Poll

Which 'study break' activity do you find most distracting?
Talking / texting
Playing video games
Listening to music
Watching TV
Browsing the web
Napping
Other
If you would like to vote in this poll, please login or register

Previous poll results: Where do you get your textbooks?
The nurse suspects that a male client may become violent. Which verbal cue might have indicated this? The client:
1. Receives news that his wife is filing for divorce and begins sobbing inconsolably.
2. Demands, “Give me my medicine now or you’ll be sorry.”
3. Begins pacing the hall exhibiting clenched jaw and fists.
4. States, “I don’t know why people seem afraid of me.”
2
Aggression is a physical or verbal threat that reflects rage, hostility, and potential for physical or verbal destructiveness. Aggressive behavior violates the rights of others. Pacing and singing are disruptive to others but do not violate anyone else’s rights. Refusing to take medication and treatment noncompliance could arise for a multitude of reasons and is not necessarily driven by aggression. Crying does not reflect any threat or violation of others’ rights.
Which of the following clients should be assessed as demonstrating aggression? The client who:
1. Tells the nurse, “I don’t need that medication and no one can make me take it.”
2. Walks into the group room and says to another client, “You stole my seat. That is where I always sit. You had better move!”
3. Paces back and forth in the hall singing loudly to the music the client is listening to with headphones.
4. Bursts into tears when the doctor says, “I don’t think you are ready for discharge today.”
Which of the following clients should be assessed as demonstrating aggression? The client who:
1. Tells the nurse, “I don’t need that medication and no one can make me take it.”
2. Walks into the group room and says to another client, “You stole my seat. That is where I always sit. You had better move!”
3. Paces back and forth in the hall singing loudly to the music the client is listening to with headphones.
4. Bursts into tears when the doctor says, “I don’t think you are ready for discharge today.”
3
Assessment of violence risk includes identification of plan, means, and intent. The client’s threat should not be ignored. Admission is not based on the client’s ability to contract for safety as the client is a greater threat if unable to contract for safety. Focusing on the gun ignores the basis for the client’s anxiety which needs further exploration to determine whether an alternative to hospitalization is an appropriate solution.
A client was brought in to the hospital by police after verbally threatening the staff at a homeless shelter when they turned the client away. Which would be the most appropriate response by the nurse to the client’s statement, "You all better let me stay here, or the next time, I'll use a gun."
1. "Do you have a gun? Are you threatening to kill someone?"
2. "Sounds like you are trying to manipulate the system. We only treat people with real problems here.”
3. "It sounds like you are very concerned about having somewhere to stay. Can you tell me more about what you would do if you couldn’t stay here?"
4. “We cannot let you stay here unless you promise not to hurt anyone."
1
Intense stare is one of the warning signs that a person may escalate to violence. Mumbling is indicative that the client is experiencing hallucinations; however, content of hallucinations must be assessed to determine the person’s potential for violence. Constant motion could be akathisia (EPS) and must be further assessed. Flat affect is not an indicator of risk for violence.
A 22-year-old client with schizophrenia was just admitted to the inpatient unit. While assessing the client, the nurse notes that the client is staring at a staff member intensely with a flat affect. The client is mumbling and the client’s limbs are in constant motion (bouncing knee up and down and tapping fingers). Without further data, which observation is most indicative of the client’s potential for violence?
1. Intense stare
2. Mumbling
3. Flat affect
4. Constant motion
1,3,4,5
Amygdala. Abnormalities of the amygdala are associated with aggressive behavior.
A 13-year-old client was admitted for giving a younger sister a black eye and throwing the cat out the window. Which areas of the brain could have abnormalities associated with this behavior?
Standard Text: Select all that apply.
1. Amygdala
2. Occipital lobe
3. Frontal lobe
4. Hypothalamus
5. Hippocampus

Explore

Post homework questions online and get free homework help from tutors.
Learn More
Improve Grades
Help Others
Save Time
Accessible 24/7
There are currently 835 guests browsing and 34 members online. So far today, 656 students have registered.

Gallery

583
0
04/22/12

367
0
08/11/15

490
0
04/23/12

256
0
12/29/14

9
0
03/08/17

12
0
02/17/17