How do you handle an agitated patient?
"There are many reasons a patient may be agitated. It could be a side effect of medication, frustration with being hospitalized, or perhaps a result of cognitive impairment or disability. It's important to remain calm and cautious. When I was a student finishing up my clinical rotation, I worked with a patient who was often distressed or agitated. I first assessed their immediate needs and whether or not they were a threat. If I felt they might be aggressive or violent, I would ask another staff member to come into the room while I provided care or treatment. If it was more about their frustrations, I took the time to listen to their concerns and address them appropriately. I never let their emotions or stress affect me, and I remain calm and professional. I seek to provide them comfort and care from a holistic perspective."
"Because I have worked with patients with Alzheimer's for years, I have a lot of experience working with patients who are agitated and, at times, combative. I always approach agitated patients calmly and slowly, and I'm patient as I try to calm them enough to have a conversation or to provide treatment. They often react to your negative emotions, so it's important to remain calm and speak in a pleasant, nonthreatening, or aggressive tone. I never tell them they are being unreasonable or use phrases like "don't you remember," as that only worsens the situation. Instead, I try to redirect them or engage them in a topic of conversation that I know brings them joy or happiness. It's also important to never take it personally when an agitated patient says something hurtful. If I find that a family member can assist, I will try to make my rounds when I know that family member will be there or another staff member who has a good relationship with that patient."
As a nurse, you will likely encounter an agitated patient at some point, no matter which healthcare setting you work within the NHS. The interviewer can learn a lot from your answer about your communication skills, ability to de-escalate situations, work under pressure, and problem-solve. Assure the interviewer that you understand the potential reasons a patient may be agitated, then give examples of settings where you've worked with agitated patients and techniques used to calm them and de-escalate the situation.
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