Nokea
An advanced practice psychiatric nurse is preparing to conduct a support group for psychiatric-mental health nurses who have been assaulted by patients. Which of the following would the nurse need to keep in mind with this group?
- A. Nurses experience a conflict between the role of caregiver and victim.
- B. Nurses who are victims often go on to prosecute the patient attackers.
- C. Nurses actively express the feelings associated with patient assaults.
- D. Nurses as victims of patient assaults rarely experience guilt or shame.
Correct Answer: A
Rationale: Nurses assaulted by patients often experience a conflict between their caregiver role and victim status, leading to emotional distress. Prosecution is uncommon, feelings may not always be actively expressed, and guilt or shame are common, making A the most accurate.
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The nurse is reviewing the medical record of a patient who is experiencing aggressive and violent behavior for possible risk factors. Which of the following would the nurse identify? Select all that apply.
- A. Damage to the frontal lobe of the brain
- B. Low testosterone levels
- C. Family history of aggression
- D. Gender
- E. High level of competitiveness
Correct Answer: A,C
Rationale: Damage to the frontal lobe can impair impulse control, increasing aggression risk. A family history of aggression suggests genetic or environmental predisposition. Low testosterone is less associated with aggression, gender alone is not a specific risk factor, and competitiveness is not a direct predictor.
A group of nursing students is reviewing information about maladaptive anger. The students demonstrate a need for additional study when they identify which condition as being linked to suppressed anger?
- A. Coronary heart disease
- B. Arthritis
- C. Hypertension
- D. Breast cancer
Correct Answer: B
Rationale: Suppressed anger is linked to coronary heart disease, hypertension, and some cancers, but arthritis is not typically associated with it. The students? identification of arthritis indicates a misunderstanding, as it is more related to physical or autoimmune factors than emotional suppression.
A nursing instructor is teaching a class of nursing students about anger, aggression, and violence. Which statement by the instructor would be most appropriate to include?
- A. Anger, aggression, and violence are points along a continuum.
- B. The terms used to describe anger are very precise.
- C. Anger is a knee-jerk reaction to external events.
- D. Women experience anger as frequently as men do.
Correct Answer: A
Rationale: Anger, aggression, and violence exist along a continuum, where anger can escalate to aggression and potentially violence if not managed. The other statements are less accurate: anger terms are not always precise, anger is not solely a knee-jerk reaction, and gender frequency is not the focus.
The nurse is caring for an older patient in a residential care facility. The patient has been extremely irritable the entire day. When modifying the patient?s plan of care, which of the following would be an appropriate snack to offer the patient to decrease the irritability?
- A. Chocolate candy bar
- B. Handful of raisins
- C. Granola bar
- D. Glass of milk
Correct Answer: D
Rationale: A glass of milk is an appropriate snack for an older patient experiencing irritability. Milk contains tryptophan, which can promote calmness by aiding serotonin production. Chocolate candy bars and granola bars may contain high sugar, potentially worsening irritability, while raisins, though healthy, lack the calming nutrients found in milk.
While talking with a patient who has been experiencing aggression and intense anger, the nurse identifies that the patient feels isolation and anxious. Which statement by the nurse would be most appropriate?
- A. This must be scary for you.
- B. Once you relax, things will improve.
- C. I really understand how you feel.
- D. If you calm down, I can help you.
Correct Answer: A
Rationale: Acknowledging the patient?s fear validates their emotions and builds rapport, which is therapeutic for someone feeling isolated and anxious. The other statements may dismiss the patient?s feelings or imply they must change before receiving help, which could escalate agitation.