Anger and Aggression
This emotion is a normal feeling, but can become destructive if unmanaged
anger
The first phase in the assault cycle
What is the triggering phase?
Feeling detached from one’s body or surroundings.
What is depersonalization/derealization?
If restraints are deemed necessary, how often must the nurse document observation of the patient's condition?
What is every 15 minutes?
This disorder has a pattern of violating rights, lack empathy, lack appropriate guilt feelings, naturally are aggressive to others
What is conduct disorder
This behavior involves actions meant to harm self, others, or property
aggression
This stage in the assault cycle includes pacing, clenched fists and loud voice
What is the escalation stage
Sudden travel with identity confusion. Behaves normally during travel but confused by their own identity
What is dissociative fugue?
What is the most therapeutic caregiver intervention for a client that has anger/aggression?
What is establish and maintain trusting relationships?
This disorder is characterized by emotional or behavioral problems that develop in response to an identifiable source and last no longer than 6 months
What is adjustment disorder?
Name one common trigger for aggressive behavior in healthcare settings
What is fear, pain, frustration, feeling ignored, overstimulation, or loss of control?
Crisis intervention is most successful when it is implemented early is this stage
What is the trigger stage
Presence of two or more identities with a major goal being to integrate the personalities into one functional personality
What is dissociative identity disorder?
When a patient is out of control and can no longer be considered safe-physically aggressive-what intervention would be most appropriate?
What is restraints? Seclusion could also apply but restraint is more likely to keep them from hurting themselves as well.
Pyromania is an example of what type of disorder?
What is impulse control disorder?
This type of aggression is impulsive and emotional rather than planned
What is hostile aggression?
This stage is when the patient feels guilt and is overly nice to the victim. Buys gifts, promises it will never happen again
This disorder is related to trauma. They may not remember the actual trauma but still have issues like depression as a result of the trauma
What is dissociative amnesia?
This level in assault intervention focuses on when an injury is imminent. Seclusion, restraint and IM antianxiety agents may be used
What is Intervention Level 3
A person is seen yelling at a cashier, cursing at them and even hits them because they are angry that the cashier made them wait too long. What disorder do you think this person may have?
What is Intermittent Explosive Disorder?
The BEST initial nursing response to escalating anger.
What is maintaining calm communication and reducing stimuli?
This stage is when the patient has lost control, unable to listen to reason, destruction of property, cannot engage in mental exercises
What is the Crisis stage?
The PRIORITY therapy goal for dissociative disorders.
What is stabilization?
This level of assaultive interventions focuses on protection of the patient and others from potential harm. They may set limits, offer a "time out", offer prn medication
What is Level 2?
This level in the assault cycle focuses on prevention by establishing a trusting relationship, using active listening, and honest communication
What is Level 1?