Chapter 24 (MIDTERM)

Question 1

What is a normal human emotion
In response to feeling hurt, fear or vulnerability

Answer 1

Anger

Question 2

Forceful goal directed action that may be verbal or physical

Answer 2

Aggression

Question 3

Offensive, intimidating, malicious, condescending behavior designed to humiliate and terrorize.

Answer 3

Bullying

Question 4

Specific medical and Neuro cognitive disorders can result in aggressive, violent behaviors. What are they?

Answer 4

Brain tumors
Alzheimer’s disease
Delirium
TBI

Question 5

Individuals with a chronic psychotic condition are at higher risk of perpetrating violence. What conditions would make them at higher risk?

Answer 5

Schizophrenia
Mania
Substance use/withdrawal

Question 6

What are some risk factors or violent acts?

Answer 6

SUD or AUD
Male 15-24 yo
Family history of violence

Question 7

What tests can show changes in the brain of the violent individual

Answer 7

MRI
PET scan

Question 8

What has some connection to aggression and violence

Answer 8

Neurotransmitters

Question 9

What has been correlated with impulsive aggression as well as impulsive history of suicide?

Answer 9

Low central serotonin

Question 10

What may enhance vigilance and play a role in impulsivity and episodic violence in humans

Answer 10

Norepinephrine

Question 11

What is the most important predictor or imminent violence?

Answer 11

Hyperactivity
(Restlessness, slamming doors, pacing)

Question 12

When the nurse is about to talk to a violent client what should the nurse consider first

Answer 12

Ensure your safety first

Question 13

Avoid wearing what when talking to a violent patient?

Answer 13

Anything dangling: earrings, necklaces, ponytails, stethoscopes

Question 14

What is involuntary confinement of a person alone in a room or area where the person is prevented from leaving

Answer 14

Seclusion

Question 15

What type of restraints are avoided with an individual with a history of sexual abuse and trauma?

Answer 15

Mechanical restraints

Question 16

In order for a person to be held in seclusion or restraint what is needed?

Answer 16

Verbal, written, or telephone order by the physician

Question 17

Catastrophic reaction is what?

Answer 17

When a patient with a cognitive disorder experienced severe agitation and aggression

Question 18

What medication is often the first choice for acute aggressive episodes?

Answer 18

Benzodiazepine

Question 19

What is a second generation antipsychotic medication for aggressive episodes used in emergency situations?

Answer 19

Ziprasidone (IM administration)
Olanzapine (IM or oral administration)