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Questions and Answers
Which individuals are most at risk for displaying aggressive behavior? Select all that apply.
Which individuals are most at risk for displaying aggressive behavior? Select all that apply.
A newly admitted male patient has a long history of aggressive behavior toward staff. Which statement by the nurse demonstrates the need for more information about the use of restraint?
A newly admitted male patient has a long history of aggressive behavior toward staff. Which statement by the nurse demonstrates the need for more information about the use of restraint?
Which intervention(s) should the nurse implement when helping a patient who expresses anger in an inappropriate manner? Select all that apply.
Which intervention(s) should the nurse implement when helping a patient who expresses anger in an inappropriate manner? Select all that apply.
Which guidelines should direct nursing care when deescalating an angry patient? Select all that apply.
Which guidelines should direct nursing care when deescalating an angry patient? Select all that apply.
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Which comorbid condition would result in cautious use of an SSRI for a patient with chronic aggression?
Which comorbid condition would result in cautious use of an SSRI for a patient with chronic aggression?
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Patrick is a widower with four daughters. He enjoyed a healthy relationship with each of them until they reached puberty. As the girls began to mature physically, he acted in an aggressive manner, often beating them without provocation. Patrick is most likely acting on:
Patrick is a widower with four daughters. He enjoyed a healthy relationship with each of them until they reached puberty. As the girls began to mature physically, he acted in an aggressive manner, often beating them without provocation. Patrick is most likely acting on:
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A nurse named Darryl has been hired to work in a psychiatric intensive care unit. He has undergone training on recognizing escalating anger. Which statement indicates that he understands danger signs in regard to aggression?
A nurse named Darryl has been hired to work in a psychiatric intensive care unit. He has undergone training on recognizing escalating anger. Which statement indicates that he understands danger signs in regard to aggression?
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An effective method of preventing escalation in an environment with violent offenders is to develop a level of trust through:
An effective method of preventing escalation in an environment with violent offenders is to develop a level of trust through:
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A 24-hour observation is a good choice for restraint in which of the following patients?
A 24-hour observation is a good choice for restraint in which of the following patients?
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Chronic obstructive pulmonary disease, spinal injury, seizure disorder, and pregnancy are conditions that:
Chronic obstructive pulmonary disease, spinal injury, seizure disorder, and pregnancy are conditions that:
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Which statement made by a new mother should be explored further by the nurse?
Which statement made by a new mother should be explored further by the nurse?
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Which problem is observed in children who regularly witness acts of violence in their family? Select all that apply.
Which problem is observed in children who regularly witness acts of violence in their family? Select all that apply.
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What situation associated with a caregiver presents the greatest risk that an older adult will experience abuse by that caregiver?
What situation associated with a caregiver presents the greatest risk that an older adult will experience abuse by that caregiver?
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What safety-related responsibility does the nurse have in any situation of suspected abuse?
What safety-related responsibility does the nurse have in any situation of suspected abuse?
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The nurse is assisting a patient to identify safety issues that may occur now that she has left an abusive partner. What telephone numbers should be available to the patient? Select all that apply.
The nurse is assisting a patient to identify safety issues that may occur now that she has left an abusive partner. What telephone numbers should be available to the patient? Select all that apply.
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Secondary effects of abuse often manifest as arrested development in children due to the fact that:
Secondary effects of abuse often manifest as arrested development in children due to the fact that:
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The use of a patient-centered interview technique works well for gathering information about abusive situations. It is a good use of clinical time to sit near the patient and:
The use of a patient-centered interview technique works well for gathering information about abusive situations. It is a good use of clinical time to sit near the patient and:
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The abused person is often in a dependent position, relying on the abuser for basic needs. At particular risk are children and older adults due to:
The abused person is often in a dependent position, relying on the abuser for basic needs. At particular risk are children and older adults due to:
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An appropriate expected outcome in individual therapy regarding the perpetrator of abuse would be:
An appropriate expected outcome in individual therapy regarding the perpetrator of abuse would be:
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Perpetrators of domestic violence tend to: Select all that apply.
