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Exam #4 - Anger, Aggression and Violence

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