Types of losses can be identified as unfulfilled or unmet human needs. Discuss examples of losses related to specific need in Maslow's hierarchy.

4. Discuss personal attitudes regarding caring for an aggressive client with the potential for violence.

5. Discuss the importance of self-awareness when dealing with angry clients.

6. Discuss important issues for nurses to be aware of when dealing with angry, hostile, or aggressive clients.

Question 3.

These needs are; Physiological, safety, love and belonging, esteem and self actualization needs.

Question 4.

It can be difficult to care for an aggressive client with the potential for violence, as their behavior can be frightening and unpredictable. However, it is important to remember that these clients are still human beings, and they deserve to be treated with respect and compassion. It is important to stay calm and professional when dealing with an aggressive client, and to use de-escalation techniques if necessary.

Question 5.

It is important for nurses to be aware of their own personal attitudes and reactions when caring for an aggressive client. If we are not self-aware, we may react negatively to the client's behavior, which could further escalate the situation. It is important to stay calm and professional, and to remember that the client is likely feeling a lot of anger and frustration.

Question 6.

Some of the important issues to be aware of when dealing with angry, hostile, or aggressive clients include:

- the potential for violence.
- the need for a safe and structured environment.
- the importance of de-escalation techniques.
- the need for clear and concise communication.
- the need for empathy and patience.

Step-by-step explanation

Question 3.

• Physiological needs include air, food, water, and sleep. If someone is deprived of any of these essentials, they would experience a physiological loss.
• Safety needs include protection from physical and emotional harm. If someone is in danger, they would experience a safety loss.
• Love and belonging needs include affection, friendship, and intimacy. If someone is isolated or feels rejected, they would experience a love and belonging loss.
• Esteem needs include self-respect and respect from others. If someone is belittled or ignored, they would experience an esteem loss.
• Self-actualization needs include growth, creativity, and self-fulfillment. If someone is not able to express themselves or is not challenged, they would experience a self-actualization loss.

Question 4.

• When assessing for aggression, there is no consistent definition or measurement of violence. It has been identified that client characteristics often associated with violence are past patterns of aggression, irrational thinking, social isolation, chronic substance abuse and lack of coping skills. 
• Due to the unpredictability of an aggressive client, a nurse may find herself fearful for her own safety and feelings of demoralization when the nurse is unable to establish a therapeutic relationship with the client. To reduce this risk, the nurse may need to consult colleagues or specialists experienced with individualized treatment plans that are effective in minimizing risk factors (Whitehead & Hogan, 2012).

Question 5.

• It is essential that nurses are self-aware of the difference between anger, anxiety and aggression before dealing with clients and their display of any of these emotions. Anger can be triggered by situations such as being in pain, not having access to help from nurses, or not being able to find things that a patient needs to manage his pain. Once these needs are met a client will become less angry. 
• Anxiety is a generalized feeling about a situation that does not have an identifiable source. It may be generalized fear about events happening in the political world or a fear about getting older. One's own experiences inform their response to things going on in the world which could trigger heightened sense of anxiety. Aggression, on the other hand, is an intentional behavior with intent to harm someone. 
• This can take place in the form physical violence where an individual punches another person or it could exist in less obvious forms such as verbal abuse and putdowns to avoid taking responsibility for actions. Knowing what emotion a client is expressing is important to determine how we respond to them. Otherwise our responses will not match their actual needs and we cannot successfully address their distress if we are unaware that it exists for them in the first place.

Question 6.

• Nurses must always be aware of their surroundings when dealing with angry, hostile or aggressive clients. The safety aspect is the most important element to be aware. Nurses should always know how many clients are in a room at all times and know who the client is (client identification) to ensure that if a dangerous situation arises, they will have an idea of who the client is and what they look like so they can alert authorities as soon as possible. 
• If a situation has reached the point where it becomes unsafe for the staff to try and control, ensuring there is enough staff on hand that can assist in maintaining control or dealing with issues immediately and providing care if necessary. The safety of our clients comes first above anything else - it shows that we care about their health but also that we care about their feelings as well if they have succumbed to erratic behavior due to their illness.