Question

1. List some of the possible co morbid disorders that go along with aggressive behavior.

2. Does the use of seclusion and restraints lead to a positive behavior change in the client? why or why not ?

3. When does the nursing staff remove the client from seclusion and or restraints? why?

4. What are some behaviors that nurses need to be aware of in clients when suspected of becoming aggressive

5. When would it be appropriate to administer an IM medication to an aggressive patient?  and what type of IM medications might be used for an aggressive client?  .

6. what are  some interventions that the nurses can use to help de escalate a client who might be coming aggressive/ angry?

7.What does debriefing mean and when is it used

8. What are some of the issues that make it very difficult for a woman to leave an abusive relationship.   If you were working with an abused woman who wanted to return to her husband, is it a nurse place to tell her not to return ?  

9 what are some nursing interventions that would be useful to help a women( in a abusive relationship) that is being discharge.

Review the cycle of violence -  how can a person stop this cycle?  what would you as a nurse need to teach both the abuser and the victim?  Does this cycle sound familiar to you- have you used it or seen others in this cycle?

4.  List several areas or injuries that the nurse would suspect abuse when assessing the  patient

         Infants:  

         Preschoolers and adolescents:

         Older persons:  

5.   A nurse is a mandated reporter for what type of abuse?  and what agency does the nurse report the abuse to?  

6.  List two goals that you would have in your care plan for a survivor of abuse and 2 interventions for each goal.  

Answer 1

1.

Along with aggressive behaviour the comorbid conditions that the patient is facing are schizophrenia with mood disorder, bipolar disorder etc.

2.

Seclusion and restraint stands for proving a private life to the patient under the control of medical representatives. Sometimes under the control of medical representatives the patient will adopt to the therapy which can get a change in the daily life. Sometimes the patient may feel lonely and he may gone through the state of depression. But in most of the cases seclusion and restraint lead to success in the therapy of the patient.

3.

When the patient the feel free and maintain a normal mood then the nursing staff will get them out of seclusion and restraints. In the stage the patient will adopt to normal environmental co ditions. He maynot be too aggressive.

4.

When the patientbis aggresive the nurses need to notify the reasons behind his aggressive condition and the behaviour at that state. Some patient may bite their tongue. Some may do self harm. Some of them may cause damage to the others. The ward nurses should have to note all the behaviour changes of the patient

5.

Generally the IM medications are used when the patient is in calm state. Sometimes these are used after providing oral therapy like haloperidol, benzodiazepines etc to calm down the patient conditions. The commonly used IM medications are resperidinw, clonazine etc.

6.

To reduce anxiety in patients the nurses will avoid stress and provide a good environment to the patient. If the patient is aggressive then the nurses will immediately provide certain mediaction to calm down. They maintain a healthy environment with patients.

7.

When the issue is solved or when the patient is fully recovered then the medical representatives will explain the overall condition to the patient and what are emergency measure to be followed. Debreifing is used qhen the therapy is completed. It is nothing explaing the overall situation happened to the patients.

8.

Ina abusive relationship the patient might feel very difficult to lead her life. There is chance of getting post voital bleeding and vaginal diseases. If she is weak then it is better to her not to return to her husband.

9.

If the patient have discarriage then immediately take all the necessary precautions. Avoid sex atleast untill the menstrual cycle returns to the normal stage. As a nurse i i wou like to provide counselling both the abuser and victim. He have to control his hormonal changer if necessary consult a gynecologist. The victim has to check vaginal conditions and have to take precautions.yes, ihave aeen many patients who have undergone abuse.

10.

In infants there is organ failure and many other injuries that they cannot tolerate abuse.

In preschoolers and adolescents cannot find what happended to them they may experience vaginal bleeding, rashes, uterine infections etc.

In older people who attained menopause. They may experience uterine prolapse, post coital bleeding, unwanted diseases. Some of the abusers may violent they may also cause physical harm to the victim.

11.

The nurse ahould report illegal abuse to the police department, the texas department of family and protective services, hospital management, local governing bodies.

12.

Assure the victim that she is in safe hands. Counsel her about the incident and make her bold. Explain her how to react in those conditions and what are the emergency services she need to call.