Anger, Aggression and Violence
This emotional response is triggered by frustration.
What is anger?
This scale is widely recognized and extensively studied for monitoring alcohol withdrawal.
What is the Clinical Institute Withdrawal Assessment - Alcohol, Revised (CIWA-Ar)?
This form of abuse involves undermining an individual's self-worth.
What is emotional abuse?
This broad term encompasses unwanted sexual advances, harassment, rape, and sexual trafficking.
What is sexual assault/sexual violence?
This inner emotional response is experienced uniquely by each individual dealing with loss.
What is grief?
This term describes the physiological symptoms that occur when a person stops using a substance, which can range from mild to life-threatening.
What is Withdrawal?
This eating disorder is characterized by an individual's refusal to maintain a minimally normal weight for their height and an intense fear of gaining weight.
What is Anorexia Nervosa?
This term describes an action or behavior that results in a verbal or physical attack.
What is aggression?
The CIWA-Ar scale was carefully refined to measure this many specific signs and symptoms.
What are 10 signs and symptoms?
This type of abuse includes controlling access to economic resources, making an individual financially dependent.
What is exploitation or economic abuse?
According to Kübler-Ross, this stage is characterized by a patient being overwhelmed, vulnerable, and often attempting to negotiate with a higher power.
What is bargaining?
This term encompasses the time for both the inner emotional response to loss and its outward display.
What is bereavement?
When a patient is diagnosed with both a mental disorder, like anxiety or schizophrenia, and a substance use disorder, it is referred to by this two-word term.
What are Co-occurring Disorders (or Dual Diagnosis)?
Besides episodes of binge eating followed by compensatory behaviors, physical signs of this disorder can include enlarged parotid glands and dental erosion or caries.
What is Bulimia Nervosa?
This involves the intentional use of force that results in, or has the potential to result in, injury to another person.
What is violence?
This is the maximum possible score on the CIWA-Ar scale.
What is 67?
Children younger than 4 years of age or those perceived as "different" due to temperamental traits or chronic disease are identified as these for child abuse.
What are risk factors for child abuse?
When combined with alcohol, these substances can cause a victim to lose the ability to fight off a perpetrator and develop amnesia.
What are date rape drugs?
This stage is characterized by a patient coming to terms with being seriously ill, often leading to pessimism, unhappiness, and harsh words directed at those around them.
What is anger?
Irritability, insomnia, and physical symptoms like abdominal pain or sweating can occur within one week of last use as part of the withdrawal from this Schedule I substance.
What is Cannabis?
A potentially lethal complication that can arise during the reintroduction of nutrients to a severely malnourished patient, leading to fluid-balance abnormalities and electrolyte disturbances like hypophosphatemia.
What is Refeeding Syndrome?
Genetics, neurological conditions like brain tumors, and neurotransmitters such as Serotonin, Dopamine, and GABA are considered these for anger and aggression.
What are risk factors?
A CIWA-Ar score in this range indicates minimal to mild alcohol withdrawal.
What is less than 8 to 10?
A male who believes in male dominance, pathological jealousy, or substance use/abuse are risk factors for this type of violence.
What is intimate partner violence?
A client presenting with symptoms resembling alcohol intoxication, but with a physical presentation suggesting sexual assault, should be treated as if this has occurred.
What is sexual assault?
**Extra care to listen and give power back to the patient throughout the interaction.
This model of care, available regardless of age, diagnosis, or ability to pay, supports patients facing death with a life expectancy of less than six months and focuses on care, not cure.
What is Hospice?
When under the influence of this class of drugs, an individual might experience synesthesia, such as hearing colors or seeing sounds, along with paranoia and impaired judgment.
What are Hallucinogens?
Genetic predisposition, female gender, and cultural influences on self-concept are identified as risk factors for these types of disorders.
What are Eating and Feeding Disorders?
Hyperactivity, muscle tension, pacing, silence, jaw clenching, and intense eye contact are identified as these for potential violence.
What are predictors of violence?
Scores of 15 or more on the CIWA-Ar scale indicate this level of withdrawal, potentially preceding delirium tremens.
What is severe withdrawal?
For older adults, being vulnerable due to poor mental or physical health, or having a single caregiver, are considered these.
What are risk factors for older adult abuse?
Flashbacks, negative thoughts/mood, depersonalization, avoidance, and hyperactive reflex response are symptoms associated with this clinical picture following trauma.
What is Acute Stress Disorder?
According to Kübler-Ross's Five Stages of Grief, a client in this stage might try to negotiate with a higher power for more time or a cure.
What is Bargaining?
Intoxication from this dissociative drug is considered a medical emergency due to its potential for violent, unpredictable reactions, nystagmus, and increased pain tolerance.
What is PCP?
This is identified as the most common eating disorder, characterized by repeated episodes of binge eating followed by significant distress, which often results in obesity.
What is Binge Eating Disorder?
Staff inexperience, overcrowding, and poor limit setting are environmental factors that can increase the risk of this.
What is anger, aggression, or violence?
Patients scoring less than this number on the CIWA-Ar generally do not require additional medication for withdrawal.
What is 10?
This phase in the cycle of violence is characterized by a gradual increase in conflict before a serious abusive incident.
What is the Tension Building phase?
Shame, guilt, helplessness, powerlessness, dependence, low self-esteem, agitation, and anxiety are defining characteristics of this syndrome.
