Exam 28: Preventing and Managing Aggressive Behavior

A patient is being restrained after biting himself and members of the nursing staff.An appropriate response from the nurse would be:

Which response best reflects appropriate assertiveness by a nurse when approached by a patient who demands medications immediately?

Which rationale for placing a violent patient into seclusion best reflects the philosophy of nursing?

A nurse working in a walk-in clinic is approached by a person with a history of violent behavior.The person states,"I want to go to the hospital for a rest.You better get me in or I'll do something bad.I can get a gun." An appropriate response from the nurse would be:

At 7 AM,a patient demands in a loud,tremulous voice,"Where's my doctor? The doctor promised to see me first thing in the morning.Call the doctor and say that I'm waiting." An appropriate response from the nurse would be:

A nurse facilitating a social skills group recognizes that one patient monopolizes the group.After the session the psychologist asks the nurse,"Why did you let that patient monopolize the group?" A response from the nurse using appropriate assertiveness would be:

A patient's contract to be taken outside for a fresh air break after meals has been unavoidably postponed.The patient says,"I've waited patiently for 2 hours,and now I want to stay outside for an extra 10 minutes!" An appropriate response from the nurse would be:

A nurse is facilitating a social skills group on the inpatient unit for nursing assistants.Which comment would the nurse identify as assertive?

Which statement by a nurse new to the unit best reflects an understanding that staff attitudes and actions have a powerful effect on both patient behavior and milieu management?

A newly licensed nurse tells a nurse manager,"I'd like you to stop referring to me as 'the smart new degree nurse.'" The nurse manager replies,"I was only teasing.You are being overly sensitive." Which statement accurately evaluates the newly licensed nurse's comment to the nurse manager?

A patient who is displaying manic behavior enters the unit's dayroom and declares in a loud,threatening voice,"I have friends,and if you don't show me proper respect,you'll be sorry!" The nurse's initial response should be to approach the patient,address him formally,and say in a:

During staff debriefing after placing a patient with a history of violence into seclusion,a nurse new to the unit says,"I think we acted prematurely.We didn't spend enough time trying to deescalate the situation." An appropriate response from the nurse manager would be:

An adolescent patient says to a nurse,"I'm so glad you've come in.The nurse manager ordered me to stay in my room until dinner just because I got into another fight!" An appropriate response from the nurse would be:

Which medication would a nurse expect to be prescribed to an adolescent patient diagnosed with a conduct disorder who has a history of physically abusing younger siblings?

A nurse leader facilitating a group of recovering alcoholics observes patients drinking nonalcoholic look-alike beer and wine coolers they have brought with them instead of the available decaffeinated coffee and soda.An appropriate response from the nurse would be:

A nurse observes a patient with a history of aggressive behavior toward others pacing in the dayroom while appearing to talk to himself.The nurse will best intervene with this patient therapeutically by:

One morning,the nurse manager asks a nurse to work overtime for the fourth week in a row,saying "I know you've done a lot of overtime,but I'm in a bind.Can you help me out?" The nurse had planned to attend a child's recital that evening.Which would be the most appropriate assertive response the nurse could give?

An adolescent patient who just completed a time-out for having slapped another patient complains,"The other patient started it,but I get punished.It's unfair." An appropriate response from the nurse would be:

A crisis team is working to admit a violent patient who has been both medicated and physically restrained.Which statement made to the patient is the best example of team function?

A unit has experienced several violent outbursts that have resulted in the forcible restraint of patients.On review,each violent event and all crisis management strategies were appropriately followed.To maximize staff efficiency the nurse manager should: