Week 4 - test 1

Question 1

Lozzino et. al found that ____% of these clients committed an act of violence. This lesson will discuss ways to recognize and mitigate these risks.

Answer 1

17

Question 2

Anger is unhealthy when it turns into ____________________ (i.e., behaviors meant to threaten or injure another person).

Answer 2

aggression

Question 3

There may be some biological/neurological factors. For example, some evidence suggests that antisocial personality disorder has a strong ______________ basis.

Answer 3

genetic

Question 4

Aggressive behavior contributing factors:
1.
2.
3.
4.
5.

Answer 4

1. biological/neurological
2. role models
3. positive rewards
4. culture
5. environmental (problems in the milieu)

Question 5

____________________ is the best intervention for managing aggression. We want to identify clients who are likely to become aggressive and intervene before the problem occurs. But how do we assess this risk?

Answer 5

prevention

Question 6

Risk for violence assessment include:
1.
2.
3.

Answer 6

1. history (have they committed violence before)
2. Diagnosis ( what’s their illness, it may increase their aggression)
3. Red flags ( do they have prodromal behaviors)

Question 7

The __________ violence checklist is a simple, helpful tool for assessing a client’s likelihood of acting violently

Answer 7

Broset

Question 8

A score of _______ or more on the borset test indicates a high likelihood of aggression within the next 24 hours

Answer 8

two

Question 9

Deescalation techniques:
1. Use a ________, caring voice.
2. Set ____________ and identify consequences.
3. Tell the client you are concerned and would like to ____________ (e.g., “You seem upset, can you tell me what’s going on?”).
4. Seek to ____________________ what is behind the anger/aggression.
5. Reduce _____________________ and loud noise.
6. Respect the client’s personal __________. (“Anger = Distance x 2”)
7. Give the client ______________ (e.g., time out, PRN medication, walk outdoors).
8. Attempt to redirect attention to an ________________ (e.g., eating a snack, soft music,

Answer 9

1. calm
2. limits
3. listen
4. understand
5. stimulation
6. space
7. options
8. activity

Question 10

1. Remember, early detection/prevention is the best intervention.
2. Prodromal behaviors are an emergent problem (i.e., they must not be ignored).
3. Set clear ____________, describe consequences, and always follow through.
4. Avoid ________________ clients that are angry or anxious.
5. Keep a safe distance. (“Anger = Distance x 2”)
6. Ensure no one is blocking the ______________.
7. Help the client find alternative ways of releasing tension (e.g., exercise, punching bag) and expressing anger (e.g., notifying the staff of a concern).
8. Ensure sufficient staff is present; call for help if necessary.
9. Use the __________ restrictive means possible. Offer the client a PRN medication, time out, open seclusion, etc.
10. Debrief after the incident (with staff and the client). This enables the treatment team to improve the quality of future responses. It also can help team members process any negative thoughts or feelings about the situation.

Answer 10

3. limits
4. touching
5. doorway
6. least