes negative when it is denied, suppressed, or expressed inappropriately, such as aggressive behavior.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

alleviate or increase feeling of anger ( hitting a punching bag or yelling is suppose to provide a release, howevermay increase rather then decrease

A

catharsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

An emotion expressed through verbal abuse, lack of co-operation, violation of rules or norms, or threatening behavior; also called verbal aggression

A

hostility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

attack on or injury to another person; destruction of property
*both to harm or punish another person or force into compliance

A

physical aggression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

others are out to get them

A

paranoid delusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

command them to hurt others

A

auditory hallucinations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

emotionally trapped, anger attacks

A

depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

aggressive impulses that result in serious assaults or destruction of property

A

intermittent explosive disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • Possible role of neurotransmitters: decreased serotonin; increased dopamine, norepinephrine
  • Structural damage to limbic system; damage to frontal or temporal lobes
A

Neurobiologic theories

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • Failure to develop impulse control :Children in dysfunctional families with poor parenting, children who receive inconsistent responses to their behavior.
  • Inability to delay gratification :Rejection can lead to anger & aggression when that rejection causes the individual emotional pain or frustration, or is threat to self esteem.
A

Psychosocial theories

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

expressing anger seen as rude or disrespectful in which cultures

A

Asian & American Indian

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Korea-Suppression of anger (fire illness) sighing, abdominal pain insomnia, irritability, anxiety, & depression.

A

Hwa-Byung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

West Africa, Haiti-Sudden outburst of agiated & aggressive behavior, marked confusion, & psychomtor excitement.

A

Bouffee delirante

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Malaysia, Laos, Philippines-Characterized by a period of brooding followed by an outburst of violent, aggressive, or homicidal behavior directed at other people & objects.

A

Amok

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Signs and symptoms of aggression and hostility?

A
  • Hyperactivity such as pacing, restlessness
  • Defensive response when criticized, easily offended
  • Eye contact that is intense, or no eye contact at all
  • Facial expressions, such as frowning or grimacing
  • Body language, such as clenching fist, waving arms
  • Rapid breathing
  • Aggressive postures, such as leaning forward, appearing tense
  • Verbal clues, such as loud, rapid talking
  • Drug or alcohol intoxication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

medication for bipolar and conduct disorders; mental retardation

A

lithium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

medication for dementia, psychosis, personality disorders

A

Carbamazepine or valproate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

medication for dementia, brain injury, mental retardation, personality disorders

A

clozapine (Clozaril), risperidone (Risperdal), and olanzapine (Zyprexa):

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

can reduce irritability and agitation in older adults with dementia

A

benzodiazepines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

decrease agitation or aggression and psychotic symptoms

A

Haloperidol (Haldol) and lorazepam (Ativan)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
  • stooped posture
  • shuffling gait
  • rigidity
  • bradykinesia
  • tremors at rest
  • pill-rolling motion of the hand
A

pseudo-parkinsonism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
  • restless
  • trouble standing still
  • paces the floor
  • feet in constant motion, rocking back and forth
A

akathisia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q
  • facial grimacing
  • involuntary upward eye movement
  • muscle spasms of tongue, face, neck, and back
  • laryngeal spasms
A

acute dystonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q
  • protrusion and rolling of the tongue
  • sucking and smacking movements of the lips
  • chewing motion
  • facial dyskinesia
  • involuntary movements of the body and extremities
A

tardive dyskinesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are the five phases of the aggression cycle?

A
  • triggering
  • escalation
  • crisis
  • recovery
  • post crisis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

An event or circumstance in the environment initiates the client’s response, which is often ager or hostility

A

triggering

29
Q

s/s Restlessness, anxiety , irritability, pacing, muscle tension, rapid breathing, perspiration, loud voice, anger

A

triggering

30
Q

The client’s responses represent escalating behaviors that indicate movement toward a loss of control

A

escalation

31
Q

s/s Pale or flushed face, yelling, swearing, agitation, threatening, demanding, clenched fist, threatening gestures, hostility, loss ability to solve the problem or think clearly

A

escalation

32
Q

During an emotional and physical crisis, the client loses control

A

crisis

33
Q

s/s: Loss of emotional and physical control, throwing objects, kicking, hitting, spitting, biting, scratching, shrieking, screaming, inability to communicate clearly

A

crisis

34
Q

The client regains physical and emotional control

A

recovery

35
Q

s/s:Lowering of voice; decreased muscle tension; clearer more rational communication; physical relaxation

A

recovery

36
Q

The client attempts reconciliation with others and returns to the level of functioning before the aggressive incident and its antecedents

A

post crisis

37
Q

s/s: Remorse; apologies; crying; quiet; withdraw behavior

A

post crisis

38
Q

What are some interventions for the nurse to implement early in the cycle of aggression?

A
  • Planned activities; informal discussions
  • Scheduled one-to-one interactions (letting patients know what to expect) with enhance patient feeling of security
  • Assistance with problem solving or conflict resolution to avoid expression of anger
  • Safety of other patients who may need protection from the intrusive or threatening demeanor.
39
Q

What are some nursing interventions for the triggering phase?

A
  • Approach in nonthreatening, calm manner
  • Approach clear, simple, short statment
  • Convey empathy; listening
  • Encourage verbal expression of feelings
  • Suggest patient go to a quieter area
  • Use PRN medications
  • Patient is still in control and can maintain that control
  • Suggest physical activity such as walking
40
Q

What are some nursing interventions for the escalation phase?

