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Which is most likely to be the subject of an aggressive attack from a client with mental illness?
- A. Other people
- B. The client
- C. Animals
- D. Objects
Correct Answer: B
Rationale: Clients with mental illness are more likely to harm themselves than others, animals, or objects due to internal distress or self-directed aggression.
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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 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.
After an angry outburst, the client is tearful and remorseful. Which statement by the nurse would be most supportive?
- A. If you still need to work on your problem-solving skills
- B. I will not allow you to get that angry again.
- C. If you should not have let your anger buildup like you did
- D. What could you have done when you first started to feel angry?
Correct Answer: D
Rationale: Encouraging reflection on early anger management in the postcrisis phase supports learning, unlike lecturing or blaming the client.
Which one of the following statements about anger is most accurate?
- A. Anger is an abnormal human emotion that is always negative.
- B. It is best to express anger by whatever means possible to minimize its consequences
- C. Most men are socialized to suppress anger
- D. Anger awareness and expression are necessary for women's growth and development.
Correct Answer: D
Rationale: Anger awareness and expression are essential for women's growth, as they are often socialized to suppress it, unlike men; anger is normal, not always negative, and catharsis can escalate it.
Which of the following interventions are most effective in managing the environment to reduce or eliminate aggressive behavior?
- A. Planning group activities such as playing games
- B. Scheduling one-to-one interactions with the client
- C. Providing structure and consistency in the unit
- D. Avoiding discussions among clients on the unit
- E. Discouraging clients from negotiating solutions
Correct Answer: A,B,C
Rationale: Group activities, one-to-one interactions, and consistent structure foster a calm environment and reduce aggression, unlike avoiding discussions or negotiation.