Ch 27 Anger, Aggression, and Violence Varcarolis

Which term describes an emotional response to frustration of desires or a challenge? 1. Anger 2. Violence 3. Restraint 4. Aggression

1. Anger

What is the most restrictive method for dealing with an aggressive patient who is out of control? 1. Seclusion 2. A show of force 3. Verbal intervention 4. Antipsychotic medication

1. Seclusion

What is the source of aggression, anger, and violence, according to Menninger? 1. The threatened control over the life of a person 2. Stimulus that is perceived as a threat to oneself 3. The conflict between sexual needs and societal norms 4. Assault to personal values, moral codes, and protective rules

1. The threatened control over the life of a person

Which assessment finding is the best predictor of violence in a newly admitted patient? 1. A family history of bipolar disorder. 2. A recent assault on a drinking companion. 3. A childhood history of being bullied at school. 4. The nurse's subjective feeling that the patient is uncooperative.

2. A recent assault on a drinking companion.

The nurse is studying about the functions of the different parts of the brain. Which area of the brain is associated with aggression? 1. Cochlea 2. Amygdala 3. Carotid body 4. Parotid gland

2. Amygdala

Which nursing diagnosis is the priority when planning care for a patient who displays considerable anger and occasional aggression? 1. Social isolation 2. Risk for other-directed violence 3. Ineffective coping: maladaptive 4. Ineffective coping: overwhelmed

2. Risk for other-directed violence

Which patient is at the highest risk for violence directed at others? 1. The patient who has delusions of grandeur. 2. The patient who has been abusing alcohol all day. 3. The patient who has a history of recurrent severe depression. 4. The patient who has somatic symptoms for which no organic basis is found.

2. The patient who has been abusing alcohol all day.

During the admission assessment, a new patient makes the statements below. Which statement indicates an increased likelihood of violent behavior? 1 "When I get mad it's best to leave me alone for a while." 2 "Sometimes I feel like I'm angry at everything and everybody." 3 "My friends know I will set them straight if they cross me. I've done it many times." 4 "When I was growing up, my parents always said I was their most difficult child to care for."

3 "My friends know I will set them straight if they cross me. I've done it many times."

A patient experiencing manic hyperactivity stands up, glares challengingly at patients and staff, and shouts, "This food is garbage! I'll fight anyone who says it's not!" What is the nurse's most relevant assessment of the patient? 1. Is upset with the quality of the food. 2. Is getting rid of tension in a harmless way. 3. Has a high potential for other-directed violence. 4. Is frustrated by limits imposed by hospitalization.

3. Has a high potential for other-directed violence.

The parent of a hospitalized adolescent enters the inpatient unit yelling, "What is wrong with you people? My daughter cut herself and you let it to happen. I thought my child would be safe here." Select the nurse's appropriate response. 1 "I am sorry your daughter was hurt. We are short staffed today." 2 "It seems like you yell about something every time you come for a visit." 3 "I am unable to answer your question. Your child was assigned to another nurse today." 4 "I can't understand you when your voice is so loud. Let's go to a private area and talk about it."

4 "I can't understand you when your voice is so loud. Let's go to a private area and talk about it."

What is the best definition of anger? 1. Doing intentional harm to others 2. An expression of conflict with others 3. An unhealthy way of releasing anxiety 4. A normal response to a perceived threat

4. A normal response to a perceived threat

Which factor is most likely to contribute to a patient's escalating anger? 1. Watching violence on television 2. Another patient's depressed mood 3. A staff member asking him or her to help another patient 4. A staff member telling him or her that he or she is inappropriate

4. A staff member telling him or her that he or she is inappropriate

An adolescent male is swearing and shouting at his healthcare provider, who refused to give him a pass to leave the unit. Which of the following is true about this behavior? 1. Can be attributed to lack of parental controls applied at an early age 2. May reduce tension and prevent the patient from physically acting out 3. Is acceptable if directed at staff but not when directed at other patients 4. Is a major indicator that the patient may become physically aggressive

4. Is a major indicator that the patient may become physically aggressive