Nokea
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).
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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.
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.
When interacting with a client in the day room, the nurse determines that a violent outburst is imminent. Which of the following should the nurse do first?
- A. Call for assistance.
- B. Give the client choices.
- C. Remove the other clients.
- D. Talk to the client calmly.
Correct Answer: A
Rationale: Calling for assistance prioritizes safety when a violent outburst is imminent, enabling subsequent interventions like removing others or calming the client.
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.
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.