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Mental Health - Anger Management
ATI NCLEX-RN related study questions
16
Nursing
Undergraduate 2
09/12/2009

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Term
Anger
Definition
  • A normal feeling.
  • An emotional response to frustration of desires or needs as perceived by the individual.
Term
When can anger be positive?
Definition
  • If there is truly an unfair or wrong situation that needs to be righted.
Term
Anger become negative when it is:
Definition
  • Denied
  • Suppressed
  • Expressed inappropriately (such as aggressive behavior)
Term
Denied or suppressed anger can manifest as what?
Definition
  • Physical or psychologic symptoms
    • headaches
    • coronary artery disease
    • hypertension
    • gastric ulcers
    • depression
    • low self-esteem
Term
Inappropriately expressed anger can become:
Definition
  • Hostility or aggression
Term
Aggression
Definition
  • Includes physical or verbal responses that indicate rage and potential harm to self, others, or property.
Term
A patient who is often angry and aggressive may have what underlying feelings?
Definition
  • Inadequacy
  • Insecurity
  • Guilt
  • Fear
  • Rejection
Term
Impulsivity
Definition
  • Actions carried out with little or no consideration for consequences
Term
Intermittent explosive disorder
Definition
  • A rare disorder that causes aggressive behavior without any cause or trigger, and patients that have this disorder may feel useless or ineffective.
Term
Acting Out
Definition
  • An aggressive behavior that is an immature defense mechanism characterized by inability to handle feelings and emotions.
Term
Criteria characterizing impulse-control disorder:
Definition
  • Inability to control an impulse that could be harmful
  • A build up of feelings of tension or pressure before acting on the impulse
  • Some sense of excitement and release of tension when actually acting on the impulse
  • Pts who frequently act on impulses may have a degree of remorse, but are quickly able to rationalize it.
Term

Stages of anger and aggressive behavior on the mental health unit are:

 

and

 

Describe.

Definition
  • Preassaultive
    • The client begins to become angry
  • Assaultive
    • Seclusion and physical restraints may be required for the client
  • Postassaultive
    • Staff reviews the incident with the client during this stage
Term
Why is intervention during the preassaultive stage important?
Definition
  • To prevent more aggressive behaviors and possible harm to clients and/or staff.
Term
Despite the potential for anger and aggression amoung individuals with mental illness, it is important to know that individuals who are mentally to express aggression how?
Definition
  • More likely to hurt themselves than to express aggression against others.
Term
Steps to handle aggressive and/or escalating behavior in a mental health setting include:
Definition
  • Remain calm and in control
  • Encourage client to express feelings verbally, using therapeutic communication techniques
  • Attempt to move the client to a quiet area or move others away from the client
  • Set limits by:
    • Telling client calmly and matter-of-factly what he must do in the situation.
    • Using physical activity, such as walking, to de-escalate anger and behaviors
    • Informing the patient of the consequences of his/her behavior, such as loss of privileges
  • If Pt doesn't respond to setting limits, then medication should be offered.
  • 4 - 6 staff members should remain in sight of the client as a "show of force"
  • If the client cannot control themselves, tell the client that the staff will have to control them.
Term
Show of force
Definition
4 - 6 staff members
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