Exam 24: Anger, Aggression, and Violence

Information from a patient's record that indicates marginal coping skills and the need for careful assessment of the risk for violence is a history of:

Which behavior best demonstrates aggression?

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

A patient with pneumonia has been hospitalized for 4 days.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:

Which assessment finding presents the greatest risk for violent behavior? A patient who:

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 burn injuries has had good coping skills for several weeks.Today,a newly assigned nurse is poorly organized.The patient's usual schedule was not followed.By mid-afternoon,the patient is angry and loudly complains to the nurse manager.Which is the nurse manager's best response?

An adult patient assaults another patient and is restrained.One hour later,which statement by this restrained patient necessitates the nurse's immediate attention?

A new patient immediately requires seclusion on admission.The assessment is incomplete,and no prescriptions have been written.Immediately after safely secluding the patient,which action has priority?

A patient with a history of anger and impulsivity is hospitalized after an accident resulting in injuries.When in pain,the patient loudly scolds the nursing staff for "not knowing enough to give me pain medicine when I need it." Which nursing intervention would best address this problem?

A patient with a history of command hallucinations approaches the nurse,yelling obscenities.The patient mumbles and then walks away.The nurse follows.Which nursing actions are most likely to be effective in de-escalating this scenario? Select all that apply.

A patient being admitted suddenly pulls a knife from a coat pocket and threatens,"I will kill anyone who tries to get near me." An emergency code is called.The patient is safely disarmed and placed in seclusion.Justification for the use of seclusion is that the patient:

The staff development coordinator plans to teach the use of physical management techniques when patients become assaultive.Which topic should be emphasized?

After an assault by a patient,a nurse has difficulty sleeping,startles easily,and is preoccupied with the incident.The nurse says,"I dread facing potentially violent patients." Which response would be the most urgent reason for this nurse to seek supervision?

A patient has a history of impulsively acting out anger by striking others.Which would be an appropriate plan for avoiding such incidents?

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

A nurse directs the intervention team who must take an aggressive patient to seclusion.Other patients were removed from the area.Before approaching the patient,the nurse should ensure that the staff takes which of the following actions? Select all that apply.

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

A confused older adult patient in a skilled care facility is in bed sleeping.The nurse enters the room quietly and touches the bed to see if it is wet.The patient awakens and hits the nurse in the face.Which statement best explains the patient's action?

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