NSG 3450 EXAM 3 QUESTIONS AND ANSWERS
2025
Anger - ....ANSWER ....✔✔ An emotional response to
frustration of desires, threat to one's needs (emotional or
physical), or a challenge.
Aggression - ....ANSWER ....✔✔ Action or behavior
that results in verbal or physical attack. It is not okay to
be aggressive.
Which units see the most violence from patients? -
....ANSWER ....✔✔ Psychiatric units, geriatric units,
and intensive care units, Emergency Room.
Risk Factors for Anger, Aggression, and Violence. -
....ANSWER ....✔✔ Hypertension and cardiovascular
disease including myocardial infarctions and ischemic
strokes.
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Comorbidity for anger, aggression, and violence -
....ANSWER ....✔✔ Individuals with PTSD and
substances abuse have issues with aggression. Individuals
with bipolar disorder have difficulty with anger and
aggression during remission. It coexists in individuals with
depression, anxiety, psychosis, and personality
disorders.
Etiology: Neurobiological factors to anger, aggression,
and violence - ....ANSWER ....✔✔ Brain tumors,
Alzheimers, disease, temporal lobe epilepsy, and
traumatic injury to certain parts of the brain result in
changes to personality that could include increased
violence.
Which area of the brain is associated with aggression? -
....ANSWER ....✔✔ The limbic system which is located
beneath the cerebrum on both sides of the thalamus. It is
responsible for combining higher mental functions and
primitive emotions into one system, learning, and the
formation of memories.
What is the emotional center of the brain? - ....ANSWER
....✔✔ The amygdala! it helps evaluate the emotional
content of experiences. It helps the brain to recognize
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potential threats and whether to activate the fight or
flight response.
Which cortex is an important role in aggressive
behavior? - ....ANSWER ....✔✔ The prefrontal cortex
is the area of the brain that is responsible for executive
functions. Executive functions allows us to distinguish
between good and bad, consequences of actions, goal-
directed behaviors, and suppressing socially
unacceptable activities.
Which neurotransmitters play a role in anger and
aggression? - ....ANSWER ....✔✔ Serotonin can both
inhibit and stimulate aggressive behavior, depending on
the part of the brain being measured.
Dopamine's impact on reward-seeking behaviors may
increase aggression. Serotonin and dopamine can
sometimes enhance aggression and sometimes reduce
impulsivity that leads to aggression. GABA the main
inhibitory neurotransmitter may reduce aggressiveness,
its absence may increase impulsivity and aggressive
responses.
Anger Behavioral Theory - ....ANSWER ....✔✔ Is a
learned response to environmental stimuli.
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Anger Social Learning Theory - ....ANSWER ....✔✔
Researchers demonstrated that children learn aggression
by observing and imitating behaviors of others,
especially if that that behavior is rewarded.
Predictors of Violence (Signs and Symptoms) -
....ANSWER ....✔✔ Hyperactivity: most important
predictor of imminent violence (pacing or restlessness).
Increase anxiety and tension, clenched jaw or fist, rigid
posture, fixed or tense facial expression, mumbling to
self (patient may have shortness of breath, sweating,
and rapid pulse). Verbal abuse: profanity,
argumentativeness. Loud voice, change of pitch, or very
soft voice, forcing others to strain to hear. Stone silence.
Intense eye contact or avoidance of eye contact. Recent
acts of violence, including property violence. Alcohol or
drug intoxication. Possession of a weapon or object that
may be used as a weapon (fork or knife). Isolation that
is uncharacteristic. Milieu characteristics conducive to
violence: Overcrowding, staff inexperience, provocative
or controlling staff, poor limit setting, arbitrary
revocation of privileges.
General Assessment for a patient experiencing anger. -
....ANSWER ....✔✔ Patient will exhibit increased
demands, irritability, frowning, redness in the face,
pacing, twisting of the hands, or clenching and