The family of a client who has a tumor deep in the brain is concerned about the client's demonstration of aggression and anger over the last few months. Which response by the nurse is the most appropriate?
1. "I will inform the health care provider about the client's anger and aggression."
2. "I will request a referral for anger management."
3. "The tumor might affect areas of the brain responsible for emotional expression."
4. "This is an abnormal response to the diagnosis."
Correct Answer: 3
Rationale 1: The anger and aggression will remain until the tumor is treated.
Rationale 2: The root cause of the anger, the tumor, needs to be addressed.
Rationale 3: The limbic system is a group of structures deep in the brain responsible for emotional expression, learning, and memory. Emotional states associated with this system include anxiety, fear, anger, aggression, remorse, depression, sexual drive, and euphoria. Signals routed through the limbic system ultimately connect with the hypothalamus.
Rationale 4: Anger is a normal response to diagnosis of a tumor.
Global Rationale: The limbic system is a group of structures deep in the brain responsible for emotional expression, learning, and memory. Emotional states associated with this system include anxiety, fear, anger, aggression, remorse, depression, sexual drive, and euphoria. Signals routed through the limbic system ultimately connect with the hypothalamus. The anger and aggression will remain until the tumor is treated. The root cause of the anger, the tumor, needs to be addressed. Anger is a normal response to diagnosis of a tumor.
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