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A client suddenly jumps up from the chair and begins yelling and cursing at the nurse. Which would be the best response by the nurse?
- A. I can see that you need attention, you should calmly ask for what you want
- B. I don't want to hear that kind of language, don't ever do that again.
- C. I will limit your smoking privileges if you can't control yourself
- D. You seem angry. Tell me more about how you're feeling
Correct Answer: D
Rationale: Acknowledging the client's anger and encouraging verbal expression promotes de-escalation, unlike punitive responses or assumptions about needs.
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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.
After an angry outburst, a client quickly appears more calm and rational. The nurse approaches the client. Which of the following is the most helpful response to the client at this time?
- A. We will have to talk about this later.
- B. You really scared me. I'm glad you are okay.
- C. What happened that got you so upset?
- D. What can you do differently next time you get angry.
Correct Answer: C
Rationale: In the recovery phase, discussing triggers helps the client process the outburst, unlike delaying discussion or focusing on future behavior too soon.
Which one of the following statements about anger is most accurate?
- A. Anger is an abnormal human emotion that is always negative.
- B. It is best to express anger by whatever means possible to minimize its consequences
- C. Most men are socialized to suppress anger
- D. Anger awareness and expression are necessary for women's growth and development.
Correct Answer: D
Rationale: Anger awareness and expression are essential for women's growth, as they are often socialized to suppress it, unlike men; anger is normal, not always negative, and catharsis can escalate it.
The nurse is teaching a client to recognize early signs of anger and aggression. The nurse explores ways that the client can recognize which of the following?
- A. Decreased problem-solving ability
- B. Restlessness and irritability
- C. Remorse
- D. Severe muscle tension
Correct Answer: B
Rationale: Restlessness and irritability are early signs of anger, enabling proactive management, unlike decreased problem-solving or remorse, which occur later.
A nurse is working with a client who has frequent angry outbursts. Which of the following statements is most helpful when working with this client?
- A. Anger is a normal feeling, and you can use it to solve problems
- B. You need to learn to suppress your angry feelings
- C. You can reduce your anger by hitting a punching bag
- D. You need to learn how to be less assertive in your communications
Correct Answer: A
Rationale: Validating anger as a normal emotion and encouraging its constructive use promotes problem-solving, unlike suppressing feelings, catharsis, or reducing assertiveness, which can worsen outcomes.