Chapter 32, Anger and Aggression Video Solutions, Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Problem 1

Which of the following events on a psychiatric unit is most likely to precipitate aggressive or violent behavior in a violence-prone client (Mr. A.)?
a. A psychiatric technician asks Mr. A. if he would like some juice during snack time.
b. A nurse asks Mr. A., who is frowning and pacing, if he is feeling upset about something.
c. A nurse reminds Mr. A. that it is time to take his medication, which he has been doing willingly.
d. Another client on the unit picks up Mr. A's pack of cigarettes and says that they are his.

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Problem 2

When preparing a group presentation about the emergency use of seclusion and restraint, which of the following would the nurse be least likely to incorporate into the discussion?
a. It is not necessary to immediately try to involve the client in conversation to find out why he or she is upset.
b. Specific written policies and procedures clearly directing the use of restraint or seclusion should be available in mental health institutions.
c. Justification for emergency use of seclusion and restraint is legally based on professional clinical judgment and professional standards of care, including documented signs describing the emergence of imminently dangerous behavior that could result in serious harm to self or others.
d. A professional nurse should act as a leader to direct the actions of staff in implementing emergency seclusion and restraint procedures for a client whose behavior is violent and out of control.

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Problem 3

Which of the following medications would the nurse expect to administer most commonly to a client with aggressive behavior associated with acute psychoses?
a. Diazepam
b. Haloperidol
c. Lithium
d. Fluoxetine

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Problem 4

Which intervention is most appropriate for the nurse to implement with an aggressive client exhibiting an early level of anger escalation?
a. Administer ordered sedative medication.
b. Place the client in seclusion.
c. Use a physical restraint.
d. Talk with client to discover the source of distress and relieve the distress.

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02:04

Problem 5

Which of the following statements would reflect that anger management training for a violence-prone client has been ineffective?
a. The client has gained awareness of thoughts, feelings, and behaviors related to anger arousal.
b. The client thinks that "others make him feel angry" and as a result blames them for his resultant behaviors.
c. The client reappraises arousal situations as a personal problem that has a solution, rather than as a threat calling for an attack.
d. The client gains awareness of others' points of view and the consequences of his or her own emotional and behavioral responses.

Alexander Cheng

Numerade Educator