anger, aggression and violence

Question 1

CPI

Answer 1

• feed the bite:dont pull away untill more assistance, - dont trigger pt. self aware, tone, cadence, loudness, body language
• saying no and slamming your hands down if pt. grabs your wrist

Question 2

anger

Answer 2

An emotional response to frustration of desires, threat to one’s needs (emotional or physical), or a challenge

Question 3

aggression

Answer 3

Action or behavior that results in verbal or physical attack

Question 4

violence

Answer 4

objectable act using force and causing injury to someone

Question 5

signs of anger

Answer 5

pacing, yelling, clenching fist, spitting

• give them space, descualte dont be arm reach, dont block door

Question 6

violence is most frequent at

Answer 6

Psychiatric units
Emergency departments
Geriatric units

Question 7

assessment

Answer 7

general assessment:
- signs of anger

trauma informed care
- focus on past experience of trauma and the role it plays out in their life

self assessment
- own emotions and body language, tone, calm, not responding to emotional violence, watch anger

Question 8

ratio of nurses assaulted on the job

Answer 8

1/4

Question 9

nursing diagnoses

Answer 9

Ineffective coping
Stress overload
Risk for self-directed violence
Risk for other-directed violence

Question 10

implementation

Answer 10

• Psychosocial interventions
• Considerations for staff safety: priority
• Pharmacological interventions
• give them space
• restraints
• give them choices

Question 11

pharmacological interventions

Answer 11

• haldal, cogenet, benadryl

- zoprexa: better alternative less eps symptoms

Question 12

more implementation

Answer 12

• Health teaching and health promotion
• Case management
• Teamwork and safety
  +Use of restraints or seclusion
• model being calm, non confrontational
• identify coping mechanism
• identify triggers and how to respond
• consistency with team

Question 13

seclusion

Answer 13

Involuntary confinement alone in a room that the patient is physically prevented from leaving

Question 14

restraints

Answer 14

Any manual method, physical or mechanical device, material, or equipment that restricts freedom of movement

Question 15

guidlines for use of mechanical restraints

Answer 15

• Indications for use
• Legal requirements
• Documentation their behavior before and after
• Clinical assessments
• Observation
• Release procedure
• Restraint tips
• skin integrity
• pulses
• take them offf asp
• 4hr and than doc renewal
• coin

Question 16

intervening in different settings

Answer 16

• Caring for patients in general hospital settings
• Patients with healthy coping skills who are overwhelmed
• Patients with marginal coping skills
• Caring for patients in inpatient psychiatric settings
• Caring for patients with cognitive deficits
• apply restraints to bed first