A nurse manager is providing staff education about working with a client with a history of anger and aggression. Which of the following information should the nurse manager include in the teaching? (Select all that apply).
Avoid wearing necklaces during client care.
Know the layout of the facility.
Stand directly in front of the client while talking.
Bring security with you for all interactions.
Provide Immediate verbal feedback for escalating behavior.
Correct Answer : A,B,E
These are all important measures to take when working with a client with a history of anger and aggression. Avoiding wearing necklaces can help prevent injury in case of an aggressive outburst. Knowing the layout of the facility can help staff quickly and safely respond to any incidents. Providing immediate verbal feedback for escalating behavior can help de-escalate the situation and prevent further aggression
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Displacement is a defense mechanism in which an individual redirects their negative feelings or impulses from an object or person that is causing discomfort to a substitute object or person that is less threatening. In this scenario, the client is experiencing negative emotions due to losing their job but instead of dealing with the situation directly, they have redirected their anger towards the car windshield by throwing a rock. This behavior is maladaptive because it does not resolve the root cause of the negative emotions and instead causes harm to others.
Sublimation is a defense mechanism in which an individual channels their negative impulses or energy into socially acceptable behaviors or activities. Repression involves pushing unwanted thoughts or memories into the unconscious mind. Denial involves refusing to acknowledge the reality of a situation. None of these defense mechanisms are applicable to the scenario described.
Correct Answer is A
Explanation
Operant conditioning is a type of learning in which behavior is strengthened or weakened by the consequences that follow it. In this case, the clients are rewarded with opportunities to attend movie night and tokens for the concession area when they have achieved attending and participated in five focused therapeutic group sessions. This reward is intended to reinforce the desired behavior of attending and participating in group sessions.
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