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
