Nursing Assignment on Anger Management and Aggressive Clients

This nursing assignment discusses anger management and how to handle aggressive clients in a psychiatric setting. It also covers the use of cognitive behavioural therapy and legal issues related to the use of restraint and seclusion.

Running head: NURSING ASSIGNMENT
Nursing assignment
Name of the student:
Name of the University:
Author’s note

1NURSING ASSIGNMENT
1.
a. I become angry when things do not go according to my plan and people do not listen to
my perspective when situations demands. I manage to handle my anger by resisting
entering into arguments with the person and trying to speak with the person after getting
relaxed. I am satisfied with my ability to control anger as I am not hypertensive and I take
control over the situation with my patience.
b. Once, I was very irritated with a client as he was trying to get personal and enter into a
friendly relationship which was outside my scope of professional practice. The client was
over-friendly and he wanted my contact number so that we could talk with me regularly. I
told the client that he can approach the staffs at the clinic whenever he wants help.
No, the situation was different from other situations when I was angry. Apart from being
angry, I was feeling afraid because of the strange behaviour of the client. In a psychiatric
setting, overload of work and inappropriate behaviour of client or staffs can increase the risk
of aggression and violence. Inpatient health care environment is important because incidence
of violence ad aggression is most likely to occur in a busy clinic where staffs cannot attend to
one patient at a time.
2.
a. Cognitive behavioural therapy or counselling related to problem solving or relaxation
training can be used to treat aggressive client. Both aims to mitigate aggressiveness; however
cognitive behavioural therapist works to changes beliefs and perceptions of the client about
the world, whereas psychotherapy emphasizes on skills to deal with aggression (McKay et al.
2015).
b. Use of restraint and seclusion is controversial for treatment of aggressive patient as it
violates human rights and increases risk of injury for patient. Some of the legal issues that
may arise due to use of restraint and seclusion include it may lead to ethical issues and
violation of code of conduct for practice (Muir‐Cochrane, Baird and McCann 2015).
c. I would for signs like aggressive posture, verbal abuse and tendency to harm others.
To ensure safety of other clients, I would avoid standing directly in front of the client and
move away from the client.

2NURSING ASSIGNMENT
Reference:
McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D.J., Kyrios, M., Matthews, K. and
Veale, D., 2015. Efficacy of cognitive-behavioral therapy for obsessive–compulsive
disorder. Psychiatry research, 225(3), pp.236-246.
Muir‐Cochrane, E.C., Baird, J. and McCann, T.V., 2015. Nurses' experiences of restraint and
seclusion use in short‐stay acute old age psychiatry inpatient units: a qualitative study. Journal of
psychiatric and mental health nursing, 22(2), pp.109-115.