Psychiatric Mental Health Nursing Concepts of Care in Evidence Based Practice 8th Edition by Mary C. Townsend – Test Bank

Psychiatric Mental Health Nursing Concepts of Care in Evidence Based Practice 8th Edition by Mary C. Townsend – Test Bank

Chapter 11

1. A nurse is working with a client who has frequent angry outbursts. Which of the following statements is most helpful when working with this client? A) ìAnger is a normal feeling, and you can use it to solve problems.î
B) ìYou need to learn to suppress your angry feelings.î
C) ìYou can reduce your anger by hitting a punching bag.î
D) ìYou need to learn how to be less assertive in your communications.î
Ans: A Feedback:
Anger can be a normal and healthy reaction when situations or circumstances are unfair or unjust, personal rights are not respected, or realistic expectations are not met. If the person can express his or her anger assertively, problem solving or conflict resolution is possible. Anger becomes negative when the person denies it, suppresses it, or expresses it inappropriately. A person may deny or suppress (i.e., hold in) angry feelings if he or she is uncomfortable expressing anger. Catharsis can increase rather than alleviate angry feelings. Effective methods of anger expression, such as using assertive communication, to express anger should replace angry aggressive outbursts.
2. Which of the following statements about anger, hostility and aggression are accurate? Select all that apply.
A) Anger is an emotional response to a real or perceived provocation.
B) Hostility stimulates the sympathetic nervous system.
C) Physical aggression involves harming other persons or property.
D) Anger, hostility, and physical aggression are normal human emotions.
E) Hostility is also referred to as verbal aggression.
F) Physical aggression often progresses to hostility. Ans: A, C, E Feedback:
Anger is an emotional response to a real or perceived provocation. Anger energizes the body physically for self-defense, when needed, by activating the ìfight-or-flightî response mechanism of the sympathetic nervous system. Hostility is different than anger. Physical aggression is behavior in which a person attacks or injures another person or that involves destruction of property. Hostility is also referred to as verbal aggression. Anger is a normal human emotion. Hostility is an emotion that is expressed through negative behavior. Physical aggression is behavior. Hostility may lead to physical aggression.
3. A married man expresses to the nurse that his wife’s frequent nagging angers him. The nurse role-plays assertive communication techniques with the husband. Which of the following indicates the husband understands how to use assertive techniques effectively?
A) ìI really wish you would stop nagging me.î
B) ìYou are not perfect either.î
C) ìI feel unappreciated when you criticize me.î
D) ìAre you telling me you want me to change?î Ans: C Feedback:
The nurse can help clients express anger appropriately by serving as a model and by role-playing assertive communication techniques. Assertive communication uses ìIî statements that express feelings and are specific to the situation; for example, ìI feel angry when you interrupt me,î or ìI am angry that you changed the work schedule without talking to me.î Statements such as these allow appropriate expression of anger and can lead to productive problem-solving discussions and reduced anger.
4. Which one of the following statements about anger is most accurate? A) Anger is an abnormal human emotion that is always negative.
B) It is best to express anger by whatever means possible to minimize its consequences.
C) Most men are socialized to suppress anger.
D) Anger awareness and expression are necessary for women’s growth and development. Ans: D
Feedback:
Women must recognize that anger awareness and expression are necessary for their growth and development. Anger is a normal human emotion and is often perceived as a negative feeling. However, anger becomes negative when denied, suppressed, or expressed inappropriately. Anger that is expressed inappropriately can lead to hostility and aggression. Catharsis can increase rather than alleviate angry feelings. Men are often socialized to believe that it is acceptable to express anger, while women are often socialized to maintain and enhance relationships with others and avoid expression of emotions such as anger.
5. At which point in the stages of aggressive incidents is intervention least likely to be effective in preventing physically aggressive behavior?
A) Triggering
B) Escalation
C) Crisis
D) Postcrisis Ans: C Feedback:
Interventions during the triggering and escalation phases are key to prevent physically aggressive behavior. During the crisis phase, behavior escalation may lead to physical aggression. During the postcrisis phase, the physically aggressive behavior has stopped and the client returns to the level of functioning before the aggressive incident.