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Prevention and Management of Disruptive Behavior

1. The VA Office of the Inspector General recommends that facilities communicate among themselves so that staff are aware of high-risk patients, regardless of where in the VHA system they may seek healthcare.

A. True

B. False


2. Which of the following is one of the few things that reduces assaults?

A. General education and training.

B. Letting employees know what triggers the perpetrators who commit the majority of assaults.

C. Warning employees how to prevent recurrences.

D. All of the above.


3. Which of the following is an event that commonly triggers the placement of behavioral patient record flags?

A. History of violence toward staff / patients.

B. Documented acts of repeated violence against others.

C. Credible verbal threats of harm.

D. All of the above.


4. A person exhibiting disruptive behavior can be influenced by intervention unless they have become violent.

A. True

B. False


5. The ability to behave in a preventive manner is dependent upon the ability to assess yourself, the other person, and the environment, and understand the interactions among the three.

A. True

B. False


6. All of the following actions should be taken to prevent a situation from escalating, except for:

A. Use a calm voice.

B. Keep your distance, maintain a closed posture, and do not make eye contact.

C. Remove anything from your person that can be used as a weapon or can be grabbed by someone.

D. Capture long hair in clips or tuck ponytails down the back of clothing.


7. Typically, people do not state their intentions prior to acting out.

A. True

B. False


8. In which way could a healthcare worker create an acceptable “out” or solution for the angry patient and/or remove the “audience” so that they don’t have to deal with “group think”?

A. Request the patient move to a quieter place so someone can “provide assistance.”

B. Remove the other patients or visitors in the area or divert traffic from that area.

C. Both (A) and/or (B).

D. None of the above.


9. All of the following are personality traits to look for and are potentially predisposing factors that may contribute to disruptive behavior, except for:

A. Loner / withdrawn

B. High energy

C. Suspicious of others

D. Views world as hostile / threatening


10. _____ are the triggers that are inherent in a particular situation or are introduced into a situation and impact a patient already predisposed to respond disruptively.

A. Precipitating factors

B. Personality traits

C. Disabilities

D. Environmental stresses


11. Which of the following is a common way for blocked emotional energy to be expressed?

A. Depression

B. Anxiety

C. Anger

D. Panic


12. The single most important nonverbal communication a healthcare professional can convey is:

A. Empathy

B. Body language

C. Eye contact

D. Attention


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