Module 05 Discussion – Remaining Calm There are times when a nurse must provide care for a client who is agitated and verbally or physically aggressive. The client may be psychotic, but the nurse must, in each case, remain in control of his/her own feelings, and intervene in the most appropriate manner. After watching a segment regarding a violent client at Bellevue Hospital, answer the questions below. It’s not necessary to critique the staff in the video, just think of how you might respond.
Remaining calm in the face of an agitated and verbally or physically aggressive client is an essential skill for nurses. This is particularly important when dealing with clients who may be experiencing a psychotic episode. In these situations, it is crucial for the nurse to maintain control of their own emotions and intervene in the most appropriate manner.
When faced with a violent client, it is important for a nurse to assess the situation and prioritize their safety, as well as the safety of other clients and staff members. An initial step would be to ensure that there is a safe environment by removing any potential objects that could be used as weapons and ensuring there is sufficient space for everyone involved. This is crucial to minimize the risk of injury to both the nurse and the client.
The next step would involve trying to establish communication with the client. It is important to approach the client calmly and to speak in a low and non-threatening tone of voice. Using clear and concise statements can help convey to the client that the nurse is there to help and not to further agitate them. It would be wise for the nurse to avoid physical confrontation or making sudden movements that may escalate the situation.
Active listening is another important aspect of responding to a violent client. By actively listening to the client, the nurse can gain insight into their needs and concerns. This can help in identifying any triggers that may be causing the client’s aggression and allows the nurse to tailor their interventions accordingly. By acknowledging the client’s feelings and validating their experience, the nurse can help de-escalate the situation and promote a more cooperative attitude.
In situations where verbal de-escalation techniques are not effective or when the client poses an immediate threat to themselves or others, it may be necessary for the nurse to physically intervene. This should be done in a manner that prioritizes the safety of all parties involved. Nurses should be trained in non-violent crisis intervention techniques, which involve using the least amount of force necessary to ensure safety and maintain control of the situation. Physical interventions should only be used as a last resort when all other de-escalation techniques have failed.
In addition to these immediate responses, it is important for nurses to reflect on the incident and seek support. Dealing with violent clients can be emotionally distressing, and it is crucial for nurses to process their emotions in a healthy way. This may involve debriefing with colleagues, utilizing counseling services, or engaging in self-care activities. Taking care of one’s own mental well-being is essential for nurses to continue providing high-quality care to their clients.
In conclusion, remaining calm when faced with an agitated and aggressive client is a crucial skill for nurses. It involves assessing the situation, prioritizing safety, establishing communication, actively listening, and employing appropriate de-escalation techniques. Physical interventions should only be used as a last resort, prioritizing the safety of all parties involved. Furthermore, nurses should seek support and engage in self-care activities to process their emotions and maintain their own mental well-being. By implementing these strategies, nurses can provide the best possible care for their clients in challenging situations.