3 hours 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.

One of the most important skills for a nurse to possess is the ability to effectively handle situations involving agitated and aggressive clients. These clients may be experiencing psychosis, and it is crucial for the nurse to remain in control of their own emotions and respond in a manner that ensures both their safety and the safety of the client. In this assignment, we will examine a video segment depicting a violent client at Bellevue Hospital and discuss potential responses by the nurse.

When faced with an agitated and aggressive client, the nurse must first assess the situation and identify the underlying cause of the behavior. This may involve communicating with the client, reviewing their medical history and current medications, and consulting with other healthcare professionals. Understanding the root cause of the aggression is essential in determining the most appropriate intervention.

In the case of the client in the video segment, who appears to be psychotic, it is important for the nurse to maintain a calm and composed demeanor. Remaining calm can help de-escalate the situation and prevent further agitation. The nurse should approach the client in a non-confrontational manner, using a soft and soothing tone of voice. It is crucial to establish a therapeutic rapport with the client, emphasizing empathy and understanding.

One potential response by the nurse could be to create a safe environment for both the client and themselves. This may involve removing any objects that could be used as weapons, ensuring that there are no potential hazards in the room, and having additional staff members on standby for assistance if needed. By taking these precautions, the nurse can minimize the risk of harm to themselves and others while addressing the client’s needs.

In some cases, verbal de-escalation techniques may be effective in calming the client down. The nurse can use active listening skills to demonstrate their attentiveness and validate the client’s feelings. Reflecting back the client’s statements and using open-ended questions can facilitate a more meaningful conversation and help the client feel heard and understood. It is important for the nurse to avoid arguing or escalating the situation further.

In situations where verbal interventions are not sufficient, the nurse may need to consider physical interventions to ensure the safety of the client and others. Physical intervention should always be the last resort and implemented with great caution. The nurse should consider their own safety and the potential harm that may result from physically restraining the client. In most cases, it is advisable to involve additional staff members and use the least intrusive method of physical restraint.

When implementing physical restraint, the nurse should prioritize protecting the airway and minimizing the risk of injury to the client. Proper positioning and utilization of restraints that are specifically designed for the purpose of patient safety should be employed. It is important to closely monitor the client’s vital signs and ensure that they are not experiencing any distress during the restraint.

After the situation has been managed and the client has calmed down, it is crucial for the nurse to engage in debriefing and follow-up care. Reflecting on the incident, discussing the response with colleagues, and seeking support from a supervisor or counselor can help the nurse process their emotions and learn from the experience. Additionally, the nurse should provide appropriate documentation of the incident, including the interventions used and any changes in the client’s condition.

In conclusion, managing agitated and aggressive clients is a challenging task for nurses. It requires a combination of assessment skills, effective communication, and the ability to remain calm under pressure. By implementing a multi-faceted approach that includes creating a safe environment, using verbal de-escalation techniques, and employing physical interventions as a last resort, nurses can ensure the safety and well-being of both the client and themselves. Additionally, engaging in debriefing and follow-up care is crucial for the nurse’s own emotional well-being and professional development.