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The nurse is reviewing the medical record of a patient who is experiencing aggressive and violent behavior for possible risk factors. Which of the following would the nurse identify? Select all that apply.
- A. Damage to the frontal lobe of the brain
- B. Low testosterone levels
- C. Family history of aggression
- D. Gender
- E. High level of competitiveness
Correct Answer: A,C
Rationale: Damage to the frontal lobe can impair impulse control, increasing aggression risk. A family history of aggression suggests genetic or environmental predisposition. Low testosterone is less associated with aggression, gender alone is not a specific risk factor, and competitiveness is not a direct predictor.
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While interviewing a patient, a nurse asks, What do you do when you get angry? Which patient response would indicate to the nurse that the patient engages in anger suppression?
- A. I?ve been known to fly off the handle when I?m angry.
- B. People say I withdraw and pout about the problem.
- C. I usually approach the person directly to talk about it.
- D. I try to discuss how I?m feeling about it with a close friend.
Correct Answer: B
Rationale: Withdrawing and pouting indicate anger suppression, as the patient avoids expressing anger directly. Flying off the handle suggests explosive anger, while direct discussion or confiding in a friend indicates healthier anger expression.
A son brings his father to the clinic and tells the nurse that his father has begun to act strangely in the past few days and has unprovoked outbursts of anger. After the incidents, the father expresses remorse for his outburst. The son says, I?ve never seen him act this way. Which question would be most appropriate for the nurse to ask next?
- A. Does your father have a history of an anxiety disorder such as panic disorder?
- B. Has your father exhibited previous problems expressing anger appropriately?
- C. Has your father suffered any traumatic injury to his brain recently?
- D. Has your father injured the back of his head or neck in the past week?
Correct Answer: C
Rationale: Asking about recent traumatic brain injury is most appropriate, as sudden behavioral changes, such as unprovoked anger outbursts in an older adult with no prior history, may indicate a neurological issue, such as a brain injury. The other options are less likely to explain the sudden onset of symptoms.
The plan of a care for a patient with anger includes behavioral interventions. Which of the following would the nurse be likely to find?
- A. Self-monitoring of cues
- B. Anger management
- C. Relaxation training
- D. Response disruption
Correct Answer: A
Rationale: Self-monitoring of cues is a common behavioral intervention to help patients recognize triggers and manage anger before it escalates. While anger management and relaxation training are also relevant, self-monitoring is a specific, proactive strategy likely included in the care plan.
A nursing instructor is teaching a class of nursing students about anger, aggression, and violence. Which statement by the instructor would be most appropriate to include?
- A. Anger, aggression, and violence are points along a continuum.
- B. The terms used to describe anger are very precise.
- C. Anger is a knee-jerk reaction to external events.
- D. Women experience anger as frequently as men do.
Correct Answer: A
Rationale: Anger, aggression, and violence exist along a continuum, where anger can escalate to aggression and potentially violence if not managed. The other statements are less accurate: anger terms are not always precise, anger is not solely a knee-jerk reaction, and gender frequency is not the focus.
The nurse is working with a potentially violent patient in a community clinic. Which of the following would the nurse implement to minimize personal risk?
- A. Using protective devices
- B. Staying close to a door
- C. Keeping the door closed to ensure privacy
- D. Wearing inexpensive jewelry to distract the patient
Correct Answer: B
Rationale: Staying close to a door allows the nurse to exit quickly if the situation escalates, minimizing personal risk. Protective devices may not be practical, closing the door reduces escape options, and wearing jewelry could increase risk by attracting attention.