A Novice Nurse Notices a Patient Is Pacing the Floor

question 12

Multiple Choice

A novice nurse notices a patient is pacing the floor and twisting his hands. When the nurse enters the room, the patient stares at her and mumbles, "Can't anyone understand what I want?" while smiling and reaching out to shake the nurse's hand. The nurse recognizes a risk for violence based on which clinical findings? (select all that apply)

• A) Glaring at the nurse
• B) Nervousness, twisting of hands
• C) Murmuring when talking
• D) Diagnosis of a terminal illness
• E) Isolation, desire to be alone

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Definitions:

Aggressive Impulses

Innate or instinctual drives that lead to aggressive behaviors, which can stem from frustration or perceived threats.

Defense Mechanism

Unconscious psychological strategies used by individuals to cope with reality and maintain self-image.

Reaction Formation

A defense mechanism in which unacceptable thoughts or desires are expressed as their opposites, often to hide one's true feelings.

Great Admiration

A feeling of profound respect and deep appreciation for someone or something's qualities or achievements.