Nokea
At which point in the stages of aggressive incidents is intervention least likely to be effective in preventing physically aggressive behavior?
- A. Triggering
- B. Escalation
- C. Crisis
- D. Postcrisis
Correct Answer: C
Rationale: During the crisis phase, the client's loss of control makes intervention least effective for preventing physical aggression, unlike earlier triggering or escalation phases.
You may also like to solve these questions
When interacting with a client in the day room, the nurse determines that a violent outburst is imminent. Which of the following should the nurse do first?
- A. Call for assistance.
- B. Give the client choices.
- C. Remove the other clients.
- D. Talk to the client calmly.
Correct Answer: A
Rationale: Calling for assistance prioritizes safety when a violent outburst is imminent, enabling subsequent interventions like removing others or calming the client.
An angry client has just thrown a chair across the room and is racing to pick up another chair to throw. The most appropriate action by the nurse would be which of the following?
- A. Call for an emergency response from trained personnel.
- B. Approach the client and firmly say, 'Stop, put it down'
- C. Calmly call the client by name and encourage verbal expression of anger.
- D. Assist the client to use problem-solving techniques instead of aggression.
Correct Answer: A
Rationale: In the crisis phase, calling for trained personnel ensures safety, as verbal interventions or problem-solving are ineffective when physical aggression has begun.
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 decides to place an aggressive and violent client in mechanical restraints. The nurse bases this decision on which of the following?
- A. Client's mood
- B. Client's safety
- C. Court order
- D. Physician's order
Correct Answer: B
Rationale: Restraints are used when the client's safety is at risk and less restrictive measures fail, not based on mood, court, or physician orders alone.
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.