NUR 3450 EXAM 4 2026 ACTUAL
EXAM SCRIPT COMPLETE
QUESTIONS AND VERIFIED
ANSWERS GRADE A+
◉ Aggression. Answer: Action or behavior that results in verbal or
physical attack. It is not okay to be aggressive.
◉ Which units see the most violence from patients?. Answer:
Psychiatric units, geriatric units, and intensive care units, Emergency
Room.
◉ Risk Factors for Anger, Aggression, and Violence.. Answer:
Hypertension and cardiovascular disease including myocardial
infarctions and ischemic strokes.
◉ Comorbidity for anger, aggression, and violence. Answer: Individuals
with PTSD and substances abuse have issues with aggression.
Individuals with bipolar disorder have difficulty with anger and
aggression during remission. It coexists in individuals with depression,
anxiety, psychosis, and personality disorders.
◉ Etiology: Neurobiological factors to anger, aggression, and violence.
Answer: Brain tumors, Alzheimers, disease, temporal lobe epilepsy, and
traumatic injury to certain parts of the brain result in changes to
personality that could include increased violence.
,◉ Which area of the brain is associated with aggression?. Answer: The
limbic system which is located beneath the cerebrum on both sides of
the thalamus. It is responsible for combining higher mental functions
and primitive emotions into one system, learning, and the formation of
memories.
◉ What is the emotional center of the brain?. Answer: The amygdala! it
helps evaluate the emotional content of experiences. It helps the brain to
recognize potential threats and whether to activate the fight or flight
response.
◉ Which cortex is an important role in aggressive behavior?. Answer:
The prefrontal cortex is the area of the brain that is responsible for
executive functions. Executive functions allows us to distinguish
between good and bad, consequences of actions, goal-directed
behaviors, and suppressing socially unacceptable activities.
◉ Which neurotransmitters play a role in anger and aggression?.
Answer: Serotonin can both inhibit and stimulate aggressive behavior,
depending on the part of the brain being measured.
Dopamine's impact on reward-seeking behaviors may increase
aggression. Serotonin and dopamine can sometimes enhance aggression
and sometimes reduce impulsivity that leads to aggression. GABA the
main inhibitory neurotransmitter may reduce aggressiveness, its absence
may increase impulsivity and aggressive responses.
◉ Anger Behavioral Theory. Answer: Is a learned response to
environmental stimuli.
,◉ Anger Social Learning Theory. Answer: Researchers demonstrated
that children learn aggression by observing and imitating behaviors of
others, especially if that that behavior is rewarded.
◉ Predictors of Violence (Signs and Symptoms). Answer:
Hyperactivity: most important predictor of imminent violence (pacing or
restlessness). Increase anxiety and tension, clenched jaw or fist, rigid
posture, fixed or tense facial expression, mumbling to self (patient may
have shortness of breath, sweating, and rapid pulse). Verbal abuse:
profanity, argumentativeness. Loud voice, change of pitch, or very soft
voice, forcing others to strain to hear. Stone silence. Intense eye contact
or avoidance of eye contact. Recent acts of violence, including property
violence. Alcohol or drug intoxication. Possession of a weapon or object
that may be used as a weapon (fork or knife). Isolation that is
uncharacteristic. Milieu characteristics conducive to violence:
Overcrowding, staff inexperience, provocative or controlling staff, poor
limit setting, arbitrary revocation of privileges.
◉ General Assessment for a patient experiencing anger.. Answer:
Patient will exhibit increased demands, irritability, frowning, redness in
the face, pacing, twisting of the hands, or clenching and unclenching of
the fists are all signs of irritation. Speech may either be increased in rate
and volume or may be slowed, pointed, and quite.
◉ Trauma-informed Care. Answer: It is based on the notion that
disruptive patients often have histories that include violence and
victimizations. This care focuses on the patients past experiences of
, violence or trauma and on the role these experiences currently play in
their lives.
◉ Anger and Aggression Assessment Guidelines. Answer: A history of
violence is the single best predictor of future violence. Patients who are
delusional, hyperactive, impulsive or predisposed to irritability are at
higher risk for violence. Major factors associated with violence can be
assessed with these questions (Does the pt have a wish or intent to
harm?, Does the pt have plan?, Does the patient have demographic risk
factors: male, aged 14-24, low socioeconomic status, inadequate support
system, and prison time). Aggression by patient occurs most often in the
context of limit-setting by the nurse. History of limited coping skills,
including lack of assertiveness or use of intimidation, indicates a higher
risk of using violence.
◉ Nursing Diagnoses for Anger, Aggression, and Violence. Answer:
Risk for other-directed violence, Risk for self-directed violence,
Ineffective coping, Stress overload.
◉ Outcomes for aggression. Answer: Identifies when angry, identifies
alternatives to aggression, refrains from verbal outbursts, avoids
violating others personal space, maintains self-control. Expresses
feelings, verbalizes suicidal ideas, refrains from suicide attempts, plans
for the future. Identifies ineffective and effective coping, uses support
system, uses new coping strategies, engages in personal actions to
manage stressors effectively.
◉ Deescalation Techniques. Answer: Maintain the patients self-esteem
and dignity. Maintain calmness (you and pt). Assess the pt and the
EXAM SCRIPT COMPLETE
QUESTIONS AND VERIFIED
ANSWERS GRADE A+
◉ Aggression. Answer: Action or behavior that results in verbal or
physical attack. It is not okay to be aggressive.
◉ Which units see the most violence from patients?. Answer:
Psychiatric units, geriatric units, and intensive care units, Emergency
Room.
◉ Risk Factors for Anger, Aggression, and Violence.. Answer:
Hypertension and cardiovascular disease including myocardial
infarctions and ischemic strokes.
◉ Comorbidity for anger, aggression, and violence. Answer: Individuals
with PTSD and substances abuse have issues with aggression.
Individuals with bipolar disorder have difficulty with anger and
aggression during remission. It coexists in individuals with depression,
anxiety, psychosis, and personality disorders.
◉ Etiology: Neurobiological factors to anger, aggression, and violence.
Answer: Brain tumors, Alzheimers, disease, temporal lobe epilepsy, and
traumatic injury to certain parts of the brain result in changes to
personality that could include increased violence.
,◉ Which area of the brain is associated with aggression?. Answer: The
limbic system which is located beneath the cerebrum on both sides of
the thalamus. It is responsible for combining higher mental functions
and primitive emotions into one system, learning, and the formation of
memories.
◉ What is the emotional center of the brain?. Answer: The amygdala! it
helps evaluate the emotional content of experiences. It helps the brain to
recognize potential threats and whether to activate the fight or flight
response.
◉ Which cortex is an important role in aggressive behavior?. Answer:
The prefrontal cortex is the area of the brain that is responsible for
executive functions. Executive functions allows us to distinguish
between good and bad, consequences of actions, goal-directed
behaviors, and suppressing socially unacceptable activities.
◉ Which neurotransmitters play a role in anger and aggression?.
Answer: Serotonin can both inhibit and stimulate aggressive behavior,
depending on the part of the brain being measured.
Dopamine's impact on reward-seeking behaviors may increase
aggression. Serotonin and dopamine can sometimes enhance aggression
and sometimes reduce impulsivity that leads to aggression. GABA the
main inhibitory neurotransmitter may reduce aggressiveness, its absence
may increase impulsivity and aggressive responses.
◉ Anger Behavioral Theory. Answer: Is a learned response to
environmental stimuli.
,◉ Anger Social Learning Theory. Answer: Researchers demonstrated
that children learn aggression by observing and imitating behaviors of
others, especially if that that behavior is rewarded.
◉ Predictors of Violence (Signs and Symptoms). Answer:
Hyperactivity: most important predictor of imminent violence (pacing or
restlessness). Increase anxiety and tension, clenched jaw or fist, rigid
posture, fixed or tense facial expression, mumbling to self (patient may
have shortness of breath, sweating, and rapid pulse). Verbal abuse:
profanity, argumentativeness. Loud voice, change of pitch, or very soft
voice, forcing others to strain to hear. Stone silence. Intense eye contact
or avoidance of eye contact. Recent acts of violence, including property
violence. Alcohol or drug intoxication. Possession of a weapon or object
that may be used as a weapon (fork or knife). Isolation that is
uncharacteristic. Milieu characteristics conducive to violence:
Overcrowding, staff inexperience, provocative or controlling staff, poor
limit setting, arbitrary revocation of privileges.
◉ General Assessment for a patient experiencing anger.. Answer:
Patient will exhibit increased demands, irritability, frowning, redness in
the face, pacing, twisting of the hands, or clenching and unclenching of
the fists are all signs of irritation. Speech may either be increased in rate
and volume or may be slowed, pointed, and quite.
◉ Trauma-informed Care. Answer: It is based on the notion that
disruptive patients often have histories that include violence and
victimizations. This care focuses on the patients past experiences of
, violence or trauma and on the role these experiences currently play in
their lives.
◉ Anger and Aggression Assessment Guidelines. Answer: A history of
violence is the single best predictor of future violence. Patients who are
delusional, hyperactive, impulsive or predisposed to irritability are at
higher risk for violence. Major factors associated with violence can be
assessed with these questions (Does the pt have a wish or intent to
harm?, Does the pt have plan?, Does the patient have demographic risk
factors: male, aged 14-24, low socioeconomic status, inadequate support
system, and prison time). Aggression by patient occurs most often in the
context of limit-setting by the nurse. History of limited coping skills,
including lack of assertiveness or use of intimidation, indicates a higher
risk of using violence.
◉ Nursing Diagnoses for Anger, Aggression, and Violence. Answer:
Risk for other-directed violence, Risk for self-directed violence,
Ineffective coping, Stress overload.
◉ Outcomes for aggression. Answer: Identifies when angry, identifies
alternatives to aggression, refrains from verbal outbursts, avoids
violating others personal space, maintains self-control. Expresses
feelings, verbalizes suicidal ideas, refrains from suicide attempts, plans
for the future. Identifies ineffective and effective coping, uses support
system, uses new coping strategies, engages in personal actions to
manage stressors effectively.
◉ Deescalation Techniques. Answer: Maintain the patients self-esteem
and dignity. Maintain calmness (you and pt). Assess the pt and the
