NSG
NSG 3450 UNITS 8,9,10 E XAM
QUESTIONS WITH CORRECT VERIFIED
ANSWERS LATEST UPDATE (2025/2026)
GUARANTEED PASS
1. Anger: An emotional response to frustration of desires, a threat
to one's needs (emotional or physical) or a challenge.
2. Aggression: An action or behavior that results in a verbal or
physical attack.
3. Predictors of violence: -Hyperactivity or impulsivity
-Increased anxiety or tension
-Loud voice
-Mumbling of self
-Tense facial expression
-Verbal abuse/argumentative with staff or patients
-Intense or avoidance of eye contact
-Stone silence
-Provocative or controlling staff
-Poor limit setting
-Delusions
-Recent acts of violence including property violence
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,4. Trauma informed care: Based on an understanding that
disruptive patients often have histories that include violence and
victimization. These traumatic histories can impede patients'
ability to self-soothe, result in negative coping responses and
create a vulnerability to coercive interventions.
5. Anger and aggression risk identifiers: 1. A history of
violence is the single best predictor of future violence
2. Delusional patients, hyperactive , impulsive or predisposed to
irritability
3. Aggression by patients occurs most often in the context of limit
setting.
4. Having a history of limited coping skills.
6. When does intervention begin with angry or aggressive
patients?: Ideally before any signs of escalation of anger or
aggression.
7. What is one of the first things that a nurse can do to
prevent escalation of a tense situation with an angry or
aggressive patient?: Attempt to determine what the patient is
feeling. Listen and act with empathy.
8. De-escalation techniques: -Maintain the patient's self-esteem
and dignity.
-Maintain calmness (your own and the patient's).
-Assess the patient and the situation.
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-Identify stressors and stress indicators.
-Respond as early as possible.
-Use a calm, clear tone of voice.
-Invest time.
-Remain honest.
-Establish what the patient considers to be his or her need.
-Be goal-oriented.
-Maintain a large personal space.
-Avoid verbal struggles.
-Give several options.
-Make clear the options.
-Utilize a non-aggressive posture.
-Use genuineness and empathy.
-Attempt to be confidently aware.
-Use verbal, nonverbal, and communication skills.
-Be assertive (not aggressive).
-Assess for personal safety.
9. The offering of ________________ in conjunction with
psychosocial interventions and de-escalation techniques can
prevent an aggressive or violent incident.: An as needed
medication to alleviate the symptoms of anger.
10. Drugs used for acute management of violent behavior:
Antianxiety agents (benzodiazepines)
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, -Lorazepam (Ativan)
-Alprazolam (Xanax)
Diazepam (Valium)
First-generation antipsychotics
-Haloperidol (Haldol)
-Perphenazine
-Chlorpromazine (Thorazine)
Second-generation antipsychotics
-Risperidone (Risperdal)
-Olanzapine (Zyprexa, Zydis)
Ziprasidone (Geodon)
Combinations
-Haloperidol, lorazepam, and diphenhydramine (Benedryl) or
benztropine (Cogentin)
11. Legally, when can seclusion or restraints be used in a
healthcare setting?: Only when a patient creates a risk of
harm to self or others and no less restrictive alternative is
available.
12. Seclusion: The involuntary confinement of a patient alone in
a room, or area from which the patient is physically prevented
from leaving.
13. Restraint: any manual method, physical or mechanical
device, material, or equipment that immobilizes or reduces the