NUR 3450 EXAM 4 QUESTIONS & ANSWERS
CH. 27 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 patient who was discovered telling a lie. - Answer -a,b,d,e
CH. 27 A newly admitted male patient has a long history of aggressive behavior toward
staff. Which statement by the nurse demonstrates the need for more information 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." - Answer -b
CH. 27 Which intervention(s) should the nurse implement when helping a patient
expresses anger in an inappropriate manner? Select all that apply.
a. Approach the patient in a calm, reassuring manner.
b. Provide suggestions regarding acceptable ways of communicating anger. c. Warn the
patient that being angry is not a healthy emotional state.
d. Set limits on the angry behavior that will be tolerated.
e. Allow any expression of anger as long as no one is hurt. - Answer -a,b,d
CH. 27 Which guidelines should direct nursing care when deescalating an angry
patient? 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 patient's need for increased personal space
e. Demands are agreed to as long as they won't result in harm to anyone - Answer -
a,b,c,d
CH. 27 Which comorbid condition would result in cautious use of a selective serotonin
reuptake inhibitors for a patient with chronic aggression?
a. Asthma
b. Anxiety disorder
c. Glaucoma
d. Bipolar disorder - Answer -d
, CH. 27 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 of unhealthy desire
d. Motivating his daughters to be chaste - Answer -c
CH. 27 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 patients who are withdrawn and sitting alone."
b. "An obvious change in behavior is a risk factor for aggression."
c. "Patients who seek constant attention are more likely to be violent."
d. "Patients who talk to themselves are the most dangerous." - Answer -b
CH. 27 An effective method of preventing escalation in an environment with violent
offenders is to develop a level of trust through:
a. A casual authoritative demeanor
b. Keeping patients busy
c. Brief, frequent, nonthreatening encounters
d. Threats of seclusion or punishment - Answer -c
CH. 27 Twenty-four-hour observation is a good choice for restraint in which of the
following patients?
a. An inmate with suicidal ideation on hospice careb.
b. A sex offender in the psychiatric intensive care unitc.
c.An aggressive female with antisocial personality disorder
d. An inmate diagnosed with paranoid schizophrenia - Answer -a
CH. 27 Chronic obstructive pulmonary disease, spinal injury, seizure disorder, and
pregnancy are conditions that:
a. Frequently result in out of control behavior.
b. Respond well to therapeutic holding.
c. Necessitate the use of only two-point restraint.
d. Contraindicate restraint and seclusion. - Answer -d
TB 27. Which behavior best demonstrates aggression?
a.Stomping away from the nurses' station, going to the hallway, and grabbing a tray
from the meal cart.
b.Bursting into tears, leaving the community meeting, and sitting on a bed hugging a
pillow and sobbing.
c.Telling the primary nurse, "I felt angry when you said I could not have a second
helping at lunch."
CH. 27 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 patient who was discovered telling a lie. - Answer -a,b,d,e
CH. 27 A newly admitted male patient has a long history of aggressive behavior toward
staff. Which statement by the nurse demonstrates the need for more information 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." - Answer -b
CH. 27 Which intervention(s) should the nurse implement when helping a patient
expresses anger in an inappropriate manner? Select all that apply.
a. Approach the patient in a calm, reassuring manner.
b. Provide suggestions regarding acceptable ways of communicating anger. c. Warn the
patient that being angry is not a healthy emotional state.
d. Set limits on the angry behavior that will be tolerated.
e. Allow any expression of anger as long as no one is hurt. - Answer -a,b,d
CH. 27 Which guidelines should direct nursing care when deescalating an angry
patient? 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 patient's need for increased personal space
e. Demands are agreed to as long as they won't result in harm to anyone - Answer -
a,b,c,d
CH. 27 Which comorbid condition would result in cautious use of a selective serotonin
reuptake inhibitors for a patient with chronic aggression?
a. Asthma
b. Anxiety disorder
c. Glaucoma
d. Bipolar disorder - Answer -d
, CH. 27 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 of unhealthy desire
d. Motivating his daughters to be chaste - Answer -c
CH. 27 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 patients who are withdrawn and sitting alone."
b. "An obvious change in behavior is a risk factor for aggression."
c. "Patients who seek constant attention are more likely to be violent."
d. "Patients who talk to themselves are the most dangerous." - Answer -b
CH. 27 An effective method of preventing escalation in an environment with violent
offenders is to develop a level of trust through:
a. A casual authoritative demeanor
b. Keeping patients busy
c. Brief, frequent, nonthreatening encounters
d. Threats of seclusion or punishment - Answer -c
CH. 27 Twenty-four-hour observation is a good choice for restraint in which of the
following patients?
a. An inmate with suicidal ideation on hospice careb.
b. A sex offender in the psychiatric intensive care unitc.
c.An aggressive female with antisocial personality disorder
d. An inmate diagnosed with paranoid schizophrenia - Answer -a
CH. 27 Chronic obstructive pulmonary disease, spinal injury, seizure disorder, and
pregnancy are conditions that:
a. Frequently result in out of control behavior.
b. Respond well to therapeutic holding.
c. Necessitate the use of only two-point restraint.
d. Contraindicate restraint and seclusion. - Answer -d
TB 27. Which behavior best demonstrates aggression?
a.Stomping away from the nurses' station, going to the hallway, and grabbing a tray
from the meal cart.
b.Bursting into tears, leaving the community meeting, and sitting on a bed hugging a
pillow and sobbing.
c.Telling the primary nurse, "I felt angry when you said I could not have a second
helping at lunch."
