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One of the first steps that a nurse should take to deal effectively with aggressive clients is which of the following?
- A. Reflect on abilities to handle own feelings of anger
- B. Learn professional skills of anger management
- C. Become proficient using reflective communication techniques
- D. Understand how to activate crisis response teams
Correct Answer: A
Rationale: Self-reflection on personal anger management enhances the nurse's ability to handle aggressive clients, preceding skill development or crisis response knowledge.
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Which of the following interventions are most effective in managing the environment to reduce or eliminate aggressive behavior?
- A. Planning group activities such as playing games
- B. Scheduling one-to-one interactions with the client
- C. Providing structure and consistency in the unit
- D. Avoiding discussions among clients on the unit
- E. Discouraging clients from negotiating solutions
Correct Answer: A,B,C
Rationale: Group activities, one-to-one interactions, and consistent structure foster a calm environment and reduce aggression, unlike avoiding discussions or negotiation.
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.
A client who has been physically aggressive arrives at the emergency room for a psychiatric assessment. Which would be the best approach for the nurse to use?
- A. Have a sense of humor to show a lack of fear.
- B. Provide close contact to increase the client's sense of safety.
- C. Use brief statements and questions to obtain information.
- D. Use open-ended questions, so the client can elaborate.
Correct Answer: C
Rationale: Brief statements and questions facilitate communication with an aggressive client who may struggle to express themselves, unlike humor or open-ended questions, which may escalate tension.
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.
What a culture considers acceptable strongly influences the expression of anger. Which culture-bound syndrome is a dissociative episode characterized by a period of brooding followed by an outburst of violent, aggressive, or homicidal behavior directed at other people and objects?
- A. Hwa-Byung
- B. Hwabyeong
- C. Amok
- D. Bouuff?©e delirante
Correct Answer: C
Rationale: Amok is characterized by brooding followed by violent outbursts, distinct from Hwa-Byung (anger suppression syndrome) or Bouuff?©e delirante (agitated confusion).