Chapter 27

Question 1

Violence is most common on which 3 units?

Answer 1

ER, Psych unit, Geri units

Question 2

What is the single best predictor of future violence?

Answer 2

a history of violence

Question 3

What are the 6 basic considerations for ensuring safety?

Answer 3

1. avoid wearing dangling earrings or necklaces
2. ensure that there is enough staff for backup
3. always know the layout of the area
4. do not stand directly in front of the patient or in front of the doorway
5. if a patient’s behavior escalates provide feedback : “You seem to be very upset”
6. Avoid confrontation w/ patient.

Question 4

List some de-escalation techniques.

Answer 4

maintain the patient’s self-esteem/dignity.
maintain calmness. be assertive but not aggressive. use calm, clear tone of voice. give several options. use a nonaggressive posture. be genuine and empathetic. use verbal and nonverbal communication skills.

Question 5

What are contraindications to seclusion?

Answer 5

pregnancy, COPD, head or spinal injury, seizure disorder, abuse, h/x of surgery or fracture, morbid obesity, sleep apnea

Question 6

What are interventions for patients who have healthy coping strategies?

Answer 6

finding ways to reestablish or substitute similar means of dealing w/ the hospitalization.

Question 7

What are interventions for patients w/ marginal coping skills?

Answer 7

interventions begin w/ attempts to understand and meet the patient’s needs; intervene to reduce anxiety; build rapport

Question 8

What are the 2 most significant predictors of violence?

Answer 8

a history of violence and a history of impulsivity