What is one way a nurse can help a patient respond to frustration without becoming aggressive or violent?

Using seclusion when the patient is overstimulated or overwhelmed

Ensure the patient understands that there are harsh consequences for violent episodes

Quickly respond to emotional outbursts with negative reinforcement

Create a quiet and relaxing room that the client can go to when feeling upset

Answer and Explanation

The Correct Answer is D

A: Using seclusion should be a last resort and only used when the patient poses an immediate threat to themselves or others. It is not a proactive strategy for managing frustration.

B: Ensuring the patient understands harsh consequences for violent episodes may not be effective in preventing aggression and can increase feelings of frustration and resentment.

C: Responding to emotional outbursts with negative reinforcement can escalate the situation and is not a therapeutic approach.

D: Creating a quiet and relaxing room provides a safe space for the patient to calm down and manage their emotions. This proactive strategy helps prevent escalation and supports the patient’s ability to cope with frustration

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Correct Answer is A

Explanation

A: The patient who is staring at staff in silence while clenching their fist is exhibiting signs of potential aggression. This behavior indicates a high level of tension and possible imminent violence. The clenched fist is a physical sign of anger or frustration, and the silent staring can be intimidating and threatening to staff. This patient requires immediate attention to de-escalate the situation and prevent any violent outburst.

B: The patient who overdosed and is under sedation and unconscious is not likely to become violent in their current state. Sedation and unconsciousness significantly reduce the risk of aggressive behavior. This patient needs medical monitoring and care for their overdose, but they do not pose an immediate threat of violence.

C: The patient with antisocial personality disorder who wants to leave AMA may exhibit manipulative or non-compliant behavior, but this does not necessarily indicate an immediate risk of violence. While patients with antisocial personality disorder can be challenging to manage, their desire to leave AMA is more about non-compliance than aggression.

D: The patient who is hallucinating and believes God is giving them “clear messages” may be experiencing psychosis, which can sometimes lead to unpredictable behavior. However, hallucinations alone do not directly indicate a likelihood of violence. The content of the hallucinations and the patient’s overall behavior would need to be assessed to determine the risk of violence.

A. Speak with a very loud voice so that the patient can hear. B. Ensure there is adequate space between nurse and patient. C. Approach the patient in a calm manner. D. Ensure the patient is safely locked in their room. E. Give the patient a detailed explanation of all unit policies.

Correct Answer is ["B","C"]

Explanation

A: Speaking loudly can escalate the patient’s agitation and is not recommended. A calm and soothing tone is more effective.

B: Ensuring adequate space between the nurse and the patient helps maintain safety and reduces the risk of physical harm.

C: Approaching the patient in a calm manner helps de-escalate the situation and provides reassurance to the patient.

D: Locking the patient in their room can increase their agitation and feelings of isolation. It should only be considered if the patient poses an immediate threat to themselves or others and other de-escalation techniques have failed.

E: Providing a detailed explanation of unit policies is not appropriate in the moment of crisis. The focus should be on immediate de-escalation and ensuring safety.

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What is one way a nurse can help a patient respond to frustration without becoming aggressive or violent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following patients is most likely to become violent?

Correct Answer is A

Explanation

A patient who is experiencing auditory hallucinations has become increasingly agitated throughout the day. The patient suddenly kicks over an empty trash can and shouts “I WILL KILL YOU ALL!” at the wall. In response, the nurse should (Select all that apply).

Correct Answer is ["B","C"]

Explanation

A new nurse is preparing to assess a patient who is experiencing auditory hallucinations. Which statement by the nurse requires follow-up?

The nurse is participating in an IEP (Individualized Education Plan) for an 8-year-old male child diagnosed with Attention Deficit Hyperactivity Disorder. The nurse identifies which statement by the parent indicates more education is needed?

A patient reports that they had been using oxycodone recreationally, last use was about a day ago. The patient is concerned they are experiencing withdrawal. What would the nurse expect to observe in opioid withdrawal?

A client with antisocial personality disorder has a history of responding to frustration by being verbally abusive. How would the nurse manage this behavior? Select all that apply.

A patient arrives at the emergency room after taking LSD. What action should the nurse plan to take?

A nurse is performing an assessment on a 9-year-old child who had been diagnosed with Autism Spectrum Disorder. Which of the following findings would the nurse expect to observe?

The nurse is reviewing documentation after restraints were used. What item from the documentation should be removed?

A nurse is assessing the patient’s dietary habits. Which statement by the patient most closely aligns with binge eating?