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Mental Health Exam 2 Flashcards > Anger, Aggression, & Violence Flashcards (These Are Brayden’s Flashcards, Just Reformatted) > Flashcards

Anger, Aggression, & Violence Flashcards (These Are Brayden’s Flashcards, Just Reformatted)

1
Q

Anger is an emotional response to -

A

Frustration of desires, a threat to one’s life, or a challenge

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2
Q

What is aggression defined as?

A

An act or behavior that results in a verbal / physical attack

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3
Q

What is violence defined as?

A

An objectionable act that involves intentional use of force that results in (or has the potential to result in) injury to another person

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4
Q

What are the manifestations of anger?

A

Increased Demands
Irritability
Frowning
Redness of the Face
Pacing
Twisting of the Hands
Clenching & Unclenching of the Fist

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5
Q

Speech when angry may be-

A

Either increased in rate and volume or may be slow, pointed, and quiet

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6
Q

What is essential in caring for an angry pt?

A

Identify the pt’s triggers, awareness of the personnel, and cultural norms

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7
Q

What are the predictors of violence?

A

History of violence, family violence, substance abuse, verbal abuse

Ridged Posture
Clenched Fists or Jaw
Hyperactivity
Pacing

Possession of a Weapon

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8
Q

What are some things that you should assess when assessing for anger & violence?

A

Any intent or plan to harm

Demographic Risk Factors

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9
Q

What are some Demographic Risk Factors of anger and violence?

A

Men (Aged 14-24)

Low Socioeconomic Status

Inadequate Support System

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10
Q

When approaching an angry pt, should your eyes be on the same level as theirs?

A

Yes

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11
Q

A pt is verbally abusive, should you end the conversation?

A

No

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12
Q

How should you speak to an angry pt?

A

Speak slowly in short sentences in a low and calm voice, use open ended questions and never respond with ok

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13
Q

What are the 6 essential considerations for staff safety?

A

No dangling ear rings or neckless

Ensure there is enough staff for back up do not stand

Always know the layout of the area

Stand directly in front of the pt or doorway, provide feedback if pt’s behavior escalates

avoid confrontation with the client

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14
Q

What is Seclusion defined as?

A

Involuntary confinement of a pt alone in a room, or area room, which the pt is physically prevented from leaving

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15
Q

When should Seclusion or Restraints be used?

A

Whenever all other options are exhausted

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16
Q

What must be assessed prior to putting a pt into Seclusion?

A

Assess for contraindications for Seclusion

17
Q

What are the contraindications for seclusion?

A

Pregnancy
COPD
Head / Spinal Injury
Seizure Disorder
Abuse
Morbid Obesity
History of Surgery / Fracture
Sleep Apnea

18
Q

Once a pt is placed into restraints, what must be assessed?

A

Level of awareness & activity + Safety within the restraints + Hydration + Toileting Needs + Nutrition + Comfort + Vitals + Cap Refill

19
Q

Aside from assessing your pt and exhausting all other options, what must you always do before placing a pt in restraints or putting them into seclusion?

A

Obtain a prescription or order from the provider

20
Q

What is the best way to discontinue restraints and return a pt to the unit?

A

Structural Reintegration

21
Q

After a pt is regenerated from seclusion or restraints, what should we ask them?

A

If they learned from the situation

22
Q

In an inpatient setting, what are the two most accurate predictors of violence?

A

A history of violence & impulsivity

23
Q

What is the best intervention for Delirium?

A

Find and treat the medical cause

24
Q

What is the second best intervention for Delirium?

A

Low Dose Anti-Psychotic

25
Q

What is crucial to respond to an episode of agitation?

A

Identify the antecedents (what occurred before agitation?)

26
Q

When dealing with an agitated pt, what should be done instead of attempting to reorient the pt?

A

Ask the pt to further describe the setting or situation that’s reported to be the problem

27
Q

What does Sedation do to a pt with Cognitive Deficits?

A

Further clouds a pt’s senses, which worsen disorientation + increases the risk of falls and injuries

(It’s better to examine alternative interventions)

28
Q

List some de-escalation techniques:

A

Maintain clients dignity and self esteem
Maintain calmness
Assess the client and situation
Identify stressors
Respond early
Use a calm/clear voice
Invest time
Remain honest
Determine client need
Identify goals
Avoid invading personal space
Avoid arguing
Use empathy

29
Q

What things should be documented about violence?

A

Any behavior that occurred whenever the pt was escalating

Nursing Interventions + The Pt’s Response

Observations of the pt

How the pt was reintegrated into the unit

30
Q

What’s a healthy coping skill?

A

Validation

31
Q

What’re some marginal coping skills?

A

Externalize Blame

Provide comfort items before they’re requested

Mental Health Exam 2 Flashcards (4 decks)

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