47 Questions
What is the single best predictor of future violence?
History of violence
What is the single best predictor of future violence?
History of violence
What is the single best predictor of future violence?
History of violence
What is the definition of patient-centered care?
A competency recognizing the patient as the source of control of his or her care
Which neurotransmitter is associated with aggression?
Dopamine
What is the definition of critical thinking?
The skill of using logic and reasoning to identify the strengths and weaknesses of alternative healthcare solutions, conclusions, or approaches to clinical or practice problems.
What is the main difference between anger and aggression?
Aggression is a behavioral response while anger is an emotional response
What is the action or behavior that results in a verbal or physical attack?
Aggression
What is the fundamental element of critical thinking?
Patient-Centered Care
What is the term used for a catastrophic reaction in which a patient screams or cries and strikes out due to overwhelming fear?
Catastrophic response
Which neurotransmitter is associated with aggression?
Serotonin
Which neurotransmitter is associated with aggression?
Serotonin
Which of the following is NOT a risk factor associated with addiction?
Social status
What is the process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process?
Clinical Reasoning
Which of the following is not a risk factor for violence?
Social skills
Which of the following is a risk factor associated with addiction?
All of the above
Which of the following is an example of a pre-assaultive behavior?
Verbal abuse
What is the main goal of interprofessional teamwork and collaboration in the treatment of addiction?
Both short-term and long-term treatment
What is the emotional response to frustration of desire, a threat to one’s needs or a challenge?
Anger
What does the ADPIE process stand for?
Assessment, Diagnosis, Planning, Intervention, Evaluation
Which of the following is not a component of interprofessional teamwork and collaboration in the treatment of addiction and substance abuse?
Cognitive deficits
What is the most appropriate intervention for a pre-assaultive client who is becoming increasingly anxious and tense?
None of the above
What is the term used for an emotional response to frustration of desire, a threat to one’s needs, or a challenge?
Anger
Which of the following is not a step in the RN Nursing Process?
Reflection
What is the primary purpose of sedating medication in the care of individuals with cognitive deficits?
To calm agitation
What is the term used for a patient who becomes angry and exhibits increasing anxiety, tension, hyperactivity, and verbal abuse?
Pre-assaultive
What type of medication is used to calm agitation in patients with cognitive deficits?
Sedatives
What is the definition of clinical decision-making?
The process of making decisions based on clinical judgment, which includes critical thinking, clinical reasoning, and evidence-based practice
Which of the following is NOT a learning outcome listed for Unit 5B?
Identify the causes of delirium in patients with cognitive deficits
Which of the following is not a neurotransmitter associated with violence?
Acetylcholine
Which of the following is a nursing diagnosis associated with assaultive behaviors?
Risk for Violence
What is the difference between problem-solving and the nursing process?
The nursing process is a problem-solving framework that is specific to nursing.
What is the skill of using logic and reasoning to identify the strengths and weaknesses of alternative healthcare solutions, conclusions, or approaches to clinical or practice problems?
Critical Thinking
What is the main difference between assaultive and post-assaultive behaviors?
Assaultive behaviors involve committing an act of violence while post-assaultive behaviors involve reviewing the incident with the client
Which of the following is NOT a component of interprofessional teamwork and collaboration in the treatment of individuals with addiction?
Autonomy
What is the term used for a patient who commits an act of violence and requires seclusion or physical restraints?
Assaultive
What is the process by which nurses prioritize nursing diagnosis, interventions, and alternatives to be carried out?
Planning
Which of the following is not a learning outcome for Unit 5B in NUR 211?
Identify evidence-based practice interventions for depression and anxiety
Which of the following is a risk factor associated with violence?
Perceptions
Which of the following is NOT a term used to describe a stage of assaultive behavior?
Delusional
Which of the following is NOT a risk factor associated with violence?
Social status
What is the primary goal of evidence-based practice interventions in the care of individuals with addiction?
To facilitate safe and effective care
What is the competency recognizing the patient as the source of control of his or her care?
Patient-Centered Care
What is the term used for a patient who screams or cries and strikes out due to overwhelming fear?
Catastrophic
Which neurotransmitter is associated with addiction?
Dopamine
Which of the following is not a cognitive factor associated with risk for violence?
Genetic factors
Which of the following is an evidence-based practice intervention for facilitating safe and effective care for individuals with addiction?
Cognitive behavioral therapy
Study Notes
Title: Behavior
Unit 5B
NUR 211
Cassey Epley BSN, RN
Learning Outcomes:
• Describe the neurobiological brain changes that occur with addiction
• Compare risk factors associated with addiction, nicotine use, alcohol abuse, and substance abuse
• Identify evidence-based practice interventions that facilitate safe and effective care for individuals with addiction, nicotine use, alcohol abuse, and substance abuse.
• Describe components of interprofessional teamwork and collaboration that facilitate the short-term and long-term treatment of individuals with addiction, nicotine use, alcohol abuse, and substance abuse
• Apply the nursing process in the care of individuals across the lifespan with assaultive behaviors
• Discuss pharmacological and nonpharmacological therapies used in the care of individuals with addiction, nicotine use, alcohol abuse, substance abuse, and assaultive behaviors
Learning Resources:
• Halter, M.J. (2022) Chapter 22 & 27
• ATI RN Mental Health Nursing 11.0- Chapters 18 & 31
Assaultive Behaviors
• Pre-assaultive
○ Client becomes angry
■ Increasing anxiety
■ Tension
■ Hyperactivity
■ Verbal abuse
• Assaultive
○ Client commits act of violence
■ Seclusion
■ Physical restraints
• Post-assaultive
○ Staff reviews incident with client
Terms
• Anger
○ Emotional response to frustration of desire, a threat to one’s needs or a challenge
• Aggression
○ Action or behavior that results in a verbal or physical attack
• Violence
○ Always an objectionable act that involves intentional use of force that results in or has the potential to result in injury to another person
Risk Factors for Violence
• Genetic
• Neurobiological
○ Brain tumor
○ Alzheimer's
○ TBI
• Neurotransmitters
○ Serotonin
○ Dopamine
○ Gamma-aminobutyric acid (GABA)
• Cognitive factors
○ Anger
○ Perceptions
○ Emotions
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 regards to aggression?
a) "I need to be aware of patients who are withdrawn and sitting alone"
b) "An obvious change in behavior is a risk factor for aggression"
c) "Patient who seek constant attention are more likely to be violent"
d) "Patients who talk to themselves are the most dangerous"
Cognitive Deficits
• High risk of violence
• Reality orientation
○ Not beneficial
• Sedating medication
○ Calm agitation
○ Further cloud sensory
○ Increase disorientation
• Delirium
• Need simple, predictable and comfortable environment
• Catastrophic Reaction
○ Scream/cry, strike out due to overwhelming fear
Manifestations
Assessment
• History of violence is SINGLE best predictor of future violence!!
• Patients who are
○ Delusional
○ Hyperactive
○ Impulsive
○ Predisposed to irritability
• Presence of major risk factors
• Aggression
○ Occurs most often with limit-setting
Nursing Diagnosis & Interventions
• Risk for Violence
• Risk for Suicide
• Impaired Coping
•
Test your knowledge on behavior and assaultive behaviors with this quiz! This quiz covers topics such as the neurobiological brain changes that occur with addiction, risk factors associated with addiction, nicotine use, alcohol abuse, and substance abuse, evidence-based practice interventions for individuals with addiction, and the nursing process in the care of individuals with assaultive behaviors. You'll also learn about pharmacological and nonpharmacological therapies used in the care of individuals with addiction, nicotine use, alcohol abuse, substance abuse,
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