Exam 25: Aggression and Violence

The nurse is caring for a patient whom the nurse suspects is a victim of intimate partner violence (IPV). What screening question made by the nurse is most appropriate?

The nurse is observing several patients who are in the activity room of the inpatient psychiatric facility. The nurse notices that one of the patients begins to get upset, raising her voice, pacing the room, and standing with clenched fists. What is the nurse's priority action?

The nurse educator is teaching an in-service on the recognition of patient aggression within the hospital. One of the nurse participants is asked to classify her patient's behavior to determine if the patient is at risk for aggression. Which patient does the nurse classify as displaying manifestations that may lead to aggression? Select all that apply.

At an annual employee health fair, the nurse educator is presenting information to staff regarding negative emotions that may occur when caring for patients who are anxious, angry, and aggressive. Which staff member statement indicates that the teaching has been effective?

The nurse is caring for a patient with acute anxiety. What interventions are most beneficial for preventing escalation of anxiety to aggression? Select all that apply.

A nurse is conducting a community risk assessment of the relationship between mental health and violence in the community. Which components would it be important for the nurse to include in the assessment? Select all that apply.

The school nurse is a member of the school's student support team. The team is meeting with parents of one of the football players to discuss his increasingly aggressive behaviors. Which risk factors will the nurse be prepared to discuss? Select all that apply.

The nurse is caring for a victim of interpersonal violence who tells the nurse, "I am really scared about going back to my apartment. I am afraid my boyfriend might try to hurt me again." What is the nurse's best response?

The nurse is conducting a health history on a newly admitted patient. The patient's wife tells the nurse, "Ever since my husband's head injury, he is easily agitated, cannot focus, and is impulsive." What is the best response from the nurse?

The nurse preceptor is caring for a patient in physical restraints who is aggressive and threatening the safety of the staff. The nurse preceptor discusses the implications and requirements of this procedure with a novice nurse. What statement made by the graduate nurse indicates that the nurse preceptor's teaching has been effective?

A patient tells the nurse, "I have been waiting two hours to be discharged. What is the problem?" The patient is pacing the room and glaring at staff members. What is the nurse's best action to prevent patient aggression?

The nurse is caring for a patient who is verbally aggressive. What is the nurse's best response to the patient's behavior?

A patient tells the nurse, "I don't want to go home. I'm afraid my spouse will hurt me again." What is the nurse's best response?

The nurse is caring for a patient who is making obscene gestures to other staff members and is raising his voice in protest of an ordered test. What is the nurse's best action?

The parent of a patient in physical restraints asks the nurse, "Why is my son tied down? He wouldn't hurt anyone." What is the nurse's best response?

The nurse is researching violence in the community as part of a community health assessment. Using the broken windows theory, which factor will the nurse research?

The graduate nurse is researching methods for maintaining resilience in stressful clinical situations. Which actions would the nurse employ, based on the core concept of resilience? Select all that apply.

The nurse manager is reviewing risk factors for workplace aggression during a monthly staff meeting. The nurse manager includes risk factors for aggression related to the psychiatric patient population. Which statement by the staff nurse indicates that teaching has been effective?

The nurse preceptor is caring for a patient who has a history of aggressive behavior. The novice nurse asks, "Why is the patient taking a cardiac medication if he does not have a heart condition?" What is the preceptor's best response?

The nurse is conducting research on violence in the community for a community health assessment. Which socioeconomic factors will the nurse include in the research? Select all that apply.