A
  • Take control; provide directions in firm, calm voice
  • Direct patient to room or quiet area for time-out
  • Offer medication again
  • Let patient know aggression is unacceptable; nurse or staff will help maintain/regain control
  • If ineffective, obtain help from other staff (show of force). Four to six staff members remain ready within sight of the patient, but not as close as primary nurse.
41
Q

What are some nursing interventions for the crisis phase?

A
  • Inform patient that behavior is out of control, and staff is taking control to provide safety and prevent injury
  • Use of restraint or seclusion only if necessary
42
Q

What are some nursing interventions for the post-crisis phase?

A
  • Remove patient from any restraint or seclusion to rejoin milieu.
  • Calmly discuss behavior (no lecturing or chastising); allow patient to return to activities, groups, and so forth.
  • Focus on appropriate expression of feelings, resolution of problems or conflicts in nonaggressive manner.
43
Q

verbal outbursts, physical threats

A

overt actions

44
Q

refusing to perform assigned tasks, uncooperative attitude

A

passive activities

45
Q

wrongful use, maltreatment of another

*****Perpetrator typically someone the person knows

A

abuse

46
Q

spouse battering, neglect and physical, emotional, or sexual abuse of children, elder abuse, marital rape

A

family violence

47
Q
  • tolerate abusive and violent behaviors from relatives that they would never accept from strangers
  • learned pattern of behavior
  • may be perpetuated in generations of families by role modeling & social learning
A

family violence

48
Q

Common characteristics of any type of abuse?

A
  • Social isolation
  • Abuse of power, control
  • Alcohol, other drug abuse
  • Intergenerational transmission process
49
Q

Why battered immigrant women at particular risk for abuse?

A
  • Fear of deportation if she seeks assistance
  • Facing increased legal, social, economic barriers ( unable to gather resources to leave
  • Language barrier may interfere with her ability to call 911
50
Q

The mistreatment, misuse or abuse of one person by another in the context of a close, personal, or committed relationship

A

intimate partner violence

51
Q

name-calling, belittling, screaming, yelling, destroying property, threatening, refusing to speak to or ignoring victim

A

Emotional or psychological: intimate partner violence

52
Q

shoving, pushing, battering, chocking that can result in broken limbs, broken ribs, and internal bleeding

A

physical intimate partner violence

53
Q

Why does intimate partner violence occur?

A

*Abuser’s view of wife as belonging to him; strong feelings of inadequacy, low self-esteem; poor problem-solving and social skills

54
Q

What is the cycle of abuse and violence?

A

Violent episode → honeymoon phase → tension-building → violent episode

55
Q

What is the screening for intimate partner violence?

A

SAFE

  • Stress/safety
  • Afraid/abused
  • Friends/family
  • Emergency plan
56
Q

What are communication strategies for screening for abuse?

A
  • Attitude and Approachability
  • Belief
  • Confidentiality
  • Documentation
  • Encourage
  • Education
  • Respect
  • Recognition
57
Q

Treatment and interventions for intimate partner violence

A
  • Laws related to domestic violence; arrest
  • Restraining order/civil orders of protection
  • Shelters
  • Individual psychotherapy/counseling, group therapy, support and self-help groups
  • Treatment for anxiety/depression
58
Q

How does child abuse occur?

A
  • Minimal parenting knowledge, skills
  • Emotionally immature ( incapable of meeting their own needs, much less those of a child), needy, incapable of meeting own needs
  • View children as property ( Does not value the children as people with rights and feelings.)
  • Cycle of family violence: adults raising children in same way they were raised (adults as victims of abuse frequently abuse their own children)
59
Q

Treatment and interventions for child abuse

A
  • Child safety, well-being a priority
  • Psychiatric evaluation/possible long-term therapy/play therapy (for very young child)
  • Family therapy if reuniting feasible
  • Psychiatric or substance abuse for parents
60
Q

Maltreatment of older adults

  • ***Physical, sexual, psychological abuse, or neglect
  • ***Self-neglect
  • ***Financial exploitation
  • ***Denial of adequate medical treatment
A

elder abuse

61
Q

Why are elders reluctant to report abuse?

A

ear of alternative (nursing home)

62
Q

What does elder abuse present as

A
  • Bruises or fractures
  • Denied eyeglasses, hearing aids, food, medications
  • May be restrained in a bed or chair
63
Q

Pressured or forced sexual contact, uncluding stimulated talk or actions, inappropriate touching or intercourse, incest, human sex trafficking, female genital mutilation, and rape ( forced sexual penetration

A

sexual assault

64
Q

What are the four categories of male rapists?

A
  • Power assertive rapist (30%)
  • Power reassurance or opportunity rapist (30%)
  • Anger retaliation rapist (24%)
  • Anger excitement or sadistic rapist (16%)
65
Q

What psychological problems can occur due to the trauma of rape and sexual assault?

A
  • Fear, helplessness, shock, disbelief, guilt, humiliation, embarrassment
  • Avoidance of places or circumstances of rape; loss of previously pleasurable activities
  • Depression, anxiety, PTSD, sexual dysfunction, insomnia, impaired memory, suicidal thoughts
66
Q

What assessment is done for a rape victim?

A

rape kits, description of what happened, and the facility policy

67
Q

Treatment and interventions of rape

A
  • Immediate support
  • Education (see Box 12.6)
  • Prophylactic treatment of STIs, pregnancy
  • Therapy to restore victim’s sense of control ( Dealings with feelings of guilt, shame, and anger
68
Q

Nursing role in assessing an adult or abuse

A

Ask the questions
Acknowledge the abuse
Validate the woman’s experience
Assess immediate safety
Explore options (engage the person in this process). The decision to act is up to the person.
Refer to violence against women services, at the women’s request
Document the interaction

Mental health exam 2 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions