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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.
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A client is observed pacing the hall with clenched fists and swearing at others. The nurse intervenes immediately to prevent the client from moving to which phase of the aggression cycle?
- A. Triggering
- B. Escalation
- C. Crisis
- D. Recovery
Correct Answer: B
Rationale: The client's behaviors (pacing, clenched fists, swearing) indicate the escalation phase, and intervention aims to prevent progression to the crisis phase of physical aggression.
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.
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.
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.
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.