Exam 21: Variables Affecting the Therapeutic Environment: Violence and Suicide

Which nursing intervention for an angry, hostile patient would best contribute to prevention and management of aggression?

Which expression of suicidality is most acute in nature?

A patient with suicidal impulses is placed on suicide precautions.Which measures will the nurse incorporate into the plan of care? (Select all that apply.)

Which emotion experienced by a patient should be assessed by the nurse as most predictive of an increased suicide risk?

The nurse cares for a patient who was verbally aggressive upon admission.Three days later the patient says, "My family put me here.They wanted to get rid of me." When should the nurse be most vigilant for signs of escalating aggression?

Which characteristic of an inpatient unit organizational culture predisposes the highest risk for patient violence and aggression?

Staff members take an aggressive patient to seclusion.Before leaving the patient in the room, what priority action should be implemented?

A staff nurse tells a peer, "I find it difficult to deal with patients who have personality disorders.They can control their behavior, whereas patients with depression truly need my services." What is the peer's most helpful response?

Which scenario presents a high risk for violence?

A nurse counsels a patient who made a suicide attempt 3 days ago.What is the nurse's most therapeutic response?

A patient whose behavior has continued to escalate despite nursing interventions begins to kick and strike out at the nurse.What is the priority nursing intervention?

A patient has been placed in four-point leather restraints following a violent episode.The nurse establishing the care plan must ensure that the restraints are removed according to what guidelines?

A patient has entered the escalation phase of the assault cycle.What is the most appropriate nursing intervention in order to manage the situation?

Which management practice should the clinical nurse leader of a psychiatric unit implement to enhance the therapeutic environment?

What common themes apply to persons who have suicidal ideation? (Select all that apply.)