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The client with a history of explosive outbursts becomes angry and states, 'I am really getting angry.' The nurse sees this as
- A. Controlling
- B. Manipulation
- C. Progress
- D. Regression
Correct Answer: C
Rationale: Verbalizing anger is progress, indicating self-awareness and control, unlike manipulation or regression, which involve different behavioral patterns.
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The nurse is teaching a client to recognize early signs of anger and aggression. The nurse explores ways that the client can recognize which of the following?
- A. Decreased problem-solving ability
- B. Restlessness and irritability
- C. Remorse
- D. Severe muscle tension
Correct Answer: B
Rationale: Restlessness and irritability are early signs of anger, enabling proactive management, unlike decreased problem-solving or remorse, which occur later.
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.
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.
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.
The nurse is interviewing a client with a history of physical aggression. Which of the following should the nurse avoid?
- A. Anticipating that a loss of control is possible and planning accordingly
- B. Explaining the consequences the client will face if control is lost
- C. Interviewing the client with another staff member present
- D. Responding to verbal threats by terminating the interview and obtaining assistance
Correct Answer: B
Rationale: Explaining consequences may provoke hostility, unlike proactive safety measures like anticipating loss of control or having support, which are appropriate.