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Exam #4 - Anger, Aggression and Violence

How is passive behavior described? Flight coping
How is aggressive behavior described? Fight coping
What is the best form of communication? Assertive behavior
What part of the brain is impacted by aggressive behavior? The frontal lobe; limbic system (amygdala)
What is the best predictor of aggressive behavior? A history of violent behavior
How is early identification of aggression achieved? Any change in the person's behavior could be a sign that the person is getting anxious
What is the first sign that aggression may occur? Anxiety is the first sign we may see
What changes in level of consciousness may point toward possible aggression? Confusion and disorientation
What kind of expression is involved in cathartic activities? Emotional expression...journaling, talking
What three characteristics are there for limit setting? Clear, provide two choices, and enforceable
What antianxiety medications are often used for ACUTE anxiety and agitation? Benzodiazepines; PRN
What medications are used to treat LONG-TERM anxiety and agitation? SSRIs for antidepression; Mood stabilizers like Depakote and lithium; taken every day and regularly
When is it appropriate to use seclusion? Only when less restrictive means are not effective
Do you need an order for seclusion? Yes
Can there be PRN orders for seclusion or restraints? No
When can restraints be used? Only when the patient shows imminent danger of hurting self or others
How long does an order for seclusion/restraints usually last? Varies by state, but typically only good for 4 hours; 2 hours or less with 17-year-olds and younger
How often is someone in restraints assessed? Continual assessment, monitoring and re-evaluation
How often does someone in restraints have to be released? Every 2 hours
How often is documentation required for someone in restraints? Every 15 minutes
Created by: ssbourbon