Which assessment finding presents the greatest risk for violent ...

[moongchi]

Which assessment finding presents the greatest risk for violent behavior directed at others?
 
  a. Severe agoraphobia
  b. History of spousal abuse
  c. Bizarre somatic delusions
  d. Verbalized hopelessness and powerlessness

Question 2

Which is an effective nursing intervention to assist an angry patient learn to manage anger without violence?
 
  a. Help a patient identify a thought that produces anger, evaluate the validity of the belief, and substitute reality-based thinking.
  b. Provide negative reinforcement such as restraint or seclusion in response to angry outbursts, whether or not violence is present.
  c. Use aversive conditioning, such as popping a rubber band on the wrist, to help extinguish angry feelings.
  d. Administer an antipsychotic or anti-anxiety medication.

[juliaf]

Answer to Question 1

ANS: B
A history of prior aggression or violence is the best predictor of who may become violent. Patients with anxiety disorders are not particularly prone to violence unless panic occurs. Patients experiencing hopelessness and powerlessness may have coexisting anger, but violence is uncommon. Patients with paranoid delusions are at greater risk for violence than those with bizarre somatic delusions.

Answer to Question 2

ANS: A
Anger has a strong cognitive component, so using cognition techniques to manage anger is logical. The incorrect options do nothing to help the patient learn anger management.