Perpetrators of domestic violence tend to: Select all that apply.
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Which statement made by a sexually assaulted patient strongly suggests the drug gamma-hydroxybutyric acid (GHB) was involved in the attack?
Which statement made by a sexually assaulted patient strongly suggests the drug gamma-hydroxybutyric acid (GHB) was involved in the attack?
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Considering the guilt that women feel after being sexually assaulted, which nursing assessment question has priority?
Considering the guilt that women feel after being sexually assaulted, which nursing assessment question has priority?
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Which statement is an accurate depiction of sexual assault?
Which statement is an accurate depiction of sexual assault?
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Which signs and symptoms are associated with rape-trauma and rape-trauma response? Select all that apply.
Which signs and symptoms are associated with rape-trauma and rape-trauma response? Select all that apply.
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Which racial identification places a woman at the greatest risk of being sexually assaulted in her lifetime?
Which racial identification places a woman at the greatest risk of being sexually assaulted in her lifetime?
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The stress of being raped often results in suffering similar to people who have witnessed a murder or had a physiological reaction to trauma, resulting in which of the following?
The stress of being raped often results in suffering similar to people who have witnessed a murder or had a physiological reaction to trauma, resulting in which of the following?
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A young woman named Carly was raped after closing shift behind the restaurant where she works. Six months have passed and Carly has not been able to return to work, refuses to go out to eat, and feels that she has less value as a woman now that she has been raped. Carly's clinical presentation suggests:
A young woman named Carly was raped after closing shift behind the restaurant where she works. Six months have passed and Carly has not been able to return to work, refuses to go out to eat, and feels that she has less value as a woman now that she has been raped. Carly's clinical presentation suggests:
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Ron is a victim of assault and has revealed to his family and friends the fact that he was raped. The family reacts with horror and disgust, and the nurse caring for Ron recognizes that
Ron is a victim of assault and has revealed to his family and friends the fact that he was raped. The family reacts with horror and disgust, and the nurse caring for Ron recognizes that
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Perpetrators of sexual assault are often incarcerated but frequently do not undergo therapy. Samuel, convicted of rape and sentenced to 15 years in prison, has asked to see a therapist. The psychiatric nurse practitioner is surprised to learn of the request, as many perpetrators
Perpetrators of sexual assault are often incarcerated but frequently do not undergo therapy. Samuel, convicted of rape and sentenced to 15 years in prison, has asked to see a therapist. The psychiatric nurse practitioner is surprised to learn of the request, as many perpetrators
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You are working at a telephone hotline center when Abby, a rape victim, calls. Abby states she is afraid to go to the hospital. What is your best response?
You are working at a telephone hotline center when Abby, a rape victim, calls. Abby states she is afraid to go to the hospital. What is your best response?
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When caring for a patient recovering from an episode of opioid toxicity, the nurse determines that the patient has opioid use disorder based on which finding?
When caring for a patient recovering from an episode of opioid toxicity, the nurse determines that the patient has opioid use disorder based on which finding?
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A patient hospitalized with a fractured femur after an automobile accident develops nausea and vomiting, abdominal cramps, and restlessness. The nurse suspects that the patient is experiencing which reaction?
A patient hospitalized with a fractured femur after an automobile accident develops nausea and vomiting, abdominal cramps, and restlessness. The nurse suspects that the patient is experiencing which reaction?
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Which treatments will the nurse anticipate administering to a patient who has been admitted with alcohol toxicity? (Select all that apply.)
Which treatments will the nurse anticipate administering to a patient who has been admitted with alcohol toxicity? (Select all that apply.)
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The nurse observes another nurse taking oral opioids from the medication room at the hospital. Which is the best action for the nurse who observes drug diversion to take?
The nurse observes another nurse taking oral opioids from the medication room at the hospital. Which is the best action for the nurse who observes drug diversion to take?
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A patient is to start disulfiram to help with alcohol use disorder. The nurse providing medication education about the drug will include which topics in the education plan? (Select all that apply.)
A patient is to start disulfiram to help with alcohol use disorder. The nurse providing medication education about the drug will include which topics in the education plan? (Select all that apply.)
