Nurse employed verbal

  1. Using your knowledge and skills from previous weeks, analyse the questions asked
    (verbally, para-verbally) and non-verbal behaviours used in order to assess Carla’s level of
    risk as well as assist Carla to regain focus, take control of her emotions and ultimately calm
    down.
    a. From your observations of the situation, what did the nurse do well?
    b. From your analysis of the situation, what changes would you suggest for Carla’s risk
    management?
  2. What approaches can you use within the assessment process to enhance collaboration
    and participation when clients like Carla are at risk?
  3. Reflect on what you think may be the underlying cause for Carla’s behaviour.

Reflection Essay

  1. Using your knowledge and skills from previous weeks, analyse the questions asked (verbally,
    para-verbally) and non-verbal behaviors used in order to assess Carla’s level of risk as well as
    assist Carla to regain focus, take control of her emotions and ultimately calm down.

a. From your observations of the situation, what did the nurse do well?

The nurse employed verbal, para-verbal, and non-verbal behaviors to assess Carla’s level of risk
as well to help her regain control, focus, and emotions and to calm down. One thing that the
nurse did well was collaborating with the client by engaging her in a constructive conversation.

REFLECTION ESSAY 2
The nurse was able to observe the behaviour of the client and straight away found a way to
engage her and to allow the client talk. Another thing that I feel that the nurse did well is offering
herself to help the client manage her risk. This allowed the client to open up. The nurse listened
actively by sitting squarely and facing the client, she was also in an open posture, she maintained
an eye contact, she learned forward and was relaxed. I think this technique enabled the nurse to
assist Carla take control of her emotions and focus and emotions.

b. From your analysis of the situation, what changes would you suggest for Carla’s risk
management?

Managing risks in health facilities is one of the functions of nurses (Alaszewski, 2005). Risk
management helps to deter occurrence of uncertainties. In this situation, I would suggest various
changes of Carla’s risk management. One of the changes is to assign her a therapist that will help
her to control her anger and to quit smoking. A therapist has the qualifications and the best skills
and knowledge to assist her manage risk (McGivern & Fischer, 2012). Another change is to
enable her vent out her anger, achieved by allowing her to speak her mind and through engaging
her.

  1. What approaches can you use within the assessment process to enhance collaboration
    and participation when clients like Carla are at risk?

To enhance collaboration and participation when clients are at risk within the assessment
process, nurses can use different approaches. One of the approaches to use is to observe the
client (Kleinsmann, Deken, Dong & Lauche, 2012). Observation allows the nurses to understand
clients and their experiences hence are able to device suitable way of commencing or kick-

REFLECTION ESSAY 3
starting engagement. For instance, the approach to engage an angry client is not the same with
that client who is happy. It is also important to maintain good posture, maintain eye contacts and
her hands should be still (Mihm, 2014). This creates a conducive environment for the client to
open up (Van der Vegt, Essens, Wahlstrom & George, 2015). The nurse should also create time
to assist the client. The nurse should therefore, listen actively to be in a position to respond
appropriately to the questions and concerns of the clients.

  1. Reflect on what you think may be the underlying cause for Carla’s behavior

Underlying cause of Carla’s behavior is lack of someone to give her hope and encouragement.
Carla is undergoing or facing numerous issues. She is a smoker and has not been allowed to
smoke until the time recommended. This situation is aggravated by the fact that she broke up
with her boyfriend. She cannot talk to her boyfriend. Therefore, she has made it a routine to
smoke as a strategy to end her anger.

References

Alaszewski, A. (2005). Risk, safety and organizational change in health care?. Health, Risk &
Society. pp. 315-318. doi:10.1080/13698570500391166.
Kleinsmann, M., Deken, F., Dong, A., & Lauche, K. (2012). Development of design
collaboration skills. Journal Of Engineering