Question 1

In the assault cycle,people are unable to listen to reason,follow directions,or engage in mental exercises during the stage of:

Accepted Answer

Assault is an aggressive behavior that violates another's person or property.Crisis describes the behaviors in the question.Trigger refers to the phase when a stress-producing event occurs;recovery is described as the cooling-down period of the assault cycle;and escalation is characterized by a behavioral response that is approaching loss of control.

Question 2

As long as the client is limiting her behaviors to verbal assaults and harmless physical movements,

Accepted Answer

Allow clients to act out as long as they limit their behaviors to verbal assaults and harmless physical movements.However,it is important for the caregiver to maintain control of the situation and set limits on the client's behavior.

Question 3

Children in preadolescence have started to channel aggression through which positive activity?

Accepted Answer

By preadolescence,most children stop hitting and learn to channel their aggression into physical activities,such as competitive sports or physical conditioning.Fighting,gangs,and verbal abuse are not positive activities.

Question 4

Interventions for assaultive clients that focus on protecting the client and others from potential harm are level ____ interventions.

Accepted Answer

Level two interventions focus on protecting the client and others from potential harm.Level one interventions focus on preventing violence,and level three is the last level of interventions that are implemented for clients whose behaviors reflect a loss of control.

Question 5

Level one interventions for potentially assaultive clients should be practiced as:

Accepted Answer

Level one interventions focus on the prevention of violence.

Question 6

Persons who naturally relate aggressively to others,seldom have empathy,and lack appropriate guilt feelings are given the diagnosis of ____ disorder.

Accepted Answer

These are characteristics of conduct disorders.Adjustment disorders are characterized by a psychological response from an identifiable stressor or group of stressors that causes significant emotional or behavioral symptoms that do not meet criteria for more specific disorders;impulse-control disorders are characterized by a failure to resist impulses or temptations that are harmful to the person or to others;and oppositional defiant disorder refers to a pattern of negative,aggressive behaviors that is seen most commonly in children who focus on authority figures.

Question 7

Crisis interventions are very successful if begun early in the assault cycle,in the ____ stage.

Accepted Answer

Crisis intervention works best in this stage because coping mechanisms can be implemented that are effective rather than allowing behavior to continue to the next phase of escalation.

Question 8

A married couple is seeking counseling for domestic abuse issues.The husband states that he can't control his anger when his wife constantly nags at him.In the assault cycle,the wife's behavior in this situation is the stage known as:

Accepted Answer

The nagging is the trigger to the assault in this situation.The trigger stage should not be confused as being a justified reason for an assault to occur.

Question 9

Restrained clients must be monitored and their condition documented at least every ____ minutes.

Accepted Answer

The use of restraints is governed by federal and state laws,institutional policies,and special procedures.

Question 10

A 15-year-old female is seen in the clinic for episodes of cutting herself since her parents divorced six months ago.Which nursing diagnosis is a priority for this client?

Accepted Answer

The client is demonstrating anger turned inward demonstrated by self-mutilation.The priority would be to prevent the client from further harming herself.Dealing with spiritual distress,impaired social interaction,and interrupted family processes is accomplished after this.

Question 11

A male client is being seen for anger management issues following an incident in which he was late for work,became angry at the driver in front of him for not driving faster,and intentionally ran into the car at a stop sign.This client is displaying actions most typical of:

Accepted Answer

The main characteristic of intermittent explosive disorder is the failure to resist aggressive impulses that result in assault of another individual or property.Passive aggressive behavior,oppositional defiant disorder,and adjustment disorder with anxiety do not result in injury or harm to persons or property.

Question 12

Which situation would most negatively affect a female client with a diagnosis of adjustment disorder?

Accepted Answer

Individuals with adjustment disorders have the greatest difficulty in adapting to new situations.Therefore,beginning college has the most stress potential because it has no familiar aspect to it,as the other options do.

Question 13

Which of the following persons is exhibiting passive aggression?

Accepted Answer

A person demonstrating passive aggressive actions expresses anger in indirect ways.Instead of declining to cover the shift,the person complains to others.The other examples do not demonstrate this indirect anger.

Question 14

A man who hit his wife yesterday,causing her to fall and break her arm,has called out of work today to take care of her and buy her flowers.He repeatedly tells her how horrible he feels and promises this will never happen again.What stage of the assault is he demonstrating?

Accepted Answer

The depression stage involves a period of guilt and attempts to reconcile (make up)with others.Aggressors are aware of the assault and genuinely feel bad about it.They may apologize frequently or provide loving care for the victim.The trigger stage occurs prior to the assault,when the stress-producing event occurs.The escalation stage is when actions move closer to a loss of control,and the recovery stage occurs after the violence and injuries are assessed.

Question 15

Emotional or behavioral problems that develop in response to an identifiable source and last no longer than 6 months are called ____ disorders.

Accepted Answer

This is the criterion for adjustment disorders.Conduct disorders are characterized by individuals who naturally relate aggressively to others,seldom have empathy,and lack appropriate guilt feelings;impulse-control disorders are characterized by failure to resist an impulse,drive,or temptation;and oppositional defiant disorder refers to a pattern of negative,aggressive behaviors that is seen most commonly in children who focus on authority figures.

Question 16

An intramuscular injection of an antianxiety agent is administered to a client who has become violent toward the staff in the emergency room.This is an example of what level of therapeutic intervention?

Accepted Answer

Level three interventions also include seclusion and restraints and are used only for clients who are out of control.Level one is the prevention stage of interventions,and level two is focused on protection of the client and others from potential harm.Level four does not exist.

Question 17

The use of inappropriate,harmful,or destructive behaviors to express current or past emotions is defined as:

Accepted Answer

Acting out is the use of inappropriate,detrimental,or destructive behaviors to express current or past emotions.Anger is a normal emotional response in certain situations;assault is a threat for bodily injury;and aggression is a forceful attitude or action.

Question 18

Which mental health problems are categorized as anger control disorders? (Select all that apply. )

Accepted Answer

Conduct disorder,impulse-control disorder,adjustment disorder,and oppositional defiant disorder are all examples of anger control disorders.

Question 19

Interventions that help caregivers the most in coping with their own anger focus on:

Accepted Answer

Although all these interventions are necessary when one is dealing with clients,this intervention allows caregivers to be most effective in caring for individuals who express emotions of anger.

Question 20

Toddlers often express their anger through:

Accepted Answer

Toddlers engage in temper tantrums when they learn to focus their aggression on what they believe is responsible for their anger.

Quiz 25: Anger and Aggression