There are times when a nurse must provide care for a client who is agitated and...

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.

Violent Client at Bellevue Hosptial Video

Describe a time when a client was rude or verbally abusive to you. How did you react?
What skills were necessary to maintain a professional, caring, therapeutic relationship?
How did you best communicate with this client?
What did you learn from this experience?

Expert Solution

1) When the client was rude or verbally abusive to me,, I shuld maintain the following precaution for myself..They are-

I should never see a violent patient alone
A particular distance should be maintain between the violent patient & myself
Always be prepare to move from the violent patient
A clear exit route or door always maintain
If patient become so much violent then Antipsychotic medicine should be administered as per Doctor's advice..

2) The following skills are necessary to maintain a professional, caring, therapeutic relationship-

Commuication skill should be good as much as possible
Assessment of the patient should be done in appropriate manner
Patient's emotional status should be checked at a regular besis
Mental status Examination (MSE) should be assessed at a regular besis
Interpersonal Relationship should be maintained .

3) I should communicate with this client on the basis of assessing their mental status and level of violence..In this type of patient Communication always should be done on the basis of mental status examination.

4) I learn the following idea from this experience-

In the time of dealing of a violent patient some precaution ( appropriate distance, proper exit route ) should be maintained
Mental status examination should be checked
Assessment of mental status is vey much important..

Nightingale answered 2 years ago

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