What is Rape-Trauma Syndrome?
This type of grief describes a loss that cannot be publicly acknowledged or is not socially accepted, such as in cases of suicide or abortion.
What is Disenfranchised Grief?
"Cold turkey" is a common term for the piloerection and muscle cramps experienced during withdrawal from this substance, which also features mood dysphoria and rhinorrhea.
What are Opioids?
While no direct medication is prescribed for anorexia itself, this SSRI, often known as Prozac, may be used to reduce obsessive-compulsive behavior once the client has reached a maintenance weight.
What is Fluoxetine?
To ensure staff safety, nurses are advised to avoid wearing items like dangling earrings, necklaces, and scarves.
What are types of jewelry or accessories?
"Numbness" or "bugs crawling on or under your skin" are sensations assessed under this CIWA-Ar category.
What are tactile disturbances?
Fear for their own safety, financial insecurity, or concern about losing custody of their children are reasons why victims may not do this.
What is "just leave" (or leave the abusive relationship)?
These specialized nurses are responsible for completing a forensic exam after a sexual assault.
Who are (exam answer) Sexual Assault Nurse Examiners (SANE)
Who are (current actual name in Utah) Sexual Assault Forensic Examiners (SAFE)?
When a client defines a loss that isn't readily apparent or obvious to others, it is categorized as this type of loss.
What is Perceived Loss?
To reverse life-threatening respiratory depression and coma in an opioid overdose, this specific opioid antagonist can be administered via IM, SQ, IV, or inhalation.
What is Naloxone (or Narcan)?
This feeding disorder is characterized by the persistent eating of non-nutritional substances such as dirt, paper, or paint, and can lead to malnutrition.
What is Pica?
Maintaining a patient's self-esteem and dignity, remaining calm, avoiding arguments, and providing clear, simple directives are key components of these techniques.
What are de-escalation techniques?
This symptom category, with a score range of 0-4, assesses a patient's awareness of the day, place, and person.
What is Clouding of Sensorium?
When assessing a potential abuse victim, allowing the person to tell their story without interruption and asking open-ended questions are crucial components of this.
What is therapeutic communication (or an open-ended assessment approach)?
Providing client-centered care without judgment, using age-appropriate language, and preventing re-victimization are key nursing considerations in these cases.
What is caring for sexual assault survivors?
A nursing intervention that helps facilitate mourning is to use this type of communication, which might involve stating the emotion the client is feeling, such as saying, "You sound as though you are angry."
What is Therapeutic Communication?
This condition, often seen in individuals with alcohol use disorder, is caused by a thiamine deficiency and can manifest as an acute, reversible encephalopathy or a chronic syndrome affecting memory.
What is Wernicke-Korsakoff Encephalopathy (or Syndrome)?
Undigested food is returned to the mouth, re-chewed, and either re-swallowed or spit out in this feeding disorder, which is often associated with intellectual development disorder.
What is Rumination Disorder?
Antianxiety medications and antipsychotics are examples of this type of interventions used in managing anger and aggression.
What are pharmacological interventions?
Asking "Are you more aware of sounds around you? Are they harsh? Do they frighten you?" pertains to this CIWA-Ar symptom.
What are auditory disturbances?
Measures such as identifying individuals at higher risk for abuse and providing education on attachment and coping mechanisms fall under this level of abuse prevention.
What is primary prevention?
Sleeping well with few nightmares, eating normally, being calm and relaxed, and having a generally positive self-regard are signs a sexual assault survivor is experiencing this.
What is recovery?
During the dying process, a nurse might observe grayish-blue splotches on the skin, which are a sign of circulatory changes known by this term.
What is Mottling?
This daily oral medication is a type of aversion therapy for alcohol use disorder, causing adverse effects like nausea, vomiting, and hypotension if alcohol is consumed or even smelled.
What is Disulfiram (or Antabuse)?
This disorder involves a lack of interest in food or refusal to eat, often related to the sensory qualities of food like appearance or texture, and can result in growth delays in children.
What is Avoidant/Restrictive Food Intake Disorder (ARFID)?
Seclusion and restraint are considered this type of intervention, meaning they should only be used as a final measure when other approaches have failed.
What is a last resort?
Beyond indicating severe withdrawal, high CIWA-Ar scores are also predictive of the development of these two serious complications.
What are seizures and delirium?
Accurate documentation, being non-judgmental, and providing education and resources are key considerations for nurses when dealing with suspected cases of this.
What is abuse (or child, older adult, or intimate partner violence)?
This common misconception about sexual assault victims, often expressed as "But what was she wearing?", is presented in the source as an inappropriate focus.
What is victim blaming (or questioning their attire)?
A significant risk factor for this type of grief includes an unexpected death at a young age, death through violence, or by a socially unacceptable manner.
What is Complicated Grieving?
This severe and potentially fatal complication of alcohol withdrawal can occur 2 to 3 days after cessation, manifesting with severe disorientation, psychotic effects, and cardiac dysrhythmias.
What is Alcohol Withdrawal Delirium (or Delirium Tremens/DTs)?
For a client with anorexia nervosa, hospitalization is a priority for this, especially with symptoms such as a heart rate less than 50 bpm or a body weight below 75% of ideal.
What is Medical Stabilization?