Question 1

Because an intervention was required to control a patient's aggressive behaviour, the nurse plans a critical-incident debriefing with staff members. Which topics should be the primary focus of this discussion?

Accepted Answer

The answer of Because an intervention was required to control...

Question 2

Family members describe the patient as "a difficult person who finds fault with others." The patient verbally abuses nurses for their poor care. The most likely explanation lies in which of the following?

Accepted Answer

The patient's behavior suggests a personality style that externalizes problems, where they blame others for their issues rather than taking responsibility. This is consistent with the description of being a "difficult person" who finds fault with others.

Question 3

A nurse directs the intervention team that is placing an aggressive patient in seclusion. Before approaching the patient, which actions will the nurse direct team members to take?

Accepted Answer

The nurse should ensure a clear path for safety (A), designate a communicator to maintain calm and control (C), and remove items that could be used as weapons or cause injury (E).

Question 4

A new patient acts out so aggressively that seclusion is required before the admission assessment is completed or orders written. Immediately after safely secluding the patient, which action is the nurse's priority?

Accepted Answer

The nurse's priority after safely secluding the patient is to obtain a seclusion order from the health care provider. This is necessary to ensure that the seclusion was appropriate and legal, and to prevent any potential liability or legal issues. Completing the physical assessment and documenting the incident in the patient's medical record can be done after the seclusion order is obtained. Explaining to the patient about discontinuing seclusion when self-control is regained is also important, but it is not the priority at this time.

Question 5

Which indications warrant the use of seclusion?

Accepted Answer

The answer of Which indications warrant the use of seclusion?
...

Question 6

An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent further escalation of the spouse's anger?

Accepted Answer

Providing periodic updates and progress reports on the patient can help ease the spouse's anxiety and frustration by giving him/her information about the patient's condition and treatment progress. Offering a cup of coffee may temporarily distract the spouse, but it may not address the underlying issue. Explaining that the patient's condition is not life threatening may not be accurate or reassuring to the spouse, as they may still be concerned about the patient's well-being. Suggesting that the spouse leave may further escalate their anger and make them feel unsupported during a stressful time.

Question 7

Which central nervous system structures are most associated with anger and aggression?

Accepted Answer

The answer of Which central nervous system structures are most...

Question 8

Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence?

Accepted Answer

The answer of Which information from a patient's record would...

Quiz 23: Anger, Aggression, and Violence