Nokea
Which psychiatric disorder makes a person most susceptible to anger attacks that do not result in physical aggression?
- A. Delusions
- B. Depression
- C. Dementia
- D. Delirium
Correct Answer: B
Rationale: Depression often leads to verbal anger attacks due to emotional distress, unlike delusions, dementia, or delirium, which are more associated with physical aggression.
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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.
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.
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.
The client identifies anger management as a problem. What is the next step in planning therapeutic interactions?
- A. Give the client a variety of choices on how to express anger.
- B. Give the client permission to be angry.
- C. Point out the senselessness of anger.
- D. Tell the client not to be angry all the time.
Correct Answer: B
Rationale: Permitting the client to view anger as a normal emotion reduces guilt and sets the stage for learning expression techniques, unlike dismissing or minimizing anger.
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.