Nokea
Anger management is likely to be included in the care of clients with which of the following psychiatric diagnoses?
- A. Alzheimer's dementia
- B. Schizophrenia
- C. Anorexia nervosa
- D. Acute alcohol intoxication
- E. Generalized anxiety disorder
Correct Answer: A,B,D
Rationale: Clients with Alzheimer's dementia, schizophrenia, or acute alcohol intoxication may exhibit aggression due to cognitive impairments or delusions, requiring anger management, unlike anorexia or anxiety.
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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.
Which psychiatric disorder makes a person most susceptible to anger attacks that do not result in physical aggression?
- A. Delusions
- B. Depression
- C. Dementia
- D. Delirium
Correct Answer: B
Rationale: Depression often leads to verbal anger attacks due to emotional distress, unlike delusions, dementia, or delirium, which are more associated with physical aggression.
The nurse observes two clients in the day room arguing. One client runs into the corner and huddles while the other follows and continues with verbal abuse. Which is the best action by the nurse?
- A. Take an authoritative step between the two clients.
- B. Comfort the client huddled in the corner.
- C. Directly address both clients and ask what is going on.
- D. Engage the attention of the client who is still yelling and ask what is happening.
Correct Answer: D
Rationale: Engaging the dominant client de-escalates the situation by redirecting their focus, avoiding physical intervention or ignoring the aggressor's behavior.
Which of the following statements about anger, hostility and aggression are accurate?
- A. Anger is an emotional response to a real or perceived provocation.
- B. Hostility stimulates the sympathetic nervous system.
- C. Physical aggression involves harming other persons or property.
- D. Anger, hostility, and physical aggression are normal human emotions.
- E. Hostility is also referred to as verbal aggression.
- F. Physical aggression often progresses to hostility.
Correct Answer: A,C,E
Rationale: Anger is an emotional response to provocation, physical aggression involves harm to people or property, and hostility is verbal aggression, but only anger is a normal emotion, and hostility may precede, not follow, aggression.
The client's son is yelling and is hitting his hand with a rolled up newspaper. Which stage of aggression does the nurse identify that the client's son is exhibiting?
- A. Triggering
- B. Escalation
- C. Crisis
- D. Recovery
Correct Answer: B
Rationale: Yelling and self-directed aggression (hitting hand) indicate the escalation phase, where behaviors signal a potential loss of control, not yet reaching crisis.