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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.
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A client suddenly jumps up from the chair and begins yelling and cursing at the nurse. Which would be the best response by the nurse?
- A. I can see that you need attention, you should calmly ask for what you want
- B. I don't want to hear that kind of language, don't ever do that again.
- C. I will limit your smoking privileges if you can't control yourself
- D. You seem angry. Tell me more about how you're feeling
Correct Answer: D
Rationale: Acknowledging the client's anger and encouraging verbal expression promotes de-escalation, unlike punitive responses or assumptions about needs.
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.
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.
The client with a history of explosive outbursts becomes angry and states, 'I am really getting angry.' The nurse sees this as
- A. Controlling
- B. Manipulation
- C. Progress
- D. Regression
Correct Answer: C
Rationale: Verbalizing anger is progress, indicating self-awareness and control, unlike manipulation or regression, which involve different behavioral patterns.
A client is clenching his fists and yelling at another client on the unit. He appears to be close to losing control of his anger. Which of the following actions by the nurse is appropriate at this time?
- A. Clear others out of the immediate area.
- B. Prepare a PRN sedative.
- C. Tell the client to stop and take a time-out.
- D. Alert the security department of an impending aggressive outburst.
Correct Answer: C
Rationale: Directing the client to take a time-out during the escalation phase is a least restrictive intervention to regain control, prioritizing de-escalation over sedatives or security.