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Anger and Aggression Management
Psyc Exam 2
16
Nursing
Undergraduate 3
10/27/2012

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Term
Anger (def)
Definition
emotional response with physiological arousal
-anger expression is learned and can be controlled
Term
Anger characteristics
Definition
-frowning
-clenched fists
-low-pitched voice
-yelling/ shouting
- intense eye contact or avoidance
-easily offended/defensive to criticism
-emotional overcontrol
-intense discomfort (tension)
Term
Aggression
Definition
behavior that is goal directed
-goal is to threaten or injure a victim or object
-destructive use of anger
-doesnt count if there is unintentional harm
Term
Aggression Characteristics
Definition
-pacing and restlessness
-verbal or physical threats, homicide and suicide
-loud voice or argument
-tense facial expression and body language
-increased agitation with over reaction to environmental stimuli
-panic anxiety, leads to misinterpretation of environment
-disturbed thought process
-suspiciousness
-angry mood, disproportionate to situation
Term
predisposing factors
Definition
-role modeling (positive or negative)
--parents
--media violence
-operant conditioning
--learning with reinforcement
-neurophysiological disorders (see slide)
-biochemical
-socioeconimic
-environmental (see slide)
Term
operant conditioning
positive
Definition
aggression creates desired outcome will prob be repeated
Term
operant conditioning
negative
Definition
aggression removes undesired stimulus
=will occur again
Term
neurophysiological disorders predisposing anger
Definition
Temporal and Frontal Epilepsy
Brain tumors
Traumatic brain injurt
encephailits
Term
biochemical factors predisposing aggression
Definition
cushings syndrome
hyperthyroid
epinepherine, nor, dopamine, serotonin and ach
androgens (inconclusive)
Term
environmental factors predisposing aggression
Definition
physical crowding
heat
alcohol
street drugs
availability of firearms
Term
Stages of Anger and Acting Out
Definition
anxiety
defense
acting out
reduction of tension
Term
when can you implement seclusion
Definition
only for management of violent or self destructive behavior
Term
restraint (def)
Definition
1- mannual method of physical or mechanical immobilization or reduction in ability of a person to move arms, legs or head
2- use of chemical to manage behavior or restrict freedom of movement that is not the standard dosage or treatment for condition
---doesnt include things used for the medical treatment of the patient
Term
locked seclusion or mechanical restraint
Definition
least restrictive method of restrain used
10-17 yrs max: 2 hrs
4-9 yrs 1 hr, can be physical hold
adilts: 3-4 hrs longer need MD to see within 4 hrs
physician order within 30 min
Term
how often should you document and assess with seclusion or mechanical restraint?
Definition
q1h
Term
how many staff members present in seclusion room
Definition
minimum of two, continuous monitoring
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