Exam 23: Anger, Aggression, and Violence

A patient with a history of anger and impulsivity was hospitalized after an accident resulting in injuries. When in pain, the patient loudly scolded nursing staff for "not knowing enough to give me pain medicine when I need it." Which nursing intervention would best address this problem?

A patient with severe injuries is irritable and angry and belittles the nurses. As a nurse changes a dressing, the patient screams, "Don't touch me! You are so stupid. You will make it worse!" Which intervention uses a cognitive technique to help the patient?

An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent further escalation of the spouse's anger?

Family members describe the patient as "a difficult person who finds fault with others." The patient verbally abuses nurses for their poor care. The most likely explanation lies in which of the following?

A confused older adult patient in a nursing home was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face. Which statement best explains the patient's action?

A patient sat in silence for 20 minutes after a therapy appointment, appearing tense and vigilant. The patient abruptly stood, paced back and forth, clenched and unclenched fists, and then stopped and stared in the face of a staff member. Which of the following is the patient doing?

An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refusing to leave the day room. Which of the following should the nurse do?

Which medication from the medication administration record should a nurse administer to provide immediate intervention for a psychotic patient whose aggressive behaviour continues to escalate despite verbal intervention?