NSG 3450 Exam 4 with correct
questions,answers and solutions
GRADED A+
Which individuals are most at risk for displaying aggressive behavior? Select all that apply:
a. an adolescent embarrassed in front of friends
b. a young male who feels rejected by the social group
c. a young adult depressed after the death of a friend
d. a middle-aged adult who feels that concerns are going unheard
e. a pt who was discovered telling a lie a, b, d, e
A newly admitted male pt has a long hx of aggressive behavior toward staff. Which statement by
the nurse demonstrates the need for more info about the use of restraint?
a. "if his behavior warrants restraints, someone will stay with him the entire time he's restrained"
b. "I'll call the primary provider and get an as needed (prn) seclusion/restraint order."
c. "if he is restrained, be sure he is offered food and fluids regularly"
d. "remember that physical restraints are our last resort" B
Which intervention(s) should the nurse implement when helping a pt expresses anger in an
inappropriate manner? Select all that apply:
a. approach the pt in a calm, reassuring manner
b. provide suggestions regarding acceptable ways of communicating anger
c. warn the pt that being angry is not a health emotional state
d. set limits on the angry behavior the will be tolerated
e. allow any expression of anger as long as no one is hurt a, b, d
Which guidelines should direct nursing care when deescalating an angry pt? Select all that apply:
a. intervene as quickly as possible
b. identify the trigger for the anger
c. behave calmly and respectfully
d. recognize the pt's need for increased personal space
e. demands are agreed to as long as they won't result in harm to anyone a, b, c, d
Which comorbid condition would result in cautious use of a selective serotonin reuptake
inhibitors for a pt with chronic aggression?
a. asthma
b. anxiety ds
, c. glaucoma
d. bipolar ds D
John Patrick is a widower with four daughters. He has enjoyed a healthy relationship with all of
them until they reached puberty. As each girl began to mature physically, he acted in an
aggressive manner, beating her without provocation. John Patrick is most likely acting on:
a. self-protective measures
b. stress of raising four daughters
c. frustration on unhealthy desire
d. motivating his daughters to be chaste C
A nurse named Darryl has been hired to work in a psychiatric intensive care unit. He has
undergone training on recognizing escalating anger. Which statement indicates that he
understands danger signs in regard to aggression?
a. "I need to be aware of pt's who are withdrawn and sitting alone"
b. "an obvious change in behavior is a risk factor for aggression"
c. "pt's who seek constant attention are most likely to be violent"
d. "pt's who talk to themselves are the most dangerous" B
An effective method of preventing escalation in an environment with violent offenders is to
develop a level of trust through:
a. a causal authoritative demeanor
b. keeping pt's busy
c. brief, frequent, nonthreatening encounters
d. threats of seclusion of punishment C
Twenty-four hour observation is a good choice for restraint in which of the following pt's?
a. an inmate with suicidal ideation on hospice care
b. a sex offender in the psychiatric intensive care unit
c. an aggressive female with antisocial personality ds
d. an inmate diagnosed with paranoid schizophrenia A
Chronic obstructive pulmonary disease, spinal injury seizure ds, and pregnancy are conditions
that:
a. frequency result in out of control behavior
b. respond well to therapeutic holding
c. necessitate the use of only 2-point restraint
d. contraindicated restraint and seclusion D
Which info from a pt's record would indicate marginal coping skills and the need for careful
assessment of the risk for violence? A history of
a. academic problems
b. family involvement
c. childhood trauma
d. substance abuse D
questions,answers and solutions
GRADED A+
Which individuals are most at risk for displaying aggressive behavior? Select all that apply:
a. an adolescent embarrassed in front of friends
b. a young male who feels rejected by the social group
c. a young adult depressed after the death of a friend
d. a middle-aged adult who feels that concerns are going unheard
e. a pt who was discovered telling a lie a, b, d, e
A newly admitted male pt has a long hx of aggressive behavior toward staff. Which statement by
the nurse demonstrates the need for more info about the use of restraint?
a. "if his behavior warrants restraints, someone will stay with him the entire time he's restrained"
b. "I'll call the primary provider and get an as needed (prn) seclusion/restraint order."
c. "if he is restrained, be sure he is offered food and fluids regularly"
d. "remember that physical restraints are our last resort" B
Which intervention(s) should the nurse implement when helping a pt expresses anger in an
inappropriate manner? Select all that apply:
a. approach the pt in a calm, reassuring manner
b. provide suggestions regarding acceptable ways of communicating anger
c. warn the pt that being angry is not a health emotional state
d. set limits on the angry behavior the will be tolerated
e. allow any expression of anger as long as no one is hurt a, b, d
Which guidelines should direct nursing care when deescalating an angry pt? Select all that apply:
a. intervene as quickly as possible
b. identify the trigger for the anger
c. behave calmly and respectfully
d. recognize the pt's need for increased personal space
e. demands are agreed to as long as they won't result in harm to anyone a, b, c, d
Which comorbid condition would result in cautious use of a selective serotonin reuptake
inhibitors for a pt with chronic aggression?
a. asthma
b. anxiety ds
, c. glaucoma
d. bipolar ds D
John Patrick is a widower with four daughters. He has enjoyed a healthy relationship with all of
them until they reached puberty. As each girl began to mature physically, he acted in an
aggressive manner, beating her without provocation. John Patrick is most likely acting on:
a. self-protective measures
b. stress of raising four daughters
c. frustration on unhealthy desire
d. motivating his daughters to be chaste C
A nurse named Darryl has been hired to work in a psychiatric intensive care unit. He has
undergone training on recognizing escalating anger. Which statement indicates that he
understands danger signs in regard to aggression?
a. "I need to be aware of pt's who are withdrawn and sitting alone"
b. "an obvious change in behavior is a risk factor for aggression"
c. "pt's who seek constant attention are most likely to be violent"
d. "pt's who talk to themselves are the most dangerous" B
An effective method of preventing escalation in an environment with violent offenders is to
develop a level of trust through:
a. a causal authoritative demeanor
b. keeping pt's busy
c. brief, frequent, nonthreatening encounters
d. threats of seclusion of punishment C
Twenty-four hour observation is a good choice for restraint in which of the following pt's?
a. an inmate with suicidal ideation on hospice care
b. a sex offender in the psychiatric intensive care unit
c. an aggressive female with antisocial personality ds
d. an inmate diagnosed with paranoid schizophrenia A
Chronic obstructive pulmonary disease, spinal injury seizure ds, and pregnancy are conditions
that:
a. frequency result in out of control behavior
b. respond well to therapeutic holding
c. necessitate the use of only 2-point restraint
d. contraindicated restraint and seclusion D
Which info from a pt's record would indicate marginal coping skills and the need for careful
assessment of the risk for violence? A history of
a. academic problems
b. family involvement
c. childhood trauma
d. substance abuse D
