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When assessing a patient experiencing aggression, the nurse applies the general aggression model. Which of the following would the nurse assess as the person factors? Select all that apply.
- A. Patient?s personality traits
- B. Insult initiating the behavior
- C. Previous behavior patterns
- D. Patient?s shouting
- E. Patient?s mood
- F. Patient?s gender
Correct Answer: A,C,E,F
Rationale: The general aggression model identifies person factors as internal characteristics, including personality traits, previous behavior patterns, mood, and gender. Insults are situational factors, and shouting is a behavior, not a person factor.
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After working with a patient who has a history of violent behavior to identify possible clues that suggest that his behavior is escalating, the nurse and patient develop a plan for prevention. Which strategy would they be least likely to include?
- A. Counting to 10
- B. Taking slow deep breaths
- C. Turning up the music loud
- D. Taking a voluntary time out
Correct Answer: C
Rationale: Turning up the music loud could overstimulate the patient and escalate agitation, making it an ineffective prevention strategy. Counting to 10, deep breathing, and voluntary time-outs are calming techniques that help de-escalate potential violence.
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.
The nurse is caring for an older adult patient who has no history of violence but is agitated and appears ready to strike out at a staff member. The nurse would assess the patient for which of the following?
- A. Panic disorder
- B. Epilepsy
- C. Bipolar disorder
- D. Sensory losses
Correct Answer: D
Rationale: Sensory losses, such as hearing or vision impairment, are common in older adults and can lead to agitation or perceived aggression due to frustration or miscommunication. Panic disorder, epilepsy, or bipolar disorder are less likely causes without additional symptoms or history.
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 group of nursing students is reviewing information about maladaptive anger. The students demonstrate a need for additional study when they identify which condition as being linked to suppressed anger?
- A. Coronary heart disease
- B. Arthritis
- C. Hypertension
- D. Breast cancer
Correct Answer: B
Rationale: Suppressed anger is linked to coronary heart disease, hypertension, and some cancers, but arthritis is not typically associated with it. The students? identification of arthritis indicates a misunderstanding, as it is more related to physical or autoimmune factors than emotional suppression.