Varcarolis Ch. 24: Anger, Aggression, and Violence 2024 version With Rationales A+ GRADE

Varcarolis Ch. 24:
Anger,
Aggression, and
Violence 2024
version With
Rationales A+
GRADE
1. Which behavior best demonstrates aggression?
a. Stomping away from the nurses' station, going to the
hallway, and grabbing a tray from the meal cart.
b. Bursting into tears, leaving the community meeting,
and sitting on a bed hugging a pillow and sobbing.
c. Telling the primary nurse, "I felt angry when you said I
could not have a second helping at lunch."
d. Telling the medication nurse, "I am not going to take
that, or any other, medication you try to give me." -
ANSWER-ANS: A
RATIONALE-Aggression is harsh physical or verbal action
that reflects rage, hostility, and potential for physical or
verbal destructiveness. Aggressive behavior violates the
rights of others. Refusing medication is a patient's right
and may be appropriate. The other incorrect options do
not feature violation of another's rights.
2. Which scenario predicts the highest risk for directing
violent behavior toward others?
a. Major depression with delusions of worthlessness
b. Obsessive-compulsive disorder; performs many rituals
c. Paranoid delusions of being followed by alien monsters
d. Completed alcohol withdrawal; beginning a
rehabilitation program - ANSWER-ANS: C
RATIONALE-Patients who are delusional, hyperactive,
impulsive, or predisposed to irritability are at higher risk
for violence. The patient in the correct response has the
greatest disruption of ability to perceive reality
accurately. People who feel persecuted may strike out
against those believed to be persecutors. The other
patients have better reality-testing ability.
3. A patient was arrested for breaking windows in the
home of a former domestic partner. The patient's history
also reveals childhood abuse by a punitive parent,
torturing family pets, and an arrest for disorderly
conduct. Which nursing diagnosis has priority?
a. Risk for injury c. Impaired social interaction
b. Ineffective coping d. Risk for other-directed violence -
ANSWER-ANS: D
RATIONALE-Defining characteristics for risk for otherdirected violence include a history of being abused as a
child, having committed other violent acts, and
demonstrating poor impulse control. There is no
indicator that the patient will experience injury.
Ineffective coping and impaired social interaction have
lower priorities.
4. A confused older adult patient in a skilled nursing
facility 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. Older adult patients often demonstrate exaggerations
of behaviors used earlier in life.
b. Crowding in skilled nursing facilities increases an
individual's tendency toward violence.
c. The patient learned violent behavior by watching other
patients act out.
d. The patient interpreted the UAP's behavior as
potentially harmful. - ANSWER-ANS: D
RATIONALE-Confused patients are not always able to
evaluate the actions of others accurately. This patient
behaved as though provoked by the intrusive actions of
the staff.
5. A patient is pacing the hall near the nu