Exam (elaborations)
NUR 162 EXAM 2 CONTENT QUESTIONS AND ANSWERS ELABORATIONS//
- Course
- Institution
NUR 162 EXAM 2 CONTENT QUESTIONS AND ANSWERS ELABORATIONS//
[Show more]
Content preview
NUR 162 EXAM 2 CONTENT QUESTIONS AND ANSWERSELABORATIONS//
Hostility
Answers:verbal aggression, including threatening behavior intended for harm or
forcing compliance
physical aggression
Answers:actual injury or physical harm with the intent to force compliance
assertive communication
Answers:using "I" statements to properly express feelings of anger w/o
suppression
catharsis
Answers:expressing anger through releasing them through safe activities
(ex: hitting a punching bag, yelling, rage rooms)
-contraindicated in angry or aggressive clients
risk factors of high hostility and anger
Answers:CAD, HTN
seen in: paranoia, delirium, dementia, substance abuse, antisocial/BPD, depression
anger suppression
Answers:holding in feelings of anger, trying to ignore them
-common in women (via denying power + respect)
phases of hostility and aggression
,Answers:-triggering: incident that initiates aggressive response (s/sx: restlessness,
anxiety, pacing, loud voice/anger/irritability)
-escalation: client responses represent behaviors indicating towards losing control
(s/sx: flushed face, yelling, swearing, demanding, threatening gestures)
-crisis: client loses control (s/sx: loss of emotional/physical control, throwing
things, kicking, hitting, inability to communicate clearly)
-recovery: client regains physical and emotional control (lowering voice, more
rational and clearer communication, physical relaxation)
-post-crisis: client attempts to reconcile + returns to level of functioning before
aggressive incident (remorse, apologies, crying, withdrawn behavior)
intermittent explosive disorder
Answers:-discrete episodes of aggressive impulses that result in assaults or
destruction
-only dx if client does not have cormorbid psych disorders
acting out
Answers:defense mechanism used when clients deal with emotional stressors or
conflicts than reflection
(ex: verbal/physical aggression to feel less powerless)
-seen in children/adolescents
neurobiologic theories for anger
Answers:-serotonin plays inhibitory role in aggressive behavior (low serotonin
may indicate aggression, ex: depression)
-increased dopamine + norepi can be associated with increased violent impulse
behaviors
, psychosocial theories for anger
Answers:-children develop impulse control (ability to delay gratification)
-children with a poor family and social dynamic (receiving inconsistent responses
for behaviors, social determinant struggles) are at risk for socially inappropriate
behaviors
cultural considerations for aggression
Answers:-Hwa-Byung: cultural syndrome attributed to anger suppression in
Korean women (s/sx: ab pain, insomnia, depression, sighing)
-Bouffee delirante: West African and Haitian, seen in sudden outbursts in
agitated/aggressive behavior including hallucinations and paranoia that can
resemble psychotic episodes
-Amok: dissociation followed with aggressive/violent outbursts seen in men
tx for aggressive clients
Answers:Dx: schizophrenia or bipolar disorder
-Lithium
-Carbamazepine/Depakote: tx aggression in dementia and psychosis
-Clozapine/atypicals
-benzodiazepines tx aggression in older adults but can result in loss of social
inhibition
-atypicals are more effective for aggressive client tx (b/c of EPS symptoms,
benztropine)
actions best to handle hostile interactions
Answers:-engage with client in dialogue most effective to prevent escalation to
physical aggression
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller IANWAZASKISTUVIA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82265 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now