NUR 354 Varcarolis Foundations of Psychiatric-Mental Health Nursing 8th Edition by Halter (Chapter 27)

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NUR 354 Varcarolis Foundations of Psychiatric-Mental Health Nursing 8th Edition by Halter (Chapter 27) Which behavior best demonstrates aggression? a. Stomping away from the nurses’ station, goin... g 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.” ANS: A 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. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 27-2 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 2. Which clinical scenario predicts the highest risk for directing violent behavior toward others? a. Major depressive disorder 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 ANS: C 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. PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Pages 27-3, 4, 8, 50 (Box 27-1) TOP: Nursing Process: Analysis/Diagnosis MSC: Client Needs: Safe, Effective Care Environment 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 b. Ineffective coping c. Impaired social interaction d. Risk for other-directed violenc [Show More]

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