A nurse is caring for a client with an impulse control disorder who has become very aggressive
during group therapy and is threatening to hit the nurse.
... [Show More] What steps should the nurse take to
prevent this behavior from escalating?
the nurse should:
1. listen to the patient
2. show respect to the patient
3. avoid intense eye contact with the patient
4. Be as neural as possible
5. speak softly
6. present a calm appearance
7. speak in a non-proactive and non-judgmental manner
8. consider a physical restraint
2. A nurse suspects a client may be experiencing acute mania. What characteristics are likely to be
present during a manic episode?
The symptoms of mania include: elevated mood, inflated self- esteem, decreased need for sleep,
racing thoughts, difficulty maintaining attention, increase in goal-directed activity, and excessive
involvement in pleasurable activities. These manic symptoms significantly impact a person's daily living.
3. The nurse is reviewing the admission information on a client being admitted with schizophrenia.
The provider has indicated that the client has ‘schizophrenia with negative symptoms. What would
the nurse expects to notice in this client? How do negative symptoms differ from the positive
symptoms of schizophrenia?
Negative symptoms include blunting of affect, poverty of speech and thought, apathy,
anhedonia, reduced social drive, loss of motivation, lack of social interest, and inattention to
social or cognitive input.
4. A nurse is caring for a client who is exhibiting displacement as a defense mechanism. Define the
defense mechanism of displacement. Provide one (1) example of this defense mechanism.
Displacement is feelings toward one person are directed to another who is less threatening,
thereby satisfying an impulse with a substitute object. Example is the person has an argument with
his employer and comes home and yells at his family.
5. A client with a stress disorder will be participating in cognitive reframing. What will this entail?
Reframing is a technique used in therapy to help create a different way of looking at a situation,
person, or relationship by changing its meaning.
The essential idea behind reframing is that a person's point-of-view depends on the frame it is viewed in.
When the frame is shifted, the meaning changes and thinking and behavior often change along with it. [Show Less]