Exam 27: Anger, Aggression, and Violence

An emergency code was called after a patient pulled a knife from a pocket and threatened,"I will kill anyone who tries to get near me." The patient was safely disarmed and placed in seclusion.Justification for use of seclusion was that the patient:

Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence? A history of:

Which medication from the medication administration record should a nurse administer to provide immediate intervention for a psychotic patient whose aggressive behavior continues to escalate despite verbal intervention?

A cognitively impaired patient has been a widow for 30 years.This patient frantically tries to leave the facility,saying,"I have to go home to cook dinner before my husband arrives from work." To intervene with validation therapy,the nurse will say:

A patient was arrested for breaking windows in the home of a former domestic partner.The patient's history also reveals childhood abuse by a punitive parent,torturing family pets,and an arrest for disorderly conduct.Which nursing diagnosis has priority?

A patient with severe injuries is irritable,angry,and belittles the nurses.As a nurse changes a dressing,the patient screams,"Don't touch me! You are so stupid.You will make it worse!" Which intervention uses a cognitive technique to help the patient?

Which central nervous system structures are most associated with anger and aggression? Select all that apply.

After an assault by a patient,a nurse has difficulty sleeping,startles easily,and is preoccupied with the incident.The nurse said,"That patient should not be allowed to get away with that behavior." Which response poses the greatest barrier to the nurse's ability to provide therapeutic care?

Which scenario predicts the highest risk for directing violent behavior toward others?

A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP)entered the room quietly and touched the bed to see if it was wet.The patient awakened and hit the UAP in the face.Which statement best explains the patient's action?

A patient is pacing the hall near the nurses' station,swearing loudly.An appropriate initial intervention for the nurse would be to address the patient by name and say:

A patient with a history of command hallucinations approaches the nurse yelling obscenities.Which nursing actions are most likely to be effective in de-escalation for this scenario? Select all that apply.

Which is an effective nursing intervention to assist an angry patient learn to manage anger without violence?

A new patient acts out so aggressively that seclusion is required before the admission assessment is completed or orders written.Immediately after safely secluding the patient,which action is the nurse's priority?

A patient sat in silence for 20 minutes after a therapy appointment,appearing tense and vigilant.The patient abruptly stood,paced back and forth,clenched and unclenched fists,and then stopped and stared in the face of a staff member.The patient is:

Family members describe the patient as "a difficult person who finds fault with others." The patient verbally abuses nurses for their poor care.The most likely explanation lies in:

An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting.Which intervention should the nurse use to prevent further escalation of the spouse's anger?

An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the dayroom.The nurse should enter the day room:

A nurse directs the intervention team who places an aggressive patient in seclusion.Before approaching the patient,which actions will the nurse direct team members to take? Select all that apply.

A patient who was responding to auditory hallucinations earlier in the morning now approaches the nurse shaking a fist and shouts,"Back off!" and then goes to the day room.While following the patient into the day room,the nurse should: