HOMEWORK ADOC SEP 2023 MANAGEMENT OF ANGRY PATIENT

Mr. L diagnosed with stage IV lung cancer is shouting at you when you try to administer intravenous drip for him. You should

• leave Mr.L alone

• stay calm and try to pacify Mr.L

• ask Mr. L why he behave that way

• refer Mr.L to psychiatrist immediately

A client slammed the room door several times. The nurse said, “You seem angry. Can you tell me what’s upsetting you.”  The nurse is trying to manage the angry patient by

• expressing empathy

• offering help to the patient

• acknowledging the patient’s problem

• encouraging the patient to ventilate his problem

Patients is showing early sign of anger  when he / she  is

• crying

• blaming themselves

• become easily irritated

• repeatedly apologized

After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client is shouting at the nurse and states, “You are incompetent!” The nurse should response

• “I’ll give you some space. Let me know if you need anything.”

• “Have you ever thought about ways to express anger appropriately?”

• “Do you believe that I was the cause of your blood test being canceled?”

• “I see that you are upset, but I feel uncomfortable when you shout at me.”

Factors that can infuriate patient or family members which may result in anger and loss of control are

• patient has personality disorder

• treatment that is given immediately

• diagnosis is made on time and accurate

• patient was told specific diagnostic test is not available

A client slammed a door several times. The nurse responds, “You seem angry.” The client states, “I’m not angry.” What therapeutic communication technique has the nurse employed and what is the client unconsciously demonstrating?

• The nurse is putting into words what the client has only implied by actions

• The nurse is using technique of exploring to find out the client’s problem

• The client reflects what he has done and recognized his anger emotion

• The client is demonstrating defence mechanism by denying his anger emotion

Mr. C cannot accept that he has liver cancer. He is yelling at the nurses on duty and refused to eat. You understand and empathize with him by responding

• “What can I do for you, Mr. C?”

•  “I understand how you feel, Mr. C.”

• “I’ll see what caused you to get angry.”  

• “It’s very frustrating to know that you are having liver cancer.”

After fasting from 10 p.m. the previous evening, a client finds out that the diagnostic test has been canceled. The client is shouting at the nurse and said, “You are useless!” The nurse should response

• “Tell me about what’s upsetting you.”

• “I’ll give you some space. Let me know if you need anything.”

• “Do you believe that I was the cause of your diagnostic test being canceled?”

• “I’ll find out why the diagnostic test is canceled. Maybe it’s something that can be avoided in the future.”

The following can infuriate patient or family members increased frustration which can result in anger and loss of control.

• Treatment is given promptly.

• Patient has personality disorder.

• Diagnosis is made on time and accurate

• Patient is told no other treatment options

After waiting a long time in casualty for medical consultation but still not attending by a doctor, Mr. Y who is in pain clenched his fists and scolded the staff at the counter. The frontline staff should

• stay calm and maintaining eye contact with Mr. Y.

• move Mr. Y from the counter area to a private room

• continue all other activity as usual and ignore Mr. Y.

• explain to Mr.Y that all the doctors are busy and nothing can be done for him.