A nurse is presenting an in-service program about aggression and ...

[cartlidgeashley]

A nurse is presenting an in-service program about aggression and violence to a group of newly hired nurses who will be working in an inpatient psychiatric facility.
 
  When describing characteristics that may predict the risk for violence and aggression in clients, which of the following would the nurse include? Select all that apply.
 
  A) Age
  B) Impulsivity
  C) Alcohol withdrawal
  D) Gender
  E) Suspiciousness

Question 2

When assessing a client experiencing aggression, a nurse applies the general aggression model. Which of the following would the nurse assess as the person factors? Select all that apply.
 
  A) Client's personality traits
  B) Insult initiating the behavior
  C) Previous behavior patterns
  D) Client's shouting
  E) Client's mood
  F) Client's gender

[SomethingSomething]

Answer to Question 1

Ans: B, C, E
Studies reveal that particular characteristics are predictive of violent behaviors. Involuntary hospitalization, suspiciousness, impulsivity, agitation, and unwillingness to follow unit rules are among the predictors identified in Johnson's (2004) systematic review of the literature about violence on inpatient psychiatric units. Those with reduced impulse control (i.e., diagnoses such as schizophrenia, bipolar disorder, brain injury, alcohol withdrawal, or attention deficit hyperactivity disorder) are also at increased risk for violent episodes. Age, gender, and race of clients are not good predictors.

Answer to Question 2

Ans: A, F
Person factors include characteristics such as gender, personality traits, beliefs and attitudes, values, goals, and behavior patterns. Situational factors include the actual provocation (insults, slights, verbal and physical aggression, interference with achieving goals) and cues that trigger memories of similar situations. Cognition includes hostile thoughts and scripts (previous behavior patterns and responses to similar episodes). Mood, emotion, and expressive motor responses (automatic reactions to specific emotions) represent the affect component. Arousal can be physiologic, psychological, or both.

[cartlidgeashley]

Thank you

[SomethingSomething]

No problemo