NSG 221 - Mental Health Nursing
Exam 2
Question:
strategies for helping clients with anger management/control
Answer:
- safety
- assertive communication
- mindfulness
- focus interventions on underlying diagnoses
Question:
What action steps are established by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)?
Answer:
- code of conduct outlines acceptable and unacceptable behavior
- process for managers to handle disruptive behaviors
- education for all staff related to expected behavior
- zero tolerance for unacceptable behavior, all persons are held accountable
- / 3
Question:
- phases of the aggression cycle
Answer:
- triggering
- escalation
- crisis
- recovery
- post crisis
Question:
signs and symptoms of stages of aggression
Answer:
- triggering: restlessness, anxiety, pacing, rapid breathing
- escalation: swearing, demanding, clenched fists, loss of ability to think
clearly
- crisis: loss of emotional and physical control, throwing objects, spitting,
scratching, screaming
- recovery: lowering of voice, less muscle tension, rational communication
- post crisis: remorse, quiet, crying, withdrawn
- / 3
Question:
nursing techniques for the 5 phases of aggression cycle
Answer:
- triggering: approach in non-threatening, calm manner, convey empathy,
encourage expression of feelings
- escalation: take control (patient is starting to lose control at this stage),
give clear firm instructions
- crisis: take charge of situation for safety (client has lost control), physically
move to seclusion, apply restraints
- recovery: talk about situation or trigger, review alternatives to aggressive
behavior
- post crisis: remove patient from seclusion or restraints, do not lecture
patient about episode
Question:
What is the priority for de-escalation?
Answer:
safety
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