A client is pacing in the hallway with clenched fists and a flushed face. They are yelling and cursing loudly. Which phase of the aggression cycle is this client in?

Triggering

Escalation

Anger

Crisis

Answer and Explanation

The Correct Answer is B

A. Triggering: This phase involves initial stressors or triggers leading to aggression but lacks the intense behavioral and physical symptoms described.

B. Escalation: The escalation phase is characterized by increasing tension, verbal aggression, and physical manifestations like pacing or clenched fists. The client’s behavior suggests they are moving toward a potential crisis.

C. Anger: Anger is an emotion, not a phase of the aggression cycle. It may be present during multiple phases.

D. Crisis: The crisis phase involves loss of control and actual aggressive or violent actions, which has not occurred yet in this scenario.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. "This medication can cause a dry cough.": A dry cough is not a common side effect of sertraline.

B. "I should call the provider if I experience excessive sweating and muscle twitching." Excessive sweating and muscle twitching could indicate serotonin syndrome, a potentially life-threatening condition associated with SSRIs like sertraline. Early recognition and prompt intervention are crucial.

C. "This medication can cause harmless, temporary changes to my ability to taste and smell.":
Changes in taste or smell are not typical side effects of sertraline. This statement is incorrect and does not reflect the drug's known side effect profile.

D. "I need to decrease my sodium intake while on this medication.": Sodium intake is not typically affected by sertraline use. However, sertraline can cause hyponatremia in some cases, especially in older adults.

A. Human Dignity B. Ethical decision-making C. Trusting relationships D. Nonmaleficence

Correct Answer is D

Explanation

A. Human dignity: While reporting supports the client’s dignity, this principle focuses more on respecting inherent worth rather than safety.

B. Ethical decision-making: This refers to the process of resolving ethical dilemmas but is not specific to reporting abuse.

C. Trusting relationships: While trust is important, this principle does not directly relate to reporting suspected abuse.

D. Nonmaleficence: Nonmaleficence is the ethical principle of doing no harm. Reporting suspected abuse aligns with the nurse's responsibility to protect the client from harm.

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A client is pacing in the hallway with clenched fists and a flushed face. They are yelling and cursing loudly. Which phase of the aggression cycle is this client in?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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