NEW LIFE INSTITUTE OF NURSING
Mental Health Nursing
Post RN Final Year
Name
Date
Total marks: 10
Select the correct answer
1.A nurse is working with a client who has frequent angry outbursts. Which of the following
statements is most helpful when working with this client?
A) Anger is a normal feeling, and you can use it to solve problems.
B) You need to learn to suppress your angry feelings.
C) You can reduce your anger by hitting a punching bag.
D) You need to learn how to be less assertive in your communications.
2.A married man expresses to the nurse that his wife's frequent nagging angers him. The nurse
role-plays assertive communication techniques with the husband. Which of the following
indicates the husband understands how to use assertive techniques effectively?
A) I really wish you would stop nagging me.
B) You are not perfect either.
C) I feel unappreciated when you criticize me.
D)Are you telling me you want me to change?
3.Which one of the following statements about anger is most accurate?
A) Anger is an abnormal human emotion that is always negative.
B) It is best to express anger by whatever means possible to minimize its consequences.
C) Most men are socialized to suppress anger.
D) Anger awareness and expression are necessary for women's growth and development.
4.Which psychiatric disorder makes a person most susceptible to anger attacks that do not result
in physical aggression?
A) Delusions B) Depression C) Dementia D) Delirium.
5.A client is observed pacing the hall with clenched fists and swearing at others. The nurse
intervenes immediately to prevent the client from moving to which phase of the aggressing cycle?
A) Triggering B) Escalation C) Crisis D) Recovery
6.The client's son is yelling and is hitting his hand with a rolled up newspaper. Which stage of
aggression does the nurse identify that the client's son is exhibiting?
A) Triggering B) Escalation C) Crisis D) Recovery
7.The nurse is teaching a client to recognize early signs of anger and aggression. The nurse
explores ways that the client can recognize which of the following?
A) Decreased problem-solving ability
B) Restlessness and irritability C) Remorse D) Severe muscle tension
8.A client suddenly jumps up from the chair and begins yelling and cursing at the nurse. Which
would be the best response by the nurse?
A) I can see that you need attention; you should calmly ask for what you want.
B) I don't want to hear that kind of language; don't ever do that again.
C) I will limit your smoking privileges if you can't control yourself.
D) You seem angry. Tell me more about how you're feeling.
9.A client approaches the nurse and loudly states, I'm not putting up with this anymore! The most
appropriate response by the nurse would be which of the following?
A) I can see you are angry. Tell me what's going on.
B) You are not allowed to make threats. Please keep your voice down.
C) Why do you say that?
D) You are here voluntarily. You can leave if you want.
10.An angry client has just thrown a chair across the room and is racing to pick up another chair
to throw. The most appropriate action by the nurse would be which of the following?
A) Call for an emergency response from trained personnel.
B) Approach the client and firmly say, Stop, put it down.
C) Calmly call the client by name and encourage verbal expression of anger.
D) Assist the client to use problem-solving techniques instead of aggression.
11.A client who has been physically aggressive arrives at the emergency room for a psychiatric
assessment. Which would be the best approach for the nurse to use?
A) Have a sense of humor to show a lack of fear.
B) Provide close contact to increase the client's sense of safety.
C) Use brief statements and questions to obtain information.
D) Use open-ended questions, so the client can elaborate.
12.The nurse is interviewing a client with a history of physical aggression. Which of the
following should the nurse avoid?
A) Anticipating that a loss of control is possible and planning accordingly
B) Explaining the consequences the client will face if control is lost
C) Interviewing the client with another staff member present
D) Responding to verbal threats by terminating the interview and obtaining assistance
13.When interacting with a client in the day room, the nurse determines that a violent outburst is
imminent. Which of the following should the nurse do first?
A) Call for assistance.
B) Give the client choices.
C) Remove the other clients.
D) Talk to the client calmly.
14.The client with a history of explosive outbursts becomes angry and states, I am really getting
angry.The nurse sees this as
A) controlling. B) manipulation. C) progress. D) regression.
15.The client identifies anger management as a problem. What is the next step in planning
therapeutic interactions?
A) Give the client a variety of choices on how to express anger.
B) Give the client permission to be angry.
C) Point out the senselessness of anger.
D) Tell the client not to be angry all the time.
16.A client lost control of his behavior, broke a window, and made verbal threats to staff and
other clients. The client was placed in mechanical restraints. Which statement should the nurse
make to explain the use of restraints to the client?
A) The length of time you'll be in restraints is undetermined.
B) The staff will monitor your behavior closely.
C) This is what happens when you lose control.
D) This is a means of keeping you and others safe.
17.Which of the following interventions are most effective in managing the environment to
reduce or eliminate aggressive behavior? Select all that apply.
A) Planning group activities such as playing games
B) Scheduling one-to-one interactions with the client
C) Providing structure and consistency in the unit
D) Avoiding discussions among clients on the unit
E) Discouraging clients from negotiating solutions
18.Which of the following statements about the crisis phase of aggression when the client
becomes physically aggressive is true?
A) All staff should act to take charge of the situation.
B) The client must be restrained or sedated at once.
C) Staff should avoid communicating with the client.
D) Four to six trained staff members are needed to restrain
19.After an angry outburst, a client quickly appears more calm and rational. The nurse
approaches the client. Which of the following is the most helpful response to the client at this
time?
A) We will have to talk about this later.
B) You really scared me. I'm glad you are okay.
C) What happened that got you so upset?
D) What can you do differently next time you get angry?
20.Which of the following is most important to maintain therapeutic boundaries when working
with aggressive clients?
A) Encourage clients to express how the nurse can avoid causing emotional irritation.
B) Discuss difficult patient care situations with a supervisor.
C) Reflect on your actions that may have instigated the client's anger,
D) Do not personalize a client's anger
