Managing Aggressive Behavior

• Adolescents embarrassed in front of friends are at risk for displaying aggressive behavior.
• Young males who feel rejected by a social group may display aggressive behavior.
• A young adult depressed after the death of a friend may display aggressive behavior.
• Middle-aged adults who feel their concerns go unheard may display aggressive behavior.
• A patient discovered telling a lie may display aggressive behavior.
• A nurse should ask if someone will stay with a newly admitted male patient with a history of aggressive behavior the entire time he is restrained.
• When helping a patient who expresses anger in an inappropriate manner, approach them in a calm and reassuring manner.
• When helping a patient who expresses anger in an inappropriate manner, provide suggestions regarding acceptable ways of communicating anger.
• When helping a patient who expresses anger in an inappropriate manner, set limits on the angry behavior that will be tolerated.
• Guidelines for de-escalating an angry patient include identifying the trigger for the anger.
• Guidelines for de-escalating an angry patient include behaving calmly and respectfully.
• Guidelines for de-escalating an angry patient include recognizing the patient's need for increased personal space.
• Cautious use of an SSRI is needed for a patient with chronic aggression and bipolar disorder.
• A nurse should be aware of patients who are withdrawn and sitting alone.
• An obvious change in behavior is a risk factor for aggression.
• Brief, frequent, nonthreatening encounters are an effective method of preventing escalation in an environment with violent offenders.
• A 24-hour observation is a good choice for restraint for an aggressive female with antisocial personality disorder.
• Chronic obstructive pulmonary disease, spinal injury, seizure disorder, and pregnancy are conditions that contraindicate restraint and seclusion.

Chapter 28

• A new mother's statement, "I think the baby cries just to make me angry," should be explored further by the nurse.
• Problems observed in children who regularly witness acts of violence in their family include phobias.
• Problems observed in children who regularly witness acts of violence in their family include low self-esteem.
• Problems observed in children who regularly witness acts of violence in their family include major depressive disorder.
• Problems observed in children who regularly witness acts of violence in their family include posttraumatic stress disorder.
• The greatest risk that an older adult will experience abuse by a caregiver is when the caregiver was neglected as a child.
• Safety-related responsibilities of a nurse in any situation of suspected abuse include reporting the suspected abuse to the proper authorities.
• When assisting a patient to identify safety issues after leaving an abusive partner, telephone numbers for the police department should be available to the patient.
• When assisting a patient to identify safety issues after leaving an abusive partner, telephone numbers for an abuse hotline should be available to the patient.
• When assisting a patient to identify safety issues after leaving an abusive partner, telephone numbers for a responsible friend or family member should be available to the patient.
• When assisting a patient to identify safety issues after leaving an abusive partner, telephone numbers for a domestic violence shelter should be available to the patient.
• When assisting a patient to identify safety issues after leaving an abusive partner, telephone numbers for the hospital emergency department should be available to the patient.
• Secondary effects of abuse manifest as arrested development in children because energy for development is diverted to coping.
• When gathering information about abusive situations, use a patient-centered interview technique to establish trust and rapport.
• Abused persons are often in a dependent position, relying on the abuser for basic needs.
• At particular risk are children and older adults due to their limited options.
• An appropriate expected outcome in individual therapy regarding the perpetrator of abuse is that they will recognize destructive patterns of behavior and learn alternate responses.
• Perpetrators of domestic violence tend to have relatively poor social skills and have grown up with poor role models.
• Perpetrators of domestic violence tend to believe they, if male, should be dominant and in charge in relationships.
• Perpetrators of domestic violence tend to be controlling and willing to use force to maintain their power in relationships.
• Perpetrators of domestic violence tend to prevent their mates from having relationships and activities outside the family.

Chapter 29

• "The drink I was given had a salty taste to it,” may mean that the drug gamma-hydroxybutyric acid (GHB) was involved in the attack.
• Considering the guilt that women feel after being sexually assaulted, the nursing assessment question with priority is: "Do you have someone you trust that can stay with you?”
• Most rapes occur in the home.
• Signs/symptoms associated with rape-trauma/rape-trauma response include outbursts of anger.
• Signs/symptoms associated with rape-trauma/rape-trauma response include major depressive disorder.
• Signs/symptoms associated with rape-trauma/rape-trauma response include flashbacks.
• Signs/symptoms associated with rape-trauma/rape-trauma response include amnesia for the event.
• American Indian women are at the greatest risk of being sexually assaulted in her lifetime.
• 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 posttraumatic stress disorder.
• 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 anxiety.
• 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 depression.
• Reexperiencing, hyperalertness, avoidance, and physical effects are clinical presentations that suggest rape trauma.
• A nurse recognizes that Ron's family showing reactions of horror and disgust is being judgmental.
• A nurse recognizes that Ron's family showing reactions of horror and disgust will also need support.
• Samuel, convicted of rape and sentenced to 15 years, has asked to see a therapist; many perpetrators do not acknowledge the need for change.
• Working at a telephone hotline center when Abby, a rape victim, calls, the best response is, “I'm here to listen, and we can talk about your feelings.”