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Which of the following interventions would assist the client with the appropriate expression of anger?
- A. Encourage catharsis
- B. Encourage verbalization
- C. Improve self-esteem
- D. Isolate the client from others
Correct Answer: B
Rationale: Verbalizing anger is a safe, therapeutic way to express emotions, unlike catharsis or isolation, which may escalate hostility; self-esteem is a separate issue.
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Which of the following is most important to maintain therapeutic boundaries when working with aggressive clients?
- A. Encourage clients to express how the nurse can avoid causing emotional irritation.
- B. Discuss difficult patient care situations with a supervisor.
- C. Reflect on your actions that may have instigated the client's anger.
- D. Do not personalize a client's anger
Correct Answer: D
Rationale: Not personalizing the client's anger maintains therapeutic boundaries, ensuring objectivity, unlike shifting responsibility to the client or assuming personal fault.
At which point in the stages of aggressive incidents is intervention least likely to be effective in preventing physically aggressive behavior?
- A. Triggering
- B. Escalation
- C. Crisis
- D. Postcrisis
Correct Answer: C
Rationale: During the crisis phase, the client's loss of control makes intervention least effective for preventing physical aggression, unlike earlier triggering or escalation phases.
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.
Which of the following statements about the crisis phase of aggression when the client becomes physically aggressive is true?
- A. All staff should act to take charge of the situation.
- B. The client must be restrained or sedated at once.
- C. Staff should avoid communicating with the client.
- D. Four to six trained staff members are needed to restrain.
Correct Answer: D
Rationale: Four to six trained staff are needed for safe restraint, following protocols, unlike automatic sedation or avoiding communication, which are not standard.
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.