Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis
Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis
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Chapter 24: Anger, Aggression, and Violence
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Stomping away from the nurses’ station, going to the day room, and grabbing a pool cue from a patient standing by the pool table. |
| b. | Bursting into tears, leaving the community meeting, and sitting on a bed hugging a pillow and sobbing. |
| c. | Telling the primary nurse, “I felt angry when you said I could not have a second helping at lunch.” |
| d. | Telling the medication nurse, “I am not going to take that or any other medication you try to give me.” |
ANS: A
Aggression is harsh physical or verbal action that reflects rage, hostility, and the potential for physical or verbal destructiveness. Aggressive behavior violates the rights of others. The incorrect options do not feature violation of another’s rights.
DIF: Cognitive Level: Comprehension REF: Pages: 451-452
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Major depression with delusions of worthlessness |
| b. | Obsessive-compulsive disorder; performing many rituals |
| c. | Paranoid delusions of being followed by alien monsters |
| d. | Completing alcohol withdrawal and beginning a rehabilitation program |
ANS: C
The correct answer illustrates the greatest disruption of ability to perceive reality accurately. People who feel persecuted may strike out against those believed to be persecutors. The patients identified in the distracters have better reality-testing ability.
DIF: Cognitive Level: Application REF: Page: 455|Page: 462
TOP: Nursing Process: Analysis| Nursing Process: Diagnosis
MSC: NCLEX: Safe, Effective Care Environment
| a. | Risk for injury |
| b. | Posttrauma response |
| c. | Disturbed thought processes |
| d. | Risk for other-directed violence |
ANS: D
The defining characteristics for Risk for other-directed violence include a history of being abused as a child, having committed other violent acts, and demonstrating poor impulse control. The defining characteristics for the other diagnoses are not present in this scenario.
DIF: Cognitive Level: Analysis REF: Page: 455
TOP: Nursing Process: Analysis| Nursing Process: Diagnosis
MSC: NCLEX: Psychosocial Integrity
| a. | Older adult patients often demonstrate exaggerations of behaviors used earlier in life. |
| b. | Crowding in skilled care facilities increases individual tendencies toward violence. |
| c. | The patient interpreted the health care worker’s behavior as potentially harmful. |
| d. | This patient learned violent behavior by watching other patients act out. |
ANS: C
Confused patients are not always able to evaluate accurately the actions of others. This patient behaved as though provoked by the intrusive actions of the staff member.
DIF: Cognitive Level: Application REF: Page: 451|Pages: 455-456
TOP: Nursing Process: Assessment MSC: NCLEX: Safe, Effective Care Environment
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