Ch 11 Anger Book Key Points

Question 1

Anger, expressed appropriately, can be:

Answer 1

a positive force that helps a person solve problems and make decisions.

Question 2

Hostility, also called ___, is:

Answer 2

verbal aggression, is behavior meant to intimidate or cause emotional harm to another and can lead to physical aggression.

Question 3

Physical aggression is:

Answer 3

behavior meant to harm, punish, or force into compliance another person.

Question 4

Most clients with psychiatric disorders are not ___.

Answer 4

aggressive.

Clients with schizophrenia, bipolar disorder, dementia, head injury, antisocial or borderline personality disorders, or conduct disorder, and those intoxicated with alcohol or other drugs, may be aggressive.

Rarely, clients may be diagnosed with IED.

Question 5

Treatment of aggressive clients often involves:

Answer 5

treating the comorbid psychiatric disorder with mood stabilizers or antipsychotic medications.

Question 6

Assessment and effective intervention with angry or hostile clients can often:

Answer 6

prevent aggressive episodes.

Question 7

Aggressive behavior is less common and less intense on units with:

Answer 7

strong psychiatric leadership, clear staff roles, and planned and adequate events such as staff–client interaction, group interaction, and activities.

Question 8

The nurse must be familiar with the signs, symptoms, and behaviors associated with the:

Answer 8

triggering, escalation, crisis, recovery, and postcrisis phases of the aggression cycle.

Question 9

In the triggering phase, nursing interventions include:

Answer 9

speaking calmly and nonthreateningly, conveying empathy, listening, offering PRN medication, and suggesting retreat to a quiet area.

Question 10

In the escalation phase, interventions include:

Answer 10

using a directive approach;
taking control of the situation;
using a calm, firm voice for giving directions;
directing the client to take a time-out in a quiet place;
offering PRN medication;
and making a “show of force.”

Question 11

In the crisis phase:

Answer 11

experienced, trained staff can use the techniques of seclusion or restraint to deal quickly with the client’s aggression.

Question 12

During the recovery phase interventions include:

Answer 12

helping clients relax, assisting them to regain self-control, and discussing the aggressive event rationally.

Question 13

In the postcrisis phase, the client is:

Answer 13

reintegrated into the milieu.

Question 14

Important self-awareness issues include:

Answer 14

examining how one handles angry feelings and deals with one’s own reactions to angry clients.