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.
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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.
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).
The nurse decides to place an aggressive and violent client in mechanical restraints. The nurse bases this decision on which of the following?
- A. Client's mood
- B. Client's safety
- C. Court order
- D. Physician's order
Correct Answer: B
Rationale: Restraints are used when the client's safety is at risk and less restrictive measures fail, not based on mood, court, or physician orders alone.
After an angry outburst, a client quickly appears more calm and rational. The nurse approaches the client. Which of the following is the most helpful response to the client at this time?
- A. We will have to talk about this later.
- B. You really scared me. I'm glad you are okay.
- C. What happened that got you so upset?
- D. What can you do differently next time you get angry.
Correct Answer: C
Rationale: In the recovery phase, discussing triggers helps the client process the outburst, unlike delaying discussion or focusing on future behavior too soon.
Anger management is likely to be included in the care of clients with which of the following psychiatric diagnoses?
- A. Alzheimer's dementia
- B. Schizophrenia
- C. Anorexia nervosa
- D. Acute alcohol intoxication
- E. Generalized anxiety disorder
Correct Answer: A,B,D
Rationale: Clients with Alzheimer's dementia, schizophrenia, or acute alcohol intoxication may exhibit aggression due to cognitive impairments or delusions, requiring anger management, unlike anorexia or anxiety.
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