SimPRENA

1 . Which of the following is a common early warning sign of escalating aggression?

Withdrawal and silence

Sudden crying

Pacing and muttering

Falling asleep

2 . According to the Crisis Development Model, which intervention is most appropriate during the 'Defensiveness' stage?

Physical restraint

Use of empathy and reassurance

Verbal redirection with clear and calm communication

Allowing the patient to isolate alone

3 . What is a key element of therapeutic communication in de-escalation?

Direct eye contact and a raised voice

Rapid questioning to maintain control

Calm tone, open posture, and avoiding sudden movements

Using technical medical terms to assert authority

4 . When managing an aggressive patient, why is maintaining a 45-degree body angle recommended?

It allows quicker escape

It shows dominance

It is less confrontational and maintains safety

It blocks the patient's exit

5 . What is the role of the junior nurse during a crisis involving aggression?

Taking over verbal de-escalation from the senior nurse

Monitoring the environment and preparing for assistance

Physically restraining the patient

Administering medication without direction

6 . Why is it important to offer choices to an agitated patient?

It speeds up discharge

It increases their sense of control

It encourages compliance through fear

It distracts them from their aggression

7 . Which of the following best reflects a trauma-informed approach?

Ignoring a patient’s history to focus on current behavior

Viewing the patient only as a threat

Understanding how past trauma, mental illness, and substance use influence current behavior

Using standard protocols for all aggressive patients, regardless of history

8 . What is one recommended strategy for managing aggressive behavior in patients with dementia?

Speak louder and give firm orders

Involve family members to provide orientation and comfort

Keep the patient in a busy waiting room

Use detailed explanations to rationalize behavior

9 . How should nurses act professionally under pressure when faced with aggression?

Focus only on the patient’s behavior and ignore the environment

Act passively to avoid escalation

Remain calm, assertive, and follow safety protocols

Immediately call for law enforcement in all cases

10 . Why is methamphetamine use significant in cases of patient aggression?

It always leads to sedation

It enhances cooperation with medical staff

It may induce or intensify psychotic symptoms, increasing risk of aggression

It causes physical weakness, reducing threat