Questions and Answers
What is aggression?
What is self-defense?
Self-defense is the right to use reasonable force to protect oneself or others from harm.
What does awareness refer to?
360 knowledge or perception of a situation.
Define vigilance.
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What is avoidance?
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What does it mean to defend?
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What does escape mean?
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What is passive aggressive behavior?
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The crisis cycle begins with __________.
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What is QTIP?
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What is a restraint for older confused patients?
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What influences the crisis cycle?
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What does paraverbal communication encompass?
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Why is body language important?
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What should you do with the audience during a crisis?
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What does 'own the door' mean?
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What are limit setting techniques?
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Define precipitating factors.
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What is a productive reaction?
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What is an unproductive reaction?
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What is important for prevention?
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The reactionary gap is typically __________.
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What is critical decision making?
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What does restraint mean in a crisis context?
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Define stance in crisis situations.
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What is a QRE?
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How should you escape from a bite or hair pull?
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What must be included in charts regarding safety?
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Study Notes
Aggression and Defensive Strategies
- Aggression: A behavior intended to harm or assert dominance.
- Self-defense: The right to use reasonable force against an aggressor to protect oneself or others.
- Awareness: A comprehensive understanding or perception of a situation; important to trust instinct.
Monitoring and Reaction
- Vigilance: Maintaining a careful watch for potential danger or difficulties.
- Avoidance: Actively staying away from situations or actions to prevent harm.
- Defend: To resist attacks or protect from harm.
Crisis Management
- Crisis cycle: A four-step process including anxiety/supportive, defensive/directive, risk behavior/physical intervention, and tension reduction.
- Influences on crisis cycle: Staff behavior significantly impacts the client's response; it is a fluid interaction.
- Precipitating factors: Recognizing early signs to prevent escalation; effective engagement with the patient is vital.
Communication Techniques
- Paraverbal communication: Focus on the tone, volume, and cadence of speech to enhance understanding.
- Body language: Essential to maintain open, non-threatening postures; avoid closed positions like hands in pockets.
De-escalation Strategies
- QTIP: Quit taking it personally; assess and manage personal triggers and maintain awareness for effective reactions.
- Limit-setting techniques: Use strategies like "when and then" or "if and then" to guide individuals toward positive behaviors.
- Audience: Remove onlookers to reduce the feeling of empowerment in an individual venting or acting disruptively.
Safety and Restraint
- Own the door: Position yourself near exits in crisis situations for safety and escape possibilities.
- Restraints: Use them as a last resort, mainly for violent behavior; ensure restrictions are least invasive.
- Mittens and chest restraints: Suitable for older, confused patients for their safety; preference for less restrictive methods.
Reaction Types
- Productive reaction: Results in increased effectiveness in sensing the environment; enhances performance during stressful situations.
- Unproductive reaction: Manifested through freezing or inappropriate responses that may escalate situations.
Documentation and Reflection
- QRE documentation: Record specific details on the incident, including types of force and de-escalation techniques used; do not include QRE mention in patient charts.
- Critical decision-making: Must justify actions taken in response to aggressive behavior; ensure interventions are proportionate and minimally restrictive.
Prevention Techniques
- Know personal stress responses: Self-awareness can improve responses to aggression.
- Reactionary gap: Maintain a distance of 4-6 feet for safety in confrontational situations.
- Charting requirements: Document risks to safety and verbal de-escalation efforts; necessary for patient protection and legal accountability.
Escape Techniques
- Escape from bites or hair pulls: “Feed the bite” by not pulling away; move towards the source of a hair pull to effectively escape.
These notes encapsulate crucial principles for handling aggression, crisis management, and effective communication. Understanding these concepts promotes safety and effective de-escalation in potentially volatile situations.
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Description
Test your knowledge on key terms related to the MAB course. This quiz covers essential vocabulary including aggression, self-defense, awareness, and vigilance. Perfect for anyone looking to reinforce their understanding of these concepts.