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Study Notes
Aggressive Behavior Risk Factors
- Adolescent embarrassed in front of peers
- Young male feeling rejected by social group
- Young adult depressed after a friend's death
- Middle-aged adult feeling unheard
Restraint Use Information
- Nurse should inquire further if restraint is warranted, especially if the patient's behavior requires restraint throughout the entire time they are restrained.
- Nurse should only utilize restraint as a last resort.
- The patient should be given access to fluids and food regularly when restrained.
Anger Management Interventions
- Approach the patient calmly and reassuringly.
- Provide examples of acceptable ways to communicate anger.
- Set limits on behaviors that will not be tolerated.
- Allow anger expression as long as no one is harmed
De-escalating Angry Patients
- Intervene quickly.
- Identify the trigger for the anger.
- Behave calmly and with respect.
- Recognize the patient's need for more personal space.
Cautious SSRI Use
- Bipolar disorder
Patrick's Aggressive Behavior
- Frustration of unhealthy desires is most likely the cause of his aggressive behavior.
Recognizing Escalating Anger
- Look for patients who are withdrawn and sitting alone.
- Be aware of sudden changes and expressions of behaviors.
Preventing Escalation in Violent Environments
- Develop trust through brief, frequent, and non-threatening interactions.
Restraint in Patients
- Inmates with suicidal ideation in hospice care.
Nurse's Responsibility in Abuse Cases
- Protect the patient from future abuse.
- Report the suspected abuse to the proper authorities.
- Arrange for counseling for the involved parties (especially the patient).
Effective Therapy for Perpetrators
- Recognizing destructive patterns of behavior.
- Learning alternate responses.
- The perpetrator should not live with the family, and supervised contact is necessary while undergoing intensive inpatient therapy.
Perpetrators of Domestic Violence Tendencies
- Poor social skills.
- Belief that men should be dominant.
- Forcefully control their partners regarding finances and relationship control
- Preventing their partners from having relationships outside of the family unit.
Opioid Toxicity Recovery
- Patient should exhibit withdrawal symptoms
- Craving that results in drug seeking behaviors
- Intravenous, rather than oral, use of the drug.
- A patient's history of daily use of opioids.
Patient Hospitalized with Fractured Femur Possible Reactions
- Opioid withdrawal
- Alcohol toxicity
- Flashbacks
- Nicotine withdrawal
Alcohol Toxicity Treatment
- Naloxone
- Thiamine
- Intravenous fluids
Drug Diversion
- Report the finding to the superior nursing staff.
Disulfiram Education
- Importance of taking the medication every day.
- Support groups help with treatment adherence.
- Common food and hygiene products containing alcohol.
- Disulfiram treatment should be stopped 1 day before alcohol use.
- Disulfiram disrupts the metabolism of alcohol
- Disulfiram can cause nausea, vomiting, and possibly affect the patient.
Sexual Assault Assessment
- Questions should focus on feelings of guilt and harm toward oneself.
- Assessing if the patient has someone they trust and can stay with them.
- Consider if the patient recognizes the person who assaulted them.
- Consider if the patient wants law enforcement notified/involved.
Sexual Assault Signs and Symptoms
- Outbursts of anger.
- Major depressive disorder
- Auditory hallucinations.
- Flashbacks.
- Amnesia of the event.
Sexual Assault Risk Factors
- American Indian.
- Black non-Hispanic
Stressors After Sexual Assault
- Posttraumatic stress disorder
- Anxiety
- Depression
- Reexperiencing.
- Hyperalertness
- Avoidance
- Physical effects of assault
- Family dynamics.
Patient with Sexual Assault History
- Feelings of loss of worth.
- Difficulty returning to work.
- Difficulty returning to previous social activities.
- Fear of the future.
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Description
This quiz covers essential risk factors associated with aggressive behavior and effective strategies for anger management. It aims to provide insights into the role of caregivers in de-escalating angry patients and the proper use of restraints. Test your knowledge on handling anger and supporting individuals in crisis situations.
