Mental health prepu - Chp 19-Anger

An adult client is pacing and yelling. Which of the following is the best response by the nurse? a) "When did these feelings begin?" b) "Why do you feel angry?" c) "With whom are you angry?" d) "What are you doing?"

a) "When did these feelings begin?"

In which phase of the aggression cycle is the client removed from restraint or seclusion as soon as he or she meets the behavioral criteria? a) Postcrisis b) Crisis c) Escalation d) Triggering

a) Postcrisis

The nurse finds that a client with a history of aggressive behavior is restless, is pacing up and down in the hallway, and has clenched fists. The client also talks in a loud voice. What should the nurse interpret from the client's behavior? a) The client is agitated. b) The client is anxious. c) The client is taking a walk. d) The client is depressed.

a) The client is agitated.

The nurse is assessing a client who expresses extreme hostility toward the nurse. What may be the client's intentions? Select all that apply. a) To intimidate the nurse b) To emotionally harm the nurse c) To resolve conflict with the nurse d) To punish the nurse e) To force the nurse into compliance

a) To intimidate the nurse b) To emotionally harm the nurse

Impulsivity and difficulty controlling anger are characteristic of a) Schizophrenia b) Borderline personality disorder c) PTSD d) Depression

b) Borderline personality disorder

Which of the following terms is used to describe an emotion expressed through verbal abuse and violation of rules or norms? a) Anger b) Hostility c) Physical aggression d) Catharsis

b) Hostility

Which of the following personality traits is associated with aggressive behavior? a) Pessimism b) Self-centeredness c) Impulsivity d) Lying

c) Impulsivity

A client tells the nurse that he has strong urges to damage property as a result of his feelings of hositility and anger. Which is an appropriate nursing action? a) Speak to the client in a firm voice. b) Inform the client that restraints may be applied. c) Take the client to the gym for exercise. d) Place the client in a separate room.

c) Take the client to the gym for exercise.

Which of the following describes a strong emotional response to a real or perceived provocation? a) Physical aggression b) Hostility c) Catharsis d) Anger

d) Anger

During which phase of the aggression cycle does the client regain physical and emotional control? a) Triggering b) Postcrisis c) Escalation d) Recovery

d) Recovery

A client visits the clinic and tells the nurse that no matter how difficult her child acts, the client simply cannot express any anger. The nurse should plan to assess the client for symptoms of ... a) Depression b) Manic behaviors c) Meneire's disease d) Panic disorder

a) Depression

When the client is in restraints or seclusion, which of the following must occur? a) He or she must be monitored continually. b) He or she must be fed at least every 2 hours. c) He or she must be given water at least every 2 hours. d) He or she must be seen by a physician or licensed independent practitioner within the first 3 hours of initiation of seclusion or restraint.

a) He or she must be monitored continually.

Which drug has been effective in treating aggressive clients with bipolar disorders? a) Tegretol b) Depakote c) Clozaril d) Lithium

d) Lithium

A nurse is working with a client on strategies to help disrupt the pattern associated with the escalation of his aggression. Which of the following would the nurse most likely include in the education plan? Select all that apply. a) "Sit down and think about what is happening and how you are feeling." b) "Use a rapid breathing pattern, like panting to help rid you of the feelings." c) "Attempt to do something different, like watch television to help distract you." d) "Try counting to 10 when you begin to have those feelings." e) "Remove yourself from the situation when you start to have the feelings."

c) "Attempt to do something different, like watch television to help distract you." d) "Try counting to 10 when you begin to have those feelings." e) "Remove yourself from the situation when you start to have the feelings."

A nurse is reading a journal article about aggression and violence in health care. Which of the following would the nurse most likely find? a) Clients with psychiatric problems are more violent than other clients. b) Psychiatric nurses are the primary individuals requiring the ability to manage aggression in clients. c) Aggression and violence occur over a wide range of health care settings. d) Assaults by clients toward staff are showing a decrease in incidence.

c) Aggression and violence occur over a wide range of health care settings.

Neurobiologic factors are increasingly being explored as an explanation for aggressive behavior. Which of the following is true? a) Aggressive behavior is associated with clients who later contract Parkinson's disease. b) Temperament theory is one of the leading hypotheses for violent behavior. c) Brain neuroimaging studies show that aggressive behavior is linked to damage of brain structures located in the limbic, frontal, and temporal lobes. d) There have been no links between neurotransmitters and aggression.

c) Brain neuroimaging studies show that aggressive behavior is linked to damage of brain structures located in the limbic, frontal, and temporal lobes.

