Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Mental Health
Anger and Aggression: Application of the Nursing Process
| Question | Answer |
|---|---|
| Client expressions of anxiety and of anger generally look | similar |
| Expressions of anxiety and anger both involve: | Increased demands, irritability, frowning, redness of the face, pacing, and twisting of the hands ro clenching and unclenching of the fists, increased or slowed speech. |
| Signs and symptoms that usually precede violence are: | hyperactivity, increasing anxiety and tension,clenched jaw or fist, rigid posture, fixed or tense facial expression, mumbling to self, SOB, sweating and rapid pulse, verbal abuse, loud voice, intense eye contact. |
| Recent acts of violence including property violence could be predictive factors of what? | Violence |
| Milieu characterisitcs conducive to violence are: | Overcrowding, staff inexperience, provocative or controlling staff, poor limit setting, or arbitraty revocation of privileges. |
| The nurse's ability to intervene safely in situations of anger and potential violence depends on the nurse's | self-awareness |
| Without self-awareness, nuring intervention are marked by | Impulsive or emotion-based responses which are generally non therapeutic and may be harmful. |
| Sellf-awareness includes: | Knowledge of personal responses to anger and aggression, choice of words and tone of voice, nonverbal communication via body posture and facial expressions. |
| Self-assessment promotes | calm responses to client anger and potential aggression. |
| A history of violence is the single best predictor of | future violence |
| Clients who are hyperactive, impulsive, or predisposed to irritability are at a higher ridk for | violence |
| Demographic risk factors for violence are: | Male, age 14 to 24, low socioeconomic status, and low support system. |
| Aggression in clients occurs most often in the context of | limit setting by the nurse |
| Clients with a history of limited coping skills, including lack of assertiveness or use of intimidation are athigher risk of | Using violence. |
| When a patient is acutely intoxicated and not amenable to early nursing interventions and the risk for violence arises, what is the primary nursing intervention? | desescalation of anger |
| What are possible means of ensure the safety of clients and staff when the risk for violence arises? | Seclusion, restraint, or psychopharmacological means. |
| What are the stages of the violence cycle? | Preassaultive stage, the assaultive stage, and the postassaultive stage. |
| The stage in the violence cycle when the client returns to baseline. | postassaultive |
| During this stage of violence, the client is increasing agitated. | preassaultive: deescalation |
| The client in the preassaultive stage of violence needs reassurance that | people are interested and willing to help. |
| During the preassaultive stage of violence, it is essential to acknowledge | The clients needs regardless of whether the expressed needs are rational or irrational, possible or impossible to meet. |
| The interventions for assaultive stage of violence are | Use of physical restraints and seclusion of the client. |
| This refers to the involuntary confinement of a client alone in a room which the client is prevented from leaving. | seclusion |
| The goal of seclusion is NEVER | punitive |
| The goal of seclusion is always | safety of the client and others |
| This referss to any manual method or mechanical device, material or equipment attached or adjacent to the clients body that he or she cannot easily remove that restricts normal movement of or norm access to ones body. | restraint |
| Interventions for clients whose coping skills are healthy involve finding ways to | Reeestablish or substitue similar means of dealing with the hospitalizaiton. |
| For patients with limited coping skills, once anxiety is moderated, nursing interventions include | Teaching alternative behaviors, and strategies. |
| An emotional response to the perception of frustration of desires, threat to one's needs (emotional or physical), or challenge, and as such anger is a normal response | anger |
| What observation by the nurse is most useful to the nurse planning intervention for an angry client? | Client perception of the problem. |
| The nurse should understand that encouraging a client to vent anger is | not always useful |
| Anger can be defined as | A normal response to a perceived threat. |
| Which neurotransmitter imbalance has been shown to have a relation to impulsive aggression? | High levels of dopamine. |
| Nurses coping with angry clients may find it helpful to remember that anger and aggression begin as feelings of | vulnerability |
| The more a nurse's intervention is prompted by emotion, the | Less likely it is to be therapeutic. |
Created by:
jjcthirdsemesterflashcards
Popular Nursing sets