While interviewing a patient, a nurse asks, What do you do w...

While interviewing a patient, a nurse asks, What do you do when you get angry? Which patient response would indicate to the nurse that the patient engages in anger suppression?

A. I?ve been known to fly off the handle when I?m angry.
B. People say I withdraw and pout about the problem.
C. I usually approach the person directly to talk about it.
D. I try to discuss how I?m feeling about it with a close friend.

Correct Answer: B

Rationale: Withdrawing and pouting indicate anger suppression, as the patient avoids expressing anger directly. Flying off the handle suggests explosive anger, while direct discussion or confiding in a friend indicates healthier anger expression.

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A nursing instructor is teaching a class of nursing students about anger, aggression, and violence. Which statement by the instructor would be most appropriate to include?

A. Anger, aggression, and violence are points along a continuum.
B. The terms used to describe anger are very precise.
C. Anger is a knee-jerk reaction to external events.
D. Women experience anger as frequently as men do.

Correct Answer: A

Rationale: Anger, aggression, and violence exist along a continuum, where anger can escalate to aggression and potentially violence if not managed. The other statements are less accurate: anger terms are not always precise, anger is not solely a knee-jerk reaction, and gender frequency is not the focus.

After working with a patient who has a history of violent behavior to identify possible clues that suggest that his behavior is escalating, the nurse and patient develop a plan for prevention. Which strategy would they be least likely to include?

A. Counting to 10
B. Taking slow deep breaths
C. Turning up the music loud
D. Taking a voluntary time out

Correct Answer: C

Rationale: Turning up the music loud could overstimulate the patient and escalate agitation, making it an ineffective prevention strategy. Counting to 10, deep breathing, and voluntary time-outs are calming techniques that help de-escalate potential violence.

A unit in an inpatient psychiatric facility is experiencing an increase in violence episodes by patients. A group of nurses working on this unit is developing a plan to address this issue. When developing this plan which of the following would the nurses most likely address as the problem areas? Select all that apply.

A. Inconsistent unit activities
B. Medication power struggles
C. Empathetic staff response
D. Clear set boundaries
E. Little patient participation in treatment plan

Correct Answer: A,B,E

Rationale: Inconsistent unit activities, medication power struggles, and little patient participation in treatment plans can contribute to increased violence by creating uncertainty, conflict, or disengagement. Empathetic staff responses and clear boundaries are protective factors, not problem areas.

The nurse is reviewing the medical record of a patient who is experiencing aggressive and violent behavior for possible risk factors. Which of the following would the nurse identify? Select all that apply.

A. Damage to the frontal lobe of the brain
B. Low testosterone levels
C. Family history of aggression
D. Gender
E. High level of competitiveness

Correct Answer: A,C

Rationale: Damage to the frontal lobe can impair impulse control, increasing aggression risk. A family history of aggression suggests genetic or environmental predisposition. Low testosterone is less associated with aggression, gender alone is not a specific risk factor, and competitiveness is not a direct predictor.

The nurse is caring for a family whose older father with dementia is living in their home. The nurse has instructed the family about how to decrease the father?s agitation. The nurse determines that the son has understood the nurse?s instructions when he states which of the following?

A. Restraints can help reduce my father?s agitation.
B. I should place my father in the bedroom with me so I can watch him more closely.
C. It?s important that he gets out shopping with me or my wife.
D. If I simplify our home environment, my father may be less agitated.

Correct Answer: D

Rationale: Simplifying the home environment reduces sensory overload, which can decrease agitation in patients with dementia. Restraints can increase agitation, close monitoring in a bedroom may not address triggers, and shopping outings may overstimulate the patient.