The nurse is assessing a school-aged children to determine who may be at a risk to develop socially inappropriate behavior. Which children are likely to have impaired impulse control? Select all that apply. a) Children who have poor dietary habits. b) Children who are involved in watching television excessively. c) Children who belong to dysfunctional families. d) Children who get inconsistent responses for their behavior. e) Children who belong to low-income families.

c) Children who belong to dysfunctional families. d) Children who get inconsistent responses for their behavior. e) Children who belong to low-income families.

In which phase of the aggression cycle can techniques of seclusion or restraint be used to deal with the aggression quickly? a) Recovery b) Triggering c) Crisis d) Escalation

c) Crisis

When assessing a client's potential for aggression and violence, which of the following would be most important for the nurse to do? a) Observe the client for nonverbal indicators b) Ask the client about his living situation c) Obtain a thorough client history d) Review the client's use of medications

c) Obtain a thorough client history

A nurse responds to aggressive behavior on the unit, which is influenced by the nurse's ... a) Actions of not responding to the escalating behavior b) Recognition of client acting out c) Own awareness and reaction to aggression d) Losing control and acting defensively

c) Own awareness and reaction to aggression

When assessing a client's anger, which of the following must be assessed first? a) Intensity of the anger b) Manner of anger expression c) Possibility of an underlying disorder d) Extent of problems associated with the anger

c) Possibility of an underlying disorder

A nurse is part of a team developing strategies to help reduce the risk of violence on the mental health unit. Which of the following would the team identify as contributing to the risk for violence? a) Predictable unit activities b) Client involvement in treatment plan c) Rigid unit rules d) Adequate client-to-staff ratios

c) Rigid unit rules

A factor contributing to violence against women varies and can be attributed to a) Increased economic independence b) Women having access to education c) Societal attitudes toward gender and violence d) Ability to control number of pregnancies

c) Societal attitudes toward gender and violence

When describing the psychoanalytic view of aggression and violence, which of the following would the nurse most likely include? a) A learned response to a stimulus b) Interaction of cognition, affect and arousal c) Suppression of instinctual drives d) Way of getting what a person wants

c) Suppression of instinctual drives

The nurse is counseling a client couple who are trying to reconcile and hold their marriage together. During therapy the wife states, "He makes me so mad when he spends all his weekend time with his friends instead of us. He makes me want to hurt him back." Using concepts from assertiveness training and effective communication techniques, the nurse implements which of the following interventions after hearing the wife's remarks? a) Ask the husband to discuss why he spends so much time with his friends b) Ask the wife to provide details about what she means by "all his time." c) Teach the client to make "I" statements. d) Encourage the wife to express exactly what she wants her husband to do on weekends.

c) Teach the client to make "I" statements.

A client with a history of angry outbursts that have caused interpersonal and work problems has been in counseling for several months. The nurse judges the plan of care to be effective when which of the following outcomes is met? a) The client has gained insight into situations that trigger anger. b) The client has increased self-esteem. c) The client can manage aggressive impulses. d) The client reports increased feelings of self-control.

c) The client can manage aggressive impulses.

The nurse is assessing a client with right side paralysis in a healthcare facility. The client becomes increasingly hostile throughout the examination. What does the nurse most likely infer about the client from this behavior? Choose the best answer. a) The client feels extremely lonely. b) The client has autism spectrum disorder. c) The client feels threatened and powerless. d) The client is extremely depressed.

c) The client feels threatened and powerless.

The nurse is caring for a client with aggression disorder. The client has an anger episode and is threatening other clients in the emergency room with a knife. What should be the approach of the nurse in this situation? Select all that apply. a) The nurse should try to grab the knife out of the client's hand. b) The nurse shout remain close to the client. c) The nurse should call for outside assistance. d) The nurse should yell at the client to put the knife down. e) The nurse should attempt to kick the knife out of the client's hand.

c) The nurse should call for outside assistance. e) The nurse should attempt to kick the knife out of the client's hand.

Derrick is a psychiatric-mental health nurse and is considering using restraint and seclusion for a client who is acting out. Which of the following is the primary guideline for the use of restraint and seclusion? a) Use should be limited to times when medications have been unsuccessful in de-escalating a situation. b) Use should be limited to times when a client has demonstrated violence and has inflicted harm to self or others. c) Use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent. d) Use should be limited to emergency situations in which the client is demonstrating a potential to be violent.

c) Use should be limited to emergencies in which the risk of a client physically harming self, staff, or others is imminent.

