Module 2- Anger, Hostility And Agression Flashcards
Acting out
An immature defense mechanism by which the person deals with emotional conflicts or stressors through actions rather than through reflection of feelings
Anger
A normal human emotion involving a strong, uncomfortable, emotional response to a real or perceived provocation
Catharsis
Activities that are supposed to provide a release for strong feelings such as anger, or rage
Hostility
An emotion expressed through verbal abuse, lack of cooperation, violation of rules or norms, or threatening behavior; also called verbal agression
Impulse Control
The ability to delay gratification and to think about ones behavior before acting
Physical Agression
Behavior in which a person attacks or injures another person or that involves destruction of property
Aggressive Incident Phases
Triggering Phase Escalation Phase Crisis Phase Recovery Phase Post Crisis Phase
Triggering Phase
An event or circumstance in the environment that initiates the clients response, which is often anger or hostility.
S/S: Restlessness, anxiety, irritability, pacing, muscle tension, rapid breathing, perspiration, loud voice, anger
Escalation
The clients responses represent escalating behaviors that indicate movement toward loss of control
S/S: Pale or flushed face, yelling, swearing, agitation, threatening, demanding, clenched fists, threatening gestures, hostility, loss of ability to solve the problem or think clearly.
Crisis
During an emotional and physical crisis, the client loses control
S/S: Loss of emotional or physical control, throwing objects, kicking, hitting, spitting, biting, scratching, shrieking, screaming, inability to communicate clearly
Recovery
The client regains physical and emotional control
S/S: Lowering of voice, decreased muscle tension, clearer more rational communication, physical relaxation
Post Crisis
The client attempts to reconciliation with others and returns to the level of functioning before the aggressive incident and its antecedents
S/S: Remorse, apologies, crying, quiet, withdrawn behavior
Nursing Process: Assessment
Factor influencing aggression
Past history (how did patient handle)
Determine what phase of aggression cycle patient is in
What is patient saying
Changes in voice, volume, pitch, speed
Changes in facial expression
Nursing Process: Interventions
Most effective, least restrictive when implemented early in cycle of aggression
Environmental Management:
Planning activities
Environmental Discussions
Scheduled one to one interactions
Assistance with problem solving and conflict
resolution
Safety of other patientsNursing Process: Triggering Phase
Approach in nonthreatening, calm manner Convey empathy, listen Encourage verbal expression of feelings Suggest patient go to a quieter area Use PRN medications Suggest physical activity such as walking
