NUR 162 Unit 2
- Anger
Answer (normal human emotion) strong, uncomfortable emotional response to a real or perceived provocation.
- Positive/healthy anger
Answer when situation is unfair, person's rights aren't respected, etc.
- If person can express his/her anger assertively, problem solving, or conflict resolution is
possible.
- Negative anger
Answer when a person denies, suppresses, or expresses anger inappropriately
- Physiological effects of anger
Answer migraine headaches, ulcers, coronary artery disease, or hypertension
- emotional effects of anger
Answer depression, low self-esteem, etc.
- anger expressed inappropriately can lead to
Answer Hostility (verbal aggression) or physical aggression
- Hostility
Answer 1 / 3
(verbal aggression) emotion expressed through verbal abuse, lack of cooperation, violation or rules or norms, or threatening behavior. Ex. Intimidate
- Which can lead to physical aggression
- physical aggression
Answer behavior in which a person attacks or injures another person or that involves destruction of property
- assertive communication
Answer Uses "I" statements that expresses feelings and are specific to the situation, for example, "I feel angry when you interrupt me". This allows appropriate expression of anger & can lead to productive problem-solving discussions and reduced anger.
- Nurses should help patient express anger appropriately using assertive communication.
- catharsis
Answer used to release anger using safe activities such as hitting a punching bag, yelling, or going for a walk
*may contraindicated for angry patients*
- acting out
Answer an immature defense mechanism by which the person deals with emotional conflicts or stressors through actions rather than through reflection or feeling (used to feel temporarily less helpless or powerless)
- decreased serotonin ->
Answer increased aggressive behavior 2 / 3
- increase dopamine & norepinephrine ->
Answer increased impulsively violent behavior
- damage to limbic system, frontal, and temporal lobe ->
Answer alter person's ability to modulate aggression
- impulse control
Answer ability to delay gratification and socially appropriate behavior
- Usually affected in childhood r/t poor parenting, children who receive inconsistent responses
to their behavior, and children whose families have low socioeconomic status.
- treatment of aggressive clients
- Lithium
Answer
- Carbamazepine and valproate
- Clozapine, risperidone, and olanzapine (atypical antipsychotics)
- Haloperidol and lorazepam
- lithium
Answer treat aggressive clients with bipolar disorder
- carbamazepine & valproate
Answer treat aggression assoc. with dementia, psychosis, and personality disorders
- clozapine, risperidone, olanzapine
- / 3