Nokea
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.
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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.
A client lost control of his behavior, broke a window, and made verbal threats to staff and other clients. The client was placed in mechanical restraints. Which statement should the nurse make to explain the use of restraints to the client?
- A. The length of time you'll be in restraints is undetermined.
- B. The staff will monitor your behavior closely.
- C. This is what happens when you lose control.
- D. This is a means of keeping you and others safe.
Correct Answer: D
Rationale: Explaining restraints as a safety measure clarifies their purpose without implying punishment, unlike vague or punitive statements.
A nurse is working with a client who has frequent angry outbursts. Which of the following statements is most helpful when working with this client?
- A. Anger is a normal feeling, and you can use it to solve problems
- B. You need to learn to suppress your angry feelings
- C. You can reduce your anger by hitting a punching bag
- D. You need to learn how to be less assertive in your communications
Correct Answer: A
Rationale: Validating anger as a normal emotion and encouraging its constructive use promotes problem-solving, unlike suppressing feelings, catharsis, or reducing assertiveness, which can worsen outcomes.
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.
Which of the following statements about anger, hostility and aggression are accurate?
- A. Anger is an emotional response to a real or perceived provocation.
- B. Hostility stimulates the sympathetic nervous system.
- C. Physical aggression involves harming other persons or property.
- D. Anger, hostility, and physical aggression are normal human emotions.
- E. Hostility is also referred to as verbal aggression.
- F. Physical aggression often progresses to hostility.
Correct Answer: A,C,E
Rationale: Anger is an emotional response to provocation, physical aggression involves harm to people or property, and hostility is verbal aggression, but only anger is a normal emotion, and hostility may precede, not follow, aggression.