Nokea
A client approaches the nurse and loudly states, 'I'm not putting up with this anymore!' The most appropriate response by the nurse would be which of the following?
- A. I can see you are angry. Tell me what's going on
- B. You are not allowed to make threats. Please keep your voice down.
- C. Why do you say that?
- D. You are here voluntarily. You can leave if you want
Correct Answer: A
Rationale: Recognizing the client's anger and inviting discussion in a calm, nonthreatening manner helps de-escalate during the triggering phase, unlike dismissing or challenging.
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In the psychiatric setting, what is the most effective intervention in preventing the hostile client's behavior from escalating to physical aggression?
- A. Getting as far away from him or her as possible
- B. Engaging the hostile person in dialogue
- C. Yelling at the client to settle down now
- D. Ensuring that the client gets his or her way
Correct Answer: B
Rationale: Engaging in dialogue de-escalates hostility by addressing the client's concerns, unlike yelling or conceding, which may escalate or reinforce negative behavior.
Which of the following interventions would assist the client with the appropriate expression of anger?
- A. Encourage catharsis
- B. Encourage verbalization
- C. Improve self-esteem
- D. Isolate the client from others
Correct Answer: B
Rationale: Verbalizing anger is a safe, therapeutic way to express emotions, unlike catharsis or isolation, which may escalate hostility; self-esteem is a separate issue.
After an angry outburst, the client is tearful and remorseful. Which statement by the nurse would be most supportive?
- A. If you still need to work on your problem-solving skills
- B. I will not allow you to get that angry again.
- C. If you should not have let your anger buildup like you did
- D. What could you have done when you first started to feel angry?
Correct Answer: D
Rationale: Encouraging reflection on early anger management in the postcrisis phase supports learning, unlike lecturing or blaming the client.
The nurse is interviewing a client with a history of physical aggression. Which of the following should the nurse avoid?
- A. Anticipating that a loss of control is possible and planning accordingly
- B. Explaining the consequences the client will face if control is lost
- C. Interviewing the client with another staff member present
- D. Responding to verbal threats by terminating the interview and obtaining assistance
Correct Answer: B
Rationale: Explaining consequences may provoke hostility, unlike proactive safety measures like anticipating loss of control or having support, which are appropriate.
The client with a history of explosive outbursts becomes angry and states, 'I am really getting angry.' The nurse sees this as
- A. Controlling
- B. Manipulation
- C. Progress
- D. Regression
Correct Answer: C
Rationale: Verbalizing anger is progress, indicating self-awareness and control, unlike manipulation or regression, which involve different behavioral patterns.