An 83-year-old male client, who was recently admitted for a dementia workup, has been striking out at nursing staff
His wife, who is terribly upset by his recent behavior, states, "I just don't understand what has gotten into him, he used to be so kind and gentle." The nurse's best response for explaining the etiology of violent behavior is which of the following? 1. The disease process associated with dementia causes a person to become violent.
2. Scientists have linked violent behavior to the genetic mutation of a specific Y chromosome.
3. The renowned psychoanalyst Freud says that it is instinctive for humans to express depression in aggressive ways.
4. There is no simple explanation for aggressive behavior, but research suggests it is caused by a combination of biologic and psychosocial factors.
4
Rationale: No single theory adequately explains violent behavior. No single gene or variant thereof has been identified as the causative factor of aggression. Freud said that humans express anger in aggressive ways and anger turned inward is depression. The dementia diagnosis alone does not determine that the client will be violent.
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1. At 9:00 a.m. after physician rounds are complete 2. A few minutes before the colleague usually goes to lunch 3. In the middle of the afternoon 4. First thing in the morning, just after shift report
Which actions would best aid the new nurse in coping with working the night shift? (Select all that apply.)
a. Eat large meals during the night to stay awake b. Use dark shades to block out light when sleeping c. Obtain a prescription for sedatives to aid sleep d. Wear sunglasses on the drive home from work e. Go directly to bed when arriving home from work
Which of the following is the best way for nurses to minimize their struggles in making ethical decisions?
A) Take no action unless an advance directive, will, and other legally binding documents are in effect B) Act on the recommendations of a patient's healthcare provider, friends, and family members C) Consult the guidelines of the American Nurses Association and the institution's ethics committee D) Maintain nursing's traditional focus on following physicians' orders and providing care and comfort for the patient
A nursing student was ill when the class toured the learning resource center (LRC). What independent action should the student take?
a. Perceive it as a missed opportunity. b. Ask the librarian if a self-guided audiotape tour is available. c. Ask to see another student's notes about the tour. d. Report his or her unawareness to the instructor of LRC features.