Mental Health: Remaining Calm During Stressful Times

Mentalhealth Md5remaining Calmthere Are Times When A Nurse Must Provi

Mentalhealth Md5remaining Calmthere 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. Watch- Violent Client at Bellevue Hospital 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? INCLUDE FOUR REFRENCES WRITE FROM NURSING PERSPECTIVE APA FORMAT and TEXT CITATION NO CONSIDERATION FOR PLAGIARISM DUE 11/2/2021 AT 7PM

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Maintaining composure and professionalism when caring for agitated or aggressive clients is a fundamental aspect of psychiatric nursing. Such situations demand a unique combination of emotional regulation, effective communication, and therapeutic skills to ensure safety for both the nurse and the patient. Reflecting on a personal experience where a client was verbally abusive helps to understand the importance of these skills and highlights lessons learned that improve future nursing practice.

In a previous clinical setting, I encountered a situation where a client became verbally aggressive, using rude and accusatory language. Initially, I felt a rise of defensiveness and emotional discomfort; however, I recognized the need to remain calm and composed. I employed active listening and maintained a neutral tone, which helped de-escalate the situation. Acknowledging the client’s feelings without becoming defensive fostered a sense of being heard, thus reducing hostility (Mitchell, 2019). The ability to self-regulate one's emotions is critical in such moments, ensuring that the interaction remains therapeutic rather than confrontational (Johnson & Smith, 2020).

Effective communication was vital in managing this challenging interaction. Utilizing open-ended questions allowed the client to express frustrations, while calm verbal responses reassured the client of safety and willingness to listen. Maintaining clear boundaries and non-verbal cues such as eye contact and appropriate body language reinforced a professional demeanor. Consistent verbal and non-verbal cues helped establish trust, which is essential for therapeutic relationship building, even during stressful situations (Gordon, 2021).

From this experience, I learned that maintaining a calm demeanor and using active listening techniques can significantly influence the outcome of volatile interactions. It reinforced the importance of staying emotionally detached from the client’s aggression, focusing instead on de-escalation strategies. Additionally, I understood the importance of having a personal self-awareness to recognize and manage my emotional responses. This skill allows nurses to respond appropriately rather than react impulsively (Lee & Garcia, 2022). Furthermore, adhering to safety protocols and institutional guidelines ensures that both staff and clients are protected during aggressive episodes.

In conclusion, handling verbally abusive or aggressive clients requires a combination of emotional regulation, therapeutic communication skills, and knowledge of safety procedures. By remaining calm, demonstrating empathy, and employing effective listening techniques, nurses can de-escalate hostility and foster a therapeutic environment. Personal reflection on such experiences highlights the ongoing need for self-awareness and restraint in psychiatric nursing, which ultimately promotes patient safety and quality care.

References

  • Gordon, S. (2021). Therapeutic communication strategies in mental health nursing. Journal of Psychiatric Nursing, 32(4), 245-251.
  • Johnson, L., & Smith, P. (2020). Managing emotional responses in psychiatric nursing. Nursing Education Perspectives, 41(2), 101-107.
  • Lee, R., & Garcia, M. (2022). Self-awareness and emotional regulation in mental health nursing. International Journal of Mental Health Nursing, 31(1), 65-72.
  • Mitchell, K. (2019). De-escalation techniques for aggressive behavior in psychiatric settings. Journal of Clinical Nursing, 28(7-8), 1122-1130.