Mental Health Nursing

Nursing

Quiz 23 :

Anger, Aggression, and Violence

Quiz 23 :

Anger, Aggression, and Violence

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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 do which of the following?
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Answer:

A

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A confused older adult patient in a nursing home 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?
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D

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

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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?
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An adult patient assaulted another patient and was then restrained. One hour later, which statement by the restrained patient requires the nurse's immediate attention?
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Which behaviour best demonstrates aggression?
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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. Which of the following is the patient doing?
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A patient with multi-infarct dementia lashes out and kicks at people who walk past in the hall of a nursing home. Intervention by the nurse should begin by which of the following?
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Which assessment finding presents the greatest risk for violent behaviour directed at others?
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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 which of the following?
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A patient has a history of impulsively acting out anger by striking others. Select the most appropriate intervention for avoiding similar incidents.
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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 which of the following?
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Which scenario predicts the highest risk for directing violent behaviour toward others?
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Which medication from the medication administration record should a nurse administer to provide immediate intervention for a psychotic patient whose aggressive behaviour continues to escalate despite verbal intervention?
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A patient with severe injuries is irritable and 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?
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After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied with the incident. The nurse says, "That patient should not be allowed to get away with that behaviour." Which of the following responses poses the greatest barrier to the nurse's ability to provide therapeutic care?
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The staff development coordinator plans to teach physical management techniques for use when patients become assaultive. Which topic should the coordinator emphasize?
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An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refusing to leave the day room. Which of the following should the nurse do?
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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. What was the justification for use of seclusion?
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Which is an effective nursing intervention to assist an angry patient to learn how to manage anger without violence?
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