Question

After receiving a visit from the spouse, a client begins crying and saying that the spouse is a mean person. When the client starts pounding on the overbed table and using incomprehensible language, the nurse feels unable to handle the situation. What should the nurse do at this time? Instruct the client to stop pounding on the overbed table. Tell the client that the spouse is probably under a lot of stress. Call facility security to control the situation. Request assistance by using the call system.

Answer 1

The nurse should use the call system to request assistance when a client becomes distressed and acts out physically.

Step-by-step explanation:

When a client begins exhibiting signs of distress and acting out physically by pounding on an overbed table or using incomprehensible language, the nurse should prioritize safety and seek assistance. Rather than confronting the client directly, which might escalate the situation, the nurse should request assistance by using the call system. This is the most appropriate and immediate form of action to manage the crisis situation effectively. It allows other trained professionals to step in, ensuring the safety of both the client and the healthcare staff.

It's important to note that caregivers can experience immense stress and burnout, which can lead to incidents like this. A survey in Florida showed that verbal aggression was not uncommon among caregivers and might be linked to factors such as low job satisfaction, treating the elderly like children, or feeling burnt out. This highlights the need for appropriate training and support for caregivers to mitigate such events.