Which of the following is not a general criterion that characterizes impulse-control disorders? a) Sense of increasing pressure, discomfort, or energy before acting on an impulse b) Inability to control impulses to behave in ways that are harmful toward self or others c) Verbalization of what is causing the impulse to harm someone else prior to doing so d) Sense of excitement, gratification, or tension relief after a violent act

c) Verbalization of what is causing the impulse to harm someone else prior to doing so

Joseph is very manipulative and has pushed the limits since his arrival on your unit. His care plan includes a break for cigarettes every hour during the afternoon if he follows his behavioral plan to attend the morning group on anger management. He asks you, "I couldn't get to my group this morning because I overslept. Can I just this one time go for a cigarette now?" What is the most therapeutic nursing intervention? a) "Well, I know you were tired from last night. You can go at 2 PM." b) "Joe, let's review your care plan and discuss whether or not it needs to be revised." c) "Why do you think you should be allowed to go for a break?" d) "No, Joe. Your plan says that you need to attend that group in order to have cigarette breaks."

d) "No, Joe. Your plan says that you need to attend that group in order to have cigarette breaks."

Seclusion and restraint are nursing interventions to be used for an individual ... a) Observed pacing quickly on the unit b) Refusing to take a PRN medication when offered for agitation c) As an initial consideration to a patient with a history of violence who is shouting at a co-patient d) As a last resort

d) As a last resort

Therapeutic relationship strategies to de-escalate refer to a) Focusing on responsibility on the unit of nursing to control violent outbursts b) Collaborating with the team and family to decide on the most appropriate action c) Allowing other patients on the unit to share their experiences d) Being a client advocate

d) Being a client advocate

Increased activity in which of the following neurotransmitters is implicated in increased impulsivity and violent behavior? a) Acetylcholine b) Serotonin c) Epinephrine d) Dopamine

d) Dopamine

A client with aggressive behavior shows no psychotic symptoms. Which drug should the nurse expect to be ordered for this client? a) Valproate (Depakote) b) Haloperidol (Haldol) c) Carbamazepine (Tegretol) d) Lorazepam (Ativan)

d) Lorazepam (Ativan)

A client is diagnosed with intermittent explosive disorder. The nurse understands that this disorder is associated with which neurotransmitter? a) Dopamine b) Norepinephrine c) GABA d) Serotonin

d) Serotonin

The nurse is reviewing the medical history of an extremely agitated client. The nurse has not yet met the client and the history contains previous use of a benzodiazepine to relieve aggression. What might the nurse interpret from this information? a) The client is an adolescent with conduct disorder. b) The client is a middle-aged adult with brain injury. c) The client is a child with mental retardation. d) The client is an older adult with dementia.

d) The client is an older adult with dementia.

One method Freud used to treat individuals who were aggressive was ... a) confrontation of irrational beliefs. b) changing the client's personality traits. c) behavior modification. d) catharsis and expressing emotions.

d) catharsis and expressing emotions.

The nurse is orienting a new staff member in an inpatient mental health unit when a client begins to act in a violent manner. The nurse should explain to the new staff member that some clients use violence and aggression to a) practice assertiveness skills. b) be placed in their rooms by themselves. c) relive their childhood experiences. d) get what they want.

d) get what they want.

The nurse is assessing a group of clients on an inpatient psychiatric unit. The nurse determines that a client most likely to be violent is the client with ... a) somatoform disorder. b) panic disorder. c) generalized anxiety disorder. d) previous episodes of rage.

d) previous episodes of rage.

A nurse is leading an anger management group in the inpatient program. Mark says during the group, "I'm feeling really tense, and I'm fidgety today." What is the nurse's most appropriate response to Mark? a) "Mark, tell us more about those feelings, and what they are like." b) "Susan, how do you feel about Mark's statement?" c) "Mark, why don't you and I just do a very quick relaxation intervention to calm you down before we go on with group today?" d) "Could it be that it's because we started late, and Susan was late again, which you pointed out yesterday makes you angry?"

a) "Mark, tell us more about those feelings, and what they are like."

Which clients in the psychiatric in-patient unit should the nurse watch closely for risk of aggressive behavior? Select all that apply. a) A client with a history of substance abuse. b) A client with a history of violence. c) A client with history of being personally victimized. d) A client with history of obsessive compulsive disorder. e) A client with history of depression.

a) A client with a history of substance abuse. b) A client with a history of violence. c) A client with history of being personally victimized.

