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The client identifies anger management as a problem. What is the next step in planning therapeutic interactions?
- A. Give the client a variety of choices on how to express anger.
- B. Give the client permission to be angry.
- C. Point out the senselessness of anger.
- D. Tell the client not to be angry all the time.
Correct Answer: B
Rationale: Permitting the client to view anger as a normal emotion reduces guilt and sets the stage for learning expression techniques, unlike dismissing or minimizing anger.
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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 one of the following statements about anger is most accurate?
- A. Anger is an abnormal human emotion that is always negative.
- B. It is best to express anger by whatever means possible to minimize its consequences
- C. Most men are socialized to suppress anger
- D. Anger awareness and expression are necessary for women's growth and development.
Correct Answer: D
Rationale: Anger awareness and expression are essential for women's growth, as they are often socialized to suppress it, unlike men; anger is normal, not always negative, and catharsis can escalate it.
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 of the following statements about the crisis phase of aggression when the client becomes physically aggressive is true?
- A. All staff should act to take charge of the situation.
- B. The client must be restrained or sedated at once.
- C. Staff should avoid communicating with the client.
- D. Four to six trained staff members are needed to restrain.
Correct Answer: D
Rationale: Four to six trained staff are needed for safe restraint, following protocols, unlike automatic sedation or avoiding communication, which are not standard.
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.