The Aggressive patient Flashcards
(17 cards)
What is the definition of aggression?
Hostile, injurious, or destructive behavior or outlook, especially when caused by frustration.
True or False: Most mentally ill individuals are more likely to be perpetrators of violence.
False
What factors significantly influence irritable and impulsive aggression?
- Genetics
- Environment
List key risk factors for violent behavior.
- Past History
- Demographics (Young male - 15-24yrs)
- Diagnosis: Organic brain syndromes, personality disorders
- Clinical Features: Command hallucinations, paranoia
- Psychological
What demographic factors are associated with higher risk for violence?
- Young (15–24 years)
- Male
- Poverty
- Unemployment
- Lack of social support
- Low education
Which brain areas are involved in aggression?
- Orbitofrontal Cortex
- Anterior Cingulate Cortex
- Limbic System
- Hypothalamus
Which neurotransmitter is linked to impulsive aggression?
↓ Serotonin
Name two psychiatric disorders that can cause aggression.
- Schizophrenia
- Affective disorders
Fill in the blank: Key considerations for assessing a violent patient include _______.
Safety first
What is the best predictor of future violence?
Past violent behavior
List some first-line non-coercive interventions for managing aggressive behavior.
- De-escalation techniques
- Calm, non-confrontational tone
- Provide a quiet, safe space
- Active listening & clear communication
What medications are considered first-line for acute management of aggression?
- Benzodiazepines
- Antipsychotics
What is the recommended IM dosage for Lorazepam in acute aggression management?
2mg
Which medication is used for impulsivity and aggression in long-term management?
SSRIs (Fluoxetine, Sertraline)
What therapy is recommended for Borderline Personality Disorder?
Dialectical Behavioral Therapy (DBT)
List some medical conditions that can cause aggression.
- CNS disorders
- Delirium
- Dementia
True or False: It is safe to mix different medications in the same syringe.
False