When communicating with a client in the triggering phase of the aggression cycle, the nurse should ... a) Allow the client to take a "time out" in a quiet area b) Help the client relax and return a calmer state c) Suggest that the client is still in control and can maintain that control d) Use seclusion or restraint

a) Allow the client to take a "time out" in a quiet area

The nurse is teaching a group of clients in a juvenile detention center about anger management and the positive effects of anger, if handled appropriately What advantages as explained by the nurse, may be helpful to the clients? Select all that apply. a) Anger helps in resolving conflicts. b) Anger helps in increasing relaxation. c) Anger helps in decision making. d) Anger helps in improving emotional stability. e) Anger helps to focus attention.

a) Anger helps in resolving conflicts. c) Anger helps in decision making. e) Anger helps to focus attention.

The nurse is assessing a child who is extremely agitated. The client's medical records include a prescription for lithium. Which are potential comorbid mental illnesses in this child? Select all that apply. a) Conduct disorder b) Brain injury c) Bipolar mood disorder d) Dementia e) Mental retardation

a) Conduct disorder c) Bipolar mood disorder e) Mental retardation

A nurse is conducting an in-service program about anger, aggression and violence for a group of staff nurses. When describing the general aggression model, the nurse addresses situational factors. Which of the following would the nurse include? Select all that apply. a) Insults or slights involved in the aggression b) Emotions involved with the behavior c) Personality traits of the individual d) Cues triggering memories of similar situations e) Moods associated with the behavior

a) Insults or slights involved in the aggression d) Cues triggering memories of similar situations

A nurse must assess for characteristics that are predictive of violent behavior. Research suggests violent behavior is influenced by ... a) Low self-esteem b) Mindfulness c) Therapeutic relationship d) Assertive behavior

a) Low self-esteem

All of the following groups of children are at increased risk for failing to develop socially appropriate behavior except children a) Of higher socioeconomic status b) Whose families are of lower socioeconomic status c) Who receive inconsistent responses to their behavior d) In dysfunctional families with poor parenting

a) Of higher socioeconomic status

An aggressive client is holding a weapon, and threatening to harm other clients in the unit. How should the nurse handle this situation? a) Shield oneself with a pillow b) Reach out for the client's knife c) Instruct the client to put the knife down d) Try to subdue the client

a) Shield oneself with a pillow

While interacting with a client experiencing aggression, which of the following client assessments would lead the nurse to suspect that an episode of aggression is about to occur? Select all that apply. a) Staring in an intimidating fashion b) Mumbling c) Using sarcastic comments d) Pacing e) Speaking slowly and unhurriedly

a) Staring in an intimidating fashion b) Mumbling c) Using sarcastic comments d) Pacing

An aggressive client gets hold of a glass piece and prevents anybody from entering the room. What interventions should the nurse perform to ensure safety of the client, staff and other clients? Select all that apply. a) Summon help from others b) Try to talk down the client c) Shift other clients to safe place d) Remove glass piece from client e) Leave the area immediately

a) Summon help from others c) Shift other clients to safe place e) Leave the area immediately

A client has recovered from an episode of aggressive and hostile behavior. Which behaviors in the client indicate that the client is in the post-crisis stage of the aggression cycle? Select all that apply. a) The client apologizes for the hostile behavior. b) The client remains withdrawn from others. c) The client is irritable and paces restlessly. d) The client cries and is remorseful for the event. e) The client talks to others in a loud voice.

a) The client apologizes for the hostile behavior. b) The client remains withdrawn from others. d) The client cries and is remorseful for the event.

A nurse is assessing a Korean client. The caregiver of the client tells the nurse that the client had been diagnosed with Hwa-Byung by their local health-care provider. What should the nurse interpret from this? a) The client had health-related complaints due to suppression of anger. b) The client had intermittent episodes of anger outbursts. c) The client had somatization disorder. d) The client had paranoid delusions and hallucinations.

a) The client had health-related complaints due to suppression of anger.

The nurse is assessing a client with aggressive behavior disorder. While speaking to the client, the nurse finds that the client is becoming increasingly agitated. Which behavioral signs might have indicated this to the nurse? Select all that apply. a) The client is pacing back and forth rapidly. b) The client is clenching fists. c) The client is speaking in a firm tone of voice. d) The client is crying loudly. e) The client is frowning.

a) The client is pacing back and forth rapidly. b) The client is clenching fists. e) The client is frowning.

A nurse is assessing a client who is angry and notes that the client expresses his anger outwardly in an unhealthy manner. Which behaviors would the nurse most likely observe? Select all that apply. a) Using profanity b) Yelling nasty things c) Using "I" language to describe feelings d) Sulking and pouting e) Withdrawing from others when angry

a) Using profanity b) Yelling nasty things

Under which circumstances can assertive expression of anger be considered a normal and healthy reaction? Select all that apply. a) When facing unfair situations. b) When reading online rants. c) To relieve anxiety. d) When personal rights are not respected. e) When realistic expectations are not met.

a) When facing unfair situations. d) When personal rights are not respected. e) When realistic expectations are not met.

The nurse working in a psychology clinic finds that suppression of anger is more common in women than in men. What is the possible explanation for such a finding? Choose the best answer. a) Women are expected not to express so-called negative feelings like anger. b) Women are more aware about the health consequences related to inappropriate anger expression. c) Women have a greater threshold for controlling anger. d) Women express sadness instead of anger while facing unjust situations.

a) Women are expected not to express so-called negative feelings like anger.

The nurse is caring for a client hospitalized in an inpatient psychiatric setting for a history of violent behaviors and delusions. The nurse should instruct the client's family that aggression has been linked to low levels of a) serotonin. b) endorphin. c) estrogen. d) acetylcholine.

a) serotonin.

The nurse is teaching effective anger management. The nurse emphasizes the use of assertive sentences while expressing anger. Which are examples of assertive communication? Select all that apply. a) "How can you behave like this to me?" b) "I feel so angry when you disobey me." c) "How dare you not listen to me." d) "You are making me very angry." e) "I am extremely angry at your behavior."

b) "I feel so angry when you disobey me." e) "I am extremely angry at your behavior."

The nurse is caring for a client with a rheumatoid arthritis. Upon entering the client's room, the nurse finds that the client is very angry and is punching pillows to express the anger. What should be the nurse's response to this behavior? Select the best answer. a) "I appreciate that you are expressing anger in an appropriate manner." b) "I think it would be more appropriate to talk out your problem." c) "Please do not damage the hospital's property." d) "I am sure your anger would be reduced by punching the pillows."

b) "I think it would be more appropriate to talk out your problem."

The nurse is caring for a client with aggressive behavior. The client tells the nurse "I am feeling extremely angry. I feel like breaking the windows in here." What would be the most appropriate response of the nurse? a) "You should try punching the pillows, it works." b) "Let's go to the gym and exercise." c) "I think you should sleep now." d) "Go ahead, do whatever you feel like."

b) "Let's go to the gym and exercise."

A new nurse asks the nurse manager about the best intervention to use when trying to de-escalate a potentially violent client. Which response would be most appropriate? a) "Make sure that another colleague knows where you are at all times." b) "What works best is what fits the client and the situation." c) "I've always had good results with medications." d) "You need to confront the client to show you are in charge."

b) "What works best is what fits the client and the situation."

After teaching a class about aggression and violence, the instructor determines that the education was successful when the class states which of the following? a) Violence involves less forceful than aggression. b) All violence is aggressive. c) Aggression is primarily physical. d) Aggression involves behavior directed inwardly.

b) All violence is aggressive.

A client who has a history of hostile behavior appears severely agitated. What interventions should the nurse perform to prevent harm to the client and others? Select all that apply. a) Calm down the client by talking. b) Anticipate the use of sedatives. c) Engage participation in a group activity. d) Make arrangements for possible restraint. e) Obtain orders for seclusion if needed.

b) Anticipate the use of sedatives. d) Make arrangements for possible restraint. e) Obtain orders for seclusion if needed.

Which of the following signs of escalating behaviors, if displayed by a client, require immediate intervention? a) Staring intensely for a long time b) Banging the head against the wall c) Making sarcastic comments d) Using foul language

b) Banging the head against the wall

Which of the following terms is used to describe an activity used to release anger? a) Hostility b) Catharsis c) Anger d) Physical aggression

b) Catharsis

A nurse is assessing a Haitian client. The caregiver of the client tells the nurse that the client is having an episode of Bouffée delirante. What symptoms would the nurse expect to find in this client? Select all that apply. a) Insomnia b) Confusion c) Hallucinations d) Abdominal pain e) Extreme aggression

b) Confusion c) Hallucinations e) Extreme aggression

The nurse is explaining the importance of expressing anger to a client. What should the nurse mention as the possible physical complications associated with suppressing anger? Select all that apply. a) Low self-esteem b) Coronary artery disease c) Depression d) Ulcers e) Migraine headaches

b) Coronary artery disease d) Ulcers e) Migraine headaches

A client has lost emotional and physical control. The client is shouting, screaming, hitting others, and throwing objects. Which phase of the aggression cycle is this client expressing? a) Recovery b) Crisis c) Triggering d) Escalation

b) Crisis

A nurse is preparing a presentation for a group of staff nurses on anger. When describing maladaptive anger, which psychiatric condition would the nurse identify as being linked to this anger? a) Schizophrenia b) Depression c) Obsessive-compulsive disorder d) Anxiety disorder

b) Depression

A nurse assesses a newly admitted patient on the unit. When assessing the patient in detail about his/her past medical history, it is important for the nurse to also explore the patient's a) Delusional content when hospitalized 10 years ago b) Experience of health problems and health professionals c) Preferences of movies that are provided on Thursday nights d) Needs to modify environment to ensure that milieu is achieved

b) Experience of health problems and health professionals

The nurse is caring for a client with depression. The client has an anger episode. What are the possible behaviors expected in this client during and immediately following the episode? Select all that apply. a) Expresses anger by acting out. b) Expresses anger verbally. c) Has paranoid delusions. d) Feels guilty for inappropriate anger reaction. e) Exhibits physical aggression.

b) Expresses anger verbally. d) Feels guilty for inappropriate anger reaction.

A nurse is conducting a class for a local community group about how to deal with anger in constructive ways. When discussing the effects of doing so, which of the following would the nurse include? Select all that apply. a) Reduced self-efficacy b) Improved blood pressure control c) Increased likelihood for weight gain d) A reduction in depressive feelings e) Improved overall health

b) Improved blood pressure control c) Increased likelihood for weight gain e) Improved overall health

After teaching a group of nursing students about anger and aggression, the instructor determines that the education was successful when the students identify which of the following about aggression? a) Aggression involves covert behaviors to hurt or belittle another. b) Instrumental aggression is premeditated. c) It involves the use of strong force or weapons to inflict bodily harm d) All aggression is violent.

b) Instrumental aggression is premeditated.

The nurse has conducted a population-based study and found that most psychiatric health care providers have a notion that dark-skinned clients are more dangerous than light-skinned clients. What problems related to mental health care could African American clients face due to this belief? a) Likely to be sent back home after treatment. b) Likely to experience increased use of restraints. c) Likely to be given lower dosages of antipsychotic medication. d) Likely to be neglected by mental health care professionals.

b) Likely to experience increased use of restraints.

When developing a therapeutic relationship with a client experiencing aggression, which of the following would be most important for the nurse to do first? a) Validate the client's feelings b) Listen to the client c) Set specific limits d) Provide choices

b) Listen to the client

Aggression control can be measured by the nurse's observation of a patient's a) Displaying increasing motor activity b) Showing an increased tolerance for frustration c) Using increased doses of medication to reach a desired effect d) Withholding his or her thoughts and feelings

b) Showing an increased tolerance for frustration

The nurse is planning treatment for a client with aggressive and psychotic behavior. What should be the immediate goals of treatment for this client? Select all that apply. a) The client will demonstrate the ability to exercise internal control over his behavior. b) The client will withhold from harming others or damaging the hospital property. c) The client will not have auditory hallucinations. d) The client will not harm himself. e) The client will demonstrate decreased acting out behavior.

b) The client will withhold from harming others or damaging the hospital property. d) The client will not harm himself. e) The client will demonstrate decreased acting out behavior.

The nurse is assessing an adolescent in a psychiatric facility. The mother tells the nurse that the adolescent has intense sporadic anger episodes. The adolescent becomes angry for petty reasons and starts throwing objects at home. The adolescent also feels guilty and repents for the actions. Based on this history, the would expect the client to be diagnosed with: a) depression. b) intermittent explosive disorder. c) dementia. d) paranoid delusions.

b) intermittent explosive disorder.

The nurse is performing a physical assessment on a 3-year-old client. During the assessment, the child starts screaming and kicking. The nurse suspects this child: a) has intermittent explosive disorder. b) is acting out. c) is extremely depressed. d) has conduct disorder.

b) is acting out.