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NSG 3450 EXAM 4 WITH ALL QUESTIONS AND VERIFIED ANSWERS
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NSG 3450 EXAM 4 WITH ALL QUESTIONS ANDVERIFIED ANSWERS
Assessing for ____ is the single best predictor of future violence.
Which persons are most likely to exhibit aggressive behaviour? Select all that
apply.
a. an adolescent is ashamed in front of friends
b. A young man who feels rejected by his social group.
c. a young adult depressed over the death of a friend.
d. a middle-aged adult who believes their problems are not being acknowledged.
e. a patient who was detected lying - ANSWER a, b, d, or e
A newly hospitalized male patient has a long history of hostile behaviour towards
personnel. Which comment by the nurse illustrates the need for additional
information about the usage of restraints?
a. "if his behavior warrants restraints, someone will stay with him the entire time
he's restrained"
b. "I'll call the primary provider and get an as-needed (prn) seclusion/restraint
order."
c. "if he is restrained, be sure he is offered food and fluids regularly"
d. "remember that physical restraints are our last resort" - Solution B
Which intervention(s) should the nurse use when assisting a patient who
inappropriately exhibits anger? Select all that apply.
,a. Approach the patient calmly and soothingly.
b. Provide suggestions for acceptable ways of communicating rage.
c. tell the patient that anger is not a healthy emotional state.
d. Set limitations on how much angry conduct will be tolerated.
e. Allow any expression of rage as long as no one is wounded - ANSWER a, b, or d
Which nursing rules should be used to deescalate an angry patient? Select all that
apply.
a. intervene as soon as possible.
b. Identify the trigger of the rage.
c. Behave calmly and respectfully.
d. Recognize the patient's desire for additional personal space.
e. Demands are agreed upon as long as they will not cause harm to anyone -
ANSWER a, b, c, d.
Which comorbid illness would warrant careful use of selective serotonin reuptake
inhibitors in a patient with persistent aggression?
a. asthma
b. Anxiety Disorder
c. glaucoma
d. bipolar ds - answer D
John Patrick is a widower who has four daughters. He had a healthy relationship
with each of them until they hit puberty. As each lady matured physically, he
, became angry, beating her without provocation. John Patrick is most likely acting
on the following:
a. Self-protective measures
b. Stress of raising four daughters
c. Frustration over an unhealthy desire
d. encouraging his daughters to be chaste—ANSWER C
Darryl, a nurse, has been hired to work in a mental ICU. He has received training to
recognize growing fury. Which sentence demonstrates that he recognizes warning
indicators of aggressive behavior?
a. "I need to be aware of pt's who are withdrawn and sitting alone"
b. "an obvious change in behavior is a risk factor for aggression"
c. "pt's who seek constant attention are most likely to be violent"
d. "pt's who talk to themselves are the most dangerous" - Answer B
Developing trust in an environment with violent criminals is an effective way to
reduce escalation.
a. A causal, authoritative demeanor
b. Keeping patients busy
c. Brief, regular, and non-threatening encounters
d. Threats of confinement or punishment - Answer C
Which of the following patients would benefit from 24-hour observation as a form
of restraint?
a. an inmate with suicidal ideation receiving hospice care
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