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Chapter 11: Anger, Hostility, and Aggression
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Question 1 See full question
15s
,Report this Question
The nurse is planning the environment for a newly-admitted client with a
history of violence toward others. Which modification would the nurse
implement?
You Selected:
Confirm that the utility and storage rooms are kept locked.
Correct response:
Confirm that the utility and storage rooms are kept locked.
Explanation:
As part of keeping the environment safe with clients who are potentially
violent, the nurse should keep storage and utility rooms locked to decrease
access to items that may be used for self-harm or harm to others. The client
should be in a single room, and not a semi-private room with another client.
The client should be near the nurse’s station, and have plastic, not metal,
hangers with the clothes closet due to the risk for injury to self or others.
Reference:
Videbeck, S, Psychiatric-Mental Health Nursing, 9th ed., Philadelphia, Wolters
Kluwer, 2023, Chapter 11: Anger, Hostility, and Aggression, CARE OF
CLIENTS AT RISK FOR AGGRESSIVE BEHAVIOR, p. 182.
Chapter 11: Anger, Hostility, and Aggression - Page 182
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Question 2 See full question
11s
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Which personality trait is associated with aggressive behavior?
You Selected:
Impulsivity
Correct response:
Impulsivity
, Explanation:
Irritability, resentment, and impulsivity have been linked with conflict,
aggression, and the potential for medical conditions such as essential
hypertension, cardiovascular disease, and atherosclerotic heart disease.
Reference:
Videbeck, S, Psychiatric-Mental Health Nursing, 9th ed., Philadelphia, Wolters
Kluwer, 2023, Chapter 11: Anger, Hostility, and Aggression, CARE OF
CLIENTS AT RISK FOR AGGRESSIVE BEHAVIOR, p. 182.
Chapter 11: Anger, Hostility, and Aggression - Page 182
Add a Note
Question 3 See full question
12s
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Aggression control can be measured by the nurse’s observation of a client's
ability to do what?
You Selected:
Show an increased tolerance for frustration
Correct response:
Show an increased tolerance for frustration
Explanation:
Aggression control is the term used in the Nursing Outcomes Classification
(NOC; Moorhead, Johnson, & Maas, 2003). The nurse may observe that the
client shows decreased psychomotor activity (e.g., less pacing), has a more
relaxed posture, speaks more directly about feelings of anger and personal
needs, requires less sedating medication, shows increased tolerance for
frustration and the ability to consider alternatives, and makes effective use
of other coping strategies.
, Reference:
Videbeck, S, Psychiatric-Mental Health Nursing, 9th ed., Philadelphia, Wolters
Kluwer, 2023, Chapter 11: Anger, Hostility, and Aggression, CARE OF
CLIENTS AT RISK FOR AGGRESSIVE BEHAVIOR, p. 182.
Chapter 11: Anger, Hostility, and Aggression - Page 182
Add a Note
Question 4 See full question
3m 41s
Report this Question
The nurse recognizes that they are avoiding clients who display hostile
behaviors. Which would be the nurse’s best response?
You Selected:
Explore opportunities for additional training and practice.
Correct response:
Explore opportunities for additional training and practice.
Explanation:
The nurse must be aware of how they deal with anger before helping clients
do so. It is important for the nurse to obtain additional training to develop
methods of handling situations with aggressive clients and ways to improve
safety. The nurse who is afraid of angry feelings may avoid a client’s anger,
which allows the client’s behavior to escalate rather than de-escalate. If the
nurse does not feel competent in dealing with a situation, it is crucial to
obtain assistance as soon as possible. It would be unsafe to motivate oneself
to interact with angry clients if the nurse does not feel competent. Observing
experienced staff rather than new staff will assist in the development of skills
in managing client anger.
Reference:
Videbeck, S, Psychiatric-Mental Health Nursing, 9th ed., Philadelphia, Wolters
Kluwer, 2023, Chapter 11: Anger, Hostility, and Aggression, Self-Awareness
Issues, p. 185.
Chapter 11: Anger, Hostility, and Aggression - Page 185