Townsend
PMHN, 10e
Chapter 15 - ETB
Chapter 15. Anger and Aggression Management abirb.com/test
MULTIPLE CHOICE
1. A student nurse has just entered a psychiatric rotation. The student asks a nursing
instructor, “How will we know if someone may get violent?” Which is the most
appropriate reply by the nursing instructor?
1. “You can’t really say for sure. There are limited indicators of potential violence.”
2. “Certain behaviors indicate a potential for violence, such as rigid posture, clenched
fists, and raised voice.”
3. “Any client can become violent, so be aware of your surroundings at all times.”
4. “When a client suddenly becomes quiet, is withdrawn, and maintains a flat affect, this
is an indicator of potential violence.”
ANS: 2
Chapter: Chapter 15, Anger and Aggression Management
Objective: Discuss predisposing factors to the maladaptive
expreasbsiribo.cnomo/fteasnt ger. Page: 252
Heading: Predisposing Factors to Anger and Aggression > Environmental Factors
Integrated Processes: Teaching and Learning Client
Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Violence
Difficulty: Easy
Feedback
1. This is incorrect. There are many indicators of potential vioablierbn.coem, /mtesat ny of
which are considered “prodromal.”
2. This is correct. The most appropriate statement by the instructor is “Certain
behaviors indicate a potential for violence. They are labeled as a ‘prodromal
syndrome’ and include rigid posture, clenched fists, and raaisbierbd.cvomo/itceset.”
Rigid posture, clenched fists, and raised voice are predictors of violent behavior.
3. This is incorrect. Although the prudent nurse and student would be aware of their
surroundings, there are indicators of potential violence thatabtihrbe.csotma/ftefsst
hould know to promote safety.
4. This is incorrect. This behavior is not typically a sign for the “prodromal syndrome”
of pending violence.
CON: Violence
,Townsend
PMHN, 10e
Chapter 15 - ETB
abirb.com/test
2. The nurse is discussing the concept of anger versus aggression with clients during a
counseling session. Which of the following statements best differentiates between anger
and aggression?
1. “Aggression is a physiological arousal state due to a painful exapbierbr.iceonmc/tes,t
where anger is a learned behavior.”
2. “Anger is a normal, healthy emotional response to a negative stimulus, where
aggression is an expression of anger.”
3. “Aggression is a normal emotional response to a negative stimulus, where anger is an
emotional expression of aggression.”
4. “There is no difference between anger and aggression; they are essentially the same
phenomenon.”
ANS: 2
Chapter: Chapter 15, Anger and Aggression Management
Objective: Define and differentiate between anger and aggression.
Page: 252
Heading: Anger and Aggression, Defined
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Violence
Difficulty: Easy
Feedback
1. This is incorrect. Aggression is a learned behavior in respoanbsirb.ctoma/tnesgt er, which
is a
2. physiological
This is correct.state of arousal.
Anger is a normal emotion that is typically experienced as an almost-
automatic inner response to negative stimuli such as
emotiaobnirab.lcopma/itnes,t frustration, or fear. Aggression is a behavioral response of
anger intended to inflict pain to or injury
3. to others.
This is incorrect. Aggression is not a normal emotional response to a negative
stimulus, as it is typically a violent act toward a person or
oabbirjbe.cotmi/tesrtesponse to
4. This
anger.is incorrect. Anger and aggression are significantly different.
CON: Violence
3. Which client statement demonstrates improvement in anger and aggression
management?
1. “I realize I have a problem expressing my anger appropriately.a”birb.com/test
2. “I know I can’t use physical force anymore, but I can verbally intimidate others.”
3. “It’s bad to feel as angry as I feel. I’m working on eliminating this poisonous emotion
entirely.”
, Townsend
PMHN, 10e
Chapter 15 - ETB
abirb.com/test
4. “Because my wife seems to be the one to set me off, I’ve decided to remain
separated from her.”
ANS: 1
Chapter: Chapter 15, Anger/Aggression Management
Objective: Apply the nursing process to clients expressing anger or aggression, (d)
Evaluate achievement of the projected outcomes in the
interventiaobnirbw.coimth/tecsltients
demonstrating maladaptive expression of anger.
Page: 257
Heading: The Nursing Process > Evaluation; Table 16–2, Care Plan for the Individual
Who Expresses Anger Inappropriately
Integrated Processes: Nursing Process: Evaluation
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Violence
Difficulty: Moderate
Feedback
1. This is correct. This statement indicates that the client is taking responsibility for his
or her anger.
2. This is incorrect. The client does not recognize that aggresasbioirbn.ccoman/tebste
verbal as well as physical.
3. This is incorrect. The client does not recognize the difference between anger and
aggression. Anger is a powerful and normal emotion, whereas aggression is a
negative form of expressing anger.
4. This is incorrect. The client does not recognize that the expression of anger can
come under personal control. By eliminating the stimulus (interactions with the
wife), the client does not learn how to control their aggressaibvireb.cteomnd/teesnt
cies.
CON: Violence
4. A client is served divorce papers while on the inpatient psychiatric unit. When the
nurse tells the client that the unit telephone cannot be used after-
haboirub.rcso,mt/hteestclient raises his fists, swears, and spits at the nurse. What would be
the priority nursing diagnosis at this time?
1. Ineffective coping related to dysfunctional family system as evidenced by (AEB)
aggressive behavior
2. Risk for violence related to dysfunctional family system AEB aggressive behavior
3. Risk for anger related to dysfunctional family system AEB aggressive behavior
4. Ineffective grieving related to dysfunctional family system AEaBbirbp.ceonmd/tiensgt divorce
ANS: 2
Chapter: Chapter 15, Anger and Aggression Management
Objective: Apply the nursing process to clients expressing anger or aggression, (a)