NSG 3450 Exam 4 2025/2026 with
correct questions and answers
What is aggression? - CORRECT ANSWER --Action resulting in physical or emotional
attack
When should nursing interventions begin? - CORRECT ANSWER --Before anger and
aggression become a problem
What should be assessed to help intervene with anger? - CORRECT ANSWER --Levels
of anxiety
Who are frequently the targets of violence? - CORRECT ANSWER --Nurses
What comorbidity is often associated with anger, aggression, and violence? -
CORRECT ANSWER --PTSD and substance use disorders
What can predispose someone to anger? - CORRECT ANSWER --Genetics
What neurobiological factors can contribute to anger? - CORRECT ANSWER --Brain
tumors, Alzheimer's
What is the emotion center of the brain? - CORRECT ANSWER --Amygdala
What can lead to higher levels of aggression in men? - CORRECT ANSWER --Lower
amygdala volume
What neurotransmitters are associated with anger and aggression? - CORRECT
ANSWER --Serotonin, dopamine, GABA
How do low levels of serotonin contribute to anger and aggression? - CORRECT
ANSWER --They contribute to anger and aggression
How does the presence GABA affect anger? - CORRECT ANSWER --it can cause
decreased anger
,According to Freud, what is the source of aggression? - CORRECT ANSWER --Conflict
between sexual needs and societal norms
What do behaviorists believe about aggression? - CORRECT ANSWER --It is a learned
behavior
What are some signs and symptoms of anger? - CORRECT ANSWER --Red face,
irritability, hyperactivity, increased anxiety, verbal abuse, increased demands.
What should be assessed in patients with a history of violence? - CORRECT ANSWER
--Triggers, history of limited coping skills.
What are some predictors of violence? - CORRECT ANSWER --Hyperactivity,
increased anxiety and tension, verbal abuse, loud voice and change of pitch, intense
eye contact or avoidance of eye contact, possession of a weapon, abnormal isolation.
What questions should be asked to assess the risk of violence? - CORRECT ANSWER
--Does the patient have a wish/intent to harm? Does the patient have a plan? Does the
patient have the means to carry out the plan? Are the risk factors present?
What are some nursing diagnoses related to violence? - CORRECT ANSWER --Risk for
other directed violence, risk for self-directed violence, ineffective coping, stress
overload, impaired impulse control.
What are some desired outcomes for patients with anger and aggression? - CORRECT
ANSWER --Maintain self-control, refrain from self-harm, identify ineffective coping,
express feelings, identify situations that cause hostility.
What is the importance of patient-centered planning? - CORRECT ANSWER --To
ensure that the plan of care is tailored to the individual patient's needs.
What are some psychosocial interventions for managing anger and aggression? -
CORRECT ANSWER --Active listening, providing personal space, speaking slowly and
in short sentences, using open-ended statements, maintaining a calm exterior.
When might seclusion and restraint be required? - CORRECT ANSWER --To ensure
the safety of patients and staff.
What should be done to identify the emotions behind anger and aggression? -
CORRECT ANSWER --Engage in therapeutic communication to explore the underlying
emotions.
What should be done to help the patient manage anger and aggression? - CORRECT
ANSWER --Provide the patient with options and choices.
, What is the purpose of active listening? - CORRECT ANSWER --To show the patient
that you are concerned and willing to listen.
Why is providing personal space important? - CORRECT ANSWER --To help the
patient perceive you as less of a threat.
What is the recommended distance to maintain from an aggressive patient? -
CORRECT ANSWER --One foot.
What should be done to ensure personal safety when dealing with an aggressive
patient? - CORRECT ANSWER --Always have an available escape route.
When might seclusion and restraint be necessary? - CORRECT ANSWER --When
other interventions have failed to ensure safety.
What should be done to maintain a calm exterior? - CORRECT ANSWER --Practice
self-control and avoid escalating the situation.
What is the purpose of identifying options for the patient? - CORRECT ANSWER --To
provide the patient with a sense of control and empowerment.
What decreases the patients' feelings of having no power? - CORRECT ANSWER --
Quiet environment visible to staff
What type of medications can be offered for agitation? - CORRECT ANSWER --
Antianxiety agents (benzodiazepines)
What is an example of an antianxiety agent? - CORRECT ANSWER --Lorazepam
(Ativan)
What are antipsychotics used for? - CORRECT ANSWER --Aggressive and violent
incidents
What is an example of a first-generation antipsychotic? - CORRECT ANSWER --
Haloperidol (Halidol)
What should be monitored for when using first-generation antipsychotics? - CORRECT
ANSWER --Neuroleptic malignant syndrome (NMS)
What are examples of second-generation antipsychotics? - CORRECT ANSWER --
Risperidone (Risperdal) and Olanzapine (Zyprexa)
What are some health teaching and promotion strategies for managing anger? -
CORRECT ANSWER --Modeling appropriate behavior, providing a 'do over'
correct questions and answers
What is aggression? - CORRECT ANSWER --Action resulting in physical or emotional
attack
When should nursing interventions begin? - CORRECT ANSWER --Before anger and
aggression become a problem
What should be assessed to help intervene with anger? - CORRECT ANSWER --Levels
of anxiety
Who are frequently the targets of violence? - CORRECT ANSWER --Nurses
What comorbidity is often associated with anger, aggression, and violence? -
CORRECT ANSWER --PTSD and substance use disorders
What can predispose someone to anger? - CORRECT ANSWER --Genetics
What neurobiological factors can contribute to anger? - CORRECT ANSWER --Brain
tumors, Alzheimer's
What is the emotion center of the brain? - CORRECT ANSWER --Amygdala
What can lead to higher levels of aggression in men? - CORRECT ANSWER --Lower
amygdala volume
What neurotransmitters are associated with anger and aggression? - CORRECT
ANSWER --Serotonin, dopamine, GABA
How do low levels of serotonin contribute to anger and aggression? - CORRECT
ANSWER --They contribute to anger and aggression
How does the presence GABA affect anger? - CORRECT ANSWER --it can cause
decreased anger
,According to Freud, what is the source of aggression? - CORRECT ANSWER --Conflict
between sexual needs and societal norms
What do behaviorists believe about aggression? - CORRECT ANSWER --It is a learned
behavior
What are some signs and symptoms of anger? - CORRECT ANSWER --Red face,
irritability, hyperactivity, increased anxiety, verbal abuse, increased demands.
What should be assessed in patients with a history of violence? - CORRECT ANSWER
--Triggers, history of limited coping skills.
What are some predictors of violence? - CORRECT ANSWER --Hyperactivity,
increased anxiety and tension, verbal abuse, loud voice and change of pitch, intense
eye contact or avoidance of eye contact, possession of a weapon, abnormal isolation.
What questions should be asked to assess the risk of violence? - CORRECT ANSWER
--Does the patient have a wish/intent to harm? Does the patient have a plan? Does the
patient have the means to carry out the plan? Are the risk factors present?
What are some nursing diagnoses related to violence? - CORRECT ANSWER --Risk for
other directed violence, risk for self-directed violence, ineffective coping, stress
overload, impaired impulse control.
What are some desired outcomes for patients with anger and aggression? - CORRECT
ANSWER --Maintain self-control, refrain from self-harm, identify ineffective coping,
express feelings, identify situations that cause hostility.
What is the importance of patient-centered planning? - CORRECT ANSWER --To
ensure that the plan of care is tailored to the individual patient's needs.
What are some psychosocial interventions for managing anger and aggression? -
CORRECT ANSWER --Active listening, providing personal space, speaking slowly and
in short sentences, using open-ended statements, maintaining a calm exterior.
When might seclusion and restraint be required? - CORRECT ANSWER --To ensure
the safety of patients and staff.
What should be done to identify the emotions behind anger and aggression? -
CORRECT ANSWER --Engage in therapeutic communication to explore the underlying
emotions.
What should be done to help the patient manage anger and aggression? - CORRECT
ANSWER --Provide the patient with options and choices.
, What is the purpose of active listening? - CORRECT ANSWER --To show the patient
that you are concerned and willing to listen.
Why is providing personal space important? - CORRECT ANSWER --To help the
patient perceive you as less of a threat.
What is the recommended distance to maintain from an aggressive patient? -
CORRECT ANSWER --One foot.
What should be done to ensure personal safety when dealing with an aggressive
patient? - CORRECT ANSWER --Always have an available escape route.
When might seclusion and restraint be necessary? - CORRECT ANSWER --When
other interventions have failed to ensure safety.
What should be done to maintain a calm exterior? - CORRECT ANSWER --Practice
self-control and avoid escalating the situation.
What is the purpose of identifying options for the patient? - CORRECT ANSWER --To
provide the patient with a sense of control and empowerment.
What decreases the patients' feelings of having no power? - CORRECT ANSWER --
Quiet environment visible to staff
What type of medications can be offered for agitation? - CORRECT ANSWER --
Antianxiety agents (benzodiazepines)
What is an example of an antianxiety agent? - CORRECT ANSWER --Lorazepam
(Ativan)
What are antipsychotics used for? - CORRECT ANSWER --Aggressive and violent
incidents
What is an example of a first-generation antipsychotic? - CORRECT ANSWER --
Haloperidol (Halidol)
What should be monitored for when using first-generation antipsychotics? - CORRECT
ANSWER --Neuroleptic malignant syndrome (NMS)
What are examples of second-generation antipsychotics? - CORRECT ANSWER --
Risperidone (Risperdal) and Olanzapine (Zyprexa)
What are some health teaching and promotion strategies for managing anger? -
CORRECT ANSWER --Modeling appropriate behavior, providing a 'do over'
