Registered Practical Nurse (RPN) Practice Test

In an inpatient psychiatric setting, which type of client is most likely to exhibit aggressive behavior?

1. Coercive style clients

2. User-friendly style clients

3. Compliant style clients

4. Passive style clients

The correct answer is: Coercive style clients

The type of client most likely to exhibit aggressive behavior in an inpatient psychiatric setting is those with a coercive style. Coercive style clients often use manipulation, intimidation, or assertiveness to get their needs met, and this can manifest as aggression, particularly when they feel their power or control is threatened. Their behavior may stem from underlying issues, such as a history of trauma or a need for dominance in social situations, which can lead to conflict in a structured environment like a psychiatric unit. Understanding coercive behavior is crucial for healthcare providers, as these clients may react violently or aggressively when they perceive a lack of control, dissent from rules, or challenges to their authority. This knowledge assists nursing staff in recognizing potential triggers and implementing interventions to de-escalate situations before they escalate into aggression. In contrast, the other styles—user-friendly, compliant, and passive—generally do not exhibit aggressive behaviors as they are more accommodating, agreeable, or non-confrontational, making them less likely to resort to aggression in response to stress or frustration.