Psychiatric Mental Health Nursing by Videbeck

(Nancy Kaufman) #1

10 ANGER, HOSTILITY, ANDAGGRESSION 207


➤ FILL-IN-THE-BLANK QUESTIONS


Indicate which phase of the aggression cycle would be appropriate for
implementing each of the following interventions.


Talking about the incident

Reintegrating the client into the milieu

Encouraging a description of feelings or events

Directing the client to go to a quiet place for time out

Using physical restraint techniques

Chapter Study Guide


➤ MULTIPLE-CHOICE QUESTIONS
Select the best answer for each of the following
questions.


  1. Which of the following is an example of assertive
    communication?
    A. “I wish you would stop making me angry.”
    B. “I feel angry when you walk away when I’m
    talking.”
    C. “You never listen to me when I’m talking.”
    D. “You make me angry when you interrupt me.”

  2. Which of the following statements about anger
    is true?
    A. Expressing anger openly and directly usually
    leads to arguments.
    B. Anger results from being frustrated, hurt, or
    afraid.
    C. Suppressing anger is a sign of maturity.
    D. Angry feelings are a negative response to a
    situation.

  3. Which of the following types of drugs requires
    cautious use with potentially aggressive clients?
    A. Antipsychotic medications
    B. Benzodiazepines
    C. Mood stabilizers
    D. Lithium
    4. A client is pacing in the hallway with clenched
    fists and a flushed face. He is yelling and
    swearing. Which phase of the aggression cycle
    is he in?
    A. Anger
    B. Triggering
    C. Escalation
    D. Crisis
    5. The nurse observes a client muttering to him-
    self and pounding his fist in his other hand
    while pacing in the hallway. Which of the
    following principles should guide the nurse’s
    action?
    A. Only one nurse should approach an upset
    client to avoid threatening the client.
    B. Clients who can verbalize angry feelings
    are less likely to become physically
    aggressive.
    C. Talking to a client with delusions will not be
    helpful, because the client has no ability to
    reason.
    D. Verbally aggressive clients often calm down
    on their own if staff don’t bother them.


207

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