Mental Health- Ch. 11- Anger, Hostility, and Aggression

which of the following is an example of assertive communication? -"I wish you would stop making me angry." -"I feel angry when you walk away when I'm talking." -"You never listen to me when I'm talking." -"You make me angry when you interrupt me."

"I feel angry when you walk away when I'm talking"

which of the following terms is used to describe an activity used to release anger? -physical aggression -hostility -catharsis -anger

-catharsis -catharsis includes activities that provide a release of the anger. Hostility is an emotion expressed through verbal abuse, lack of cooperation, violation of rules or norms, or threatening behavior. Anger is a strong, uncomfortable, emotional response to a real or perceived provocation. Physical aggression is behavior in whcih a person attacks or injures another person or that involves destruction of property

in which phase of the aggression cycle can techniques of seclusion or restraint be used to heal with the aggression quickly? -crisis -triggering -escalation recovery

-crisis -in the crisis phase, seclusion or restraint may be used to deal with aggression quickly

which phase of the aggression cycle is defined as occuring when an event or circumstance in the enviornment initiates the clients response? -triggering -escalation -recovery -crisis

-triggering -during the triggering phase of the aggression cycle, an event or circumstance in the environment initiates the clients response, which is iften anger or hostility

Which of the following statements about anger is true? -Expressing anger openly and directly usually leads to arguments -Anger results from being frustrated, hurt, or afraid. -Suppressing anger is a sign of maturity -Angry feelings are a negative response to a situation.

Anger results from being frustrated, hurt, or afraid

which meds would be used to treat patients with aggression associated with dementia, psychosis, and personality disorders

Carbamazepine (Tegretol) and Valproate (Depakote)

what describes a strong emotional response to a real or perceived provocation? -hostility -anger -physcial aggression -catharsis

anger

_______ or verbal aggression is an emotion expressed through verbal abuse, lack of cooperation, violation or rules or norms, or threatening behavior.

Hostility

what med has been most effective in treating aggressive clients with bipolar disorder, conduct disorders (in children), and mental retardation.

Lithium

_______aggression is behavior in which a person attacks or injures another person or that involves destruction of property

Physical

when communicating with a client in the triggering phase of the aggression cycle, the nurse should? -suggest that the client is still in control and can maintain that control -use seclusion or restraint -allow the client to take a time-out in a quiet area -help the client relax and return a calmer state

allow the client to take a time-out in a quiet place -during the triggering phase, the nurse should approach the client in a nonthreatening, calm manner in order to de-escalate the lcients emotion and behavior. The nurse can suggest that the client go to a quiet area or may get assistance to move other clients to decrease stimulation

Which of the following types of drugs requires cautious use with potentially aggressive clients? -Antidepressant -Benzodiazepines -SSRI

benzodiazepines -benzodiazepines can reduce irritability and agitation in older adults with dementia, but they can result in the loss of social inhibition for other aggressive clients, thereby increasing rather than reducing their aggression

During the __________phase of aggressive behavior the individual is physically aggressive

crisis

the client loses the ability to perceive events accurately and solve problems as his or her behavior escalates toward which of the following stages? -Recovery -Crisis -Post-crisis -Escalation

crisis

which of the following terms is used to describe an emotion expressed through verbal abuse and violation of rules and norms? -anger -catharsis -hostility -physical aggression

hostility -hostility is an emotion expressed through verbal abuse, lack of cooperation, violation of rules or norms, or threatening behavior. -Anger is a string, uncomfortable, emotional response to a real or perceived provocation -catharsis includes activites that provide a release of anger -physical aggression is behavior in which a person attacks or injures another person or that involves destruction of property

increased activity in which of the following neurotransmitters is implicated in increased impulsivity and violent behavior? -serotonin -dopamine -epinephrine -acetylcholine

dopamine

a client is pacing in the hallway with clenched fists and a flushed face. He is yelling and swearing. Which phase of the aggression cycle is he in? Anger Triggering Escalation Crisis

escalation

intermittent ________ disorder is a rare psychiatric diagnosis characterized by descrete episodes of aggressive impulses that result in serious assaults or destruction of property.

explosive

T/F: acting out is a defense mechanism in which an individual reflects on the feelings that he or she is experiencing

false

T/F: anger is an abnormal emotion and should not be expressed?

false

T/F: most clients with mental illnesses are aggressive

false

structural damage to which of the following lobes of the brain may alter the persons ability to modulate aggression? -parietal -frontal -cerebellum -occipital

frontal -damage to the frontal lobe may alter the persons ability to modulate aggression. Damage to the parietal and occipital lobes and cerebellum do not alter the persons ability to modulate aggression

In learning how to delay gratification, children exhibit _______ control

impulse

which drug has been effective in treating aggessive clients with bipolar disorder? -tegretol -deakote -clozaril -lithium

lithium -Lithium, an anti manic medication, has been effective in treating aggressive client with bipolar disorder

what med is beneficial for patients who are aggressive and agitated without psychotic symptoms

lorazepam (Ativan)

all of the following groups of children are at increased risk for failing to develop socially appropriate behavior except children -of higher socioeconomic status -who receive inconsistent reponses to their behavior -whose families are of lower socioeconomic status -in dysfunctional families with poor parenting

of higher socioeconomic status

clinical manifestations associated with the escalation phse of the aggression cycle include? -remorse, apologies, and withdrawn behavior -pale or flushed face, yelling, swearing -physical relaxation, lowering of the voice, and decreased muscle tension -restlessness, pacing, and anxiety

pale, or flushed face, yelling, swearing -during the escalation phase, the client may have a pale or flushed face, yell, swear, have rapid breathing, and perspire. REmorse, apologies, and withdrawn behavior occur in the postcrisis phase. REstlessness, pacing, and anxiety occur in the triggering phase. Phase relaxation, lowering of the voice and decreased muscle tension occur in the recovery phase.

which of the following terms is used to describe behavior in which a person attacks or injures another person or that involves destruction of property? -hostility -anger -physcial aggression -catharsis

physical aggression

in which of the aggression cycle is the client removed from restraint or seclusion as soon as he or she meets the behavioral criteria? -triggering -crisis -escalation -postcrisis

postcrisis

In which phase of aggression cycle is the client integrated into the milieu? -crisis -post-crisis -triggering -recovery

postcrisis -during the post crisis phase, the client attempts reconciliation with others and returns to the level of functioning before the aggressive incident and its antecedents

during which phase of the aggression cycle does the client regain physical and emotional control? -Recovery -Remission -Crisis -Post-crisis

recovery -during the recovery phase of the aggression cycle, the client regains physical and emotional control. The nurse should help the client relax, sleep, and return to a calmer state

during which phase of the aggression cycle does the staff ususally have a debriefing session? -recovery -escalation -postcrisis -triggering

recovery -during the recovery phase, the staff has a debriefing session to discuss the aggressive episode

during which of the following phases of the aggression cycle does a debriefing session with the staff occur? -triggering -postcrisis -recovery -escalation

recovery -during the recovery phase, the staff usually has a debriefing session to discuss the aggressive episode, how it was handled, what worked well or needed improvement, and how the situation could have been defused more effectively

the client regains physical and emotional control during which phase of the aggression cycle? -triggering -recovery -escalation -crisis

recovery -triggering phase an event or circumstance in the enviornment initiates the client response, which is often anger or hostility -escalation occurs when the clients responses represent escalating behaviors that indicate movement toward a loss of control. -crisis is the period of emotional and physical crisis; the client loses control

low levels of what neurotransmitter may lead to aggressive behavior -dopamine -norepinephrine -serotonin -acetylcholine

serotonin

T /F : catharthis is an emotional release through the engagement in aggressive but safe activites?

true

T/F: a history of victimization increases an individuals likelihood of exhibiting aggressive behavior?

true