NSG 3450 Exam 4 Mental Health Galen College
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Assessing for _________ is the single best predictor of
future violence - .....ANSWER ...✔✔ Hx of violence
Which individuals are most at risk for displaying
aggressive behavior? Select all that apply:
a. an adolescent embarrassed in front of friends
b. a young male who feels rejected by the social group
c. a young adult depressed after the death of a friend
d. a middle-aged adult who feels that concerns are
going unheard
e. a pt who was discovered telling a lie - .....ANSWER
...✔✔ a, b, d, e
A newly admitted male pt has a long hx of aggressive
behavior toward staff. Which statement by the nurse
demonstrates the need for more info about the use of
restraint?
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a. "if his behavior warrants restraints, someone will
stay with him the entire time he's restrained"
b. "I'll call the primary provider and get an as needed
(prn) seclusion/restraint order."
c. "if he is restrained, be sure he is offered food and
fluids regularly"
d. "remember that physical restraints are our last
resort" - .....ANSWER ...✔✔ B
Which intervention(s) should the nurse implement
when helping a pt expresses anger in an inappropriate
manner? Select all that apply:
a. approach the pt in a calm, reassuring manner
b. provide suggestions regarding acceptable ways of
communicating anger
c. warn the pt that being angry is not a health emotional
state
d. set limits on the angry behavior the will be tolerated
e. allow any expression of anger as long as no one is
hurt - .....ANSWER ...✔✔ a, b, d
Which guidelines should direct nursing care when
deescalating an angry pt? Select all that apply:
a. intervene as quickly as possible
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b. identify the trigger for the anger
c. behave calmly and respectfully
d. recognize the pt's need for increased personal space
e. demands are agreed to as long as they won't result in
harm to anyone - .....ANSWER ...✔✔ a, b, c, d
Which comorbid condition would result in cautious use
of a selective serotonin reuptake inhibitors for a pt with
chronic aggression?
a. asthma
b. anxiety ds
c. glaucoma
d. bipolar ds - .....ANSWER ...✔✔ D
John Patrick is a widower with four daughters. He has
enjoyed a healthy relationship with all of them until
they reached puberty. As each girl began to mature
physically, he acted in an aggressive manner, beating
her without provocation. John Patrick is most likely
acting on:
a. self-protective measures
b. stress of raising four daughters
c. frustration on unhealthy desire
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d. motivating his daughters to be chaste - .....ANSWER
...✔✔ C
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 regard to aggression?
a. "I need to be aware of pt's who are withdrawn and
sitting alone"
b. "an obvious change in behavior is a risk factor for
aggression"
c. "pt's who seek constant attention are most likely to
be violent"
d. "pt's who talk to themselves are the most dangerous"
- .....ANSWER ...✔✔ B
An effective method of preventing escalation in an
environment with violent offenders is to develop a level
of trust through:
a. a causal authoritative demeanor
b. keeping pt's busy
c. brief, frequent, nonthreatening encounters
d. threats of seclusion of punishment - .....ANSWER
...✔✔ C