Registered Practical Nurse (RPN) Practice Test

When assessing a client for risk factors of violence, which history should the nurse prioritize?

1. The client’s family history

2. Previous episodes of rage

3. Current medications

4. Social support systems

The correct answer is: Previous episodes of rage

Prioritizing a client's history of previous episodes of rage is crucial when assessing risk factors for violence. This aspect is significant because past behavior is often a strong predictor of future behavior; individuals who have demonstrated violent behavior or intense anger issues in the past are at a higher risk for recurrence. Recognizing patterns in aggressive behavior can help nurses implement appropriate interventions and strategies to manage potential violence. In contrast, while a client’s family history, current medications, and social support systems are all important elements of a comprehensive assessment, they do not provide the same immediate insight into the likelihood of violent behavior as previous episodes of rage. Family history may indicate a predisposition to certain behaviors, medications may influence mood and behavior, and social support can play a role in a person’s coping mechanisms, but the direct connection between prior rage incidents and the potential for future violence makes this factor a priority. Understanding and addressing this risk can allow for timely and effective measures to protect both the client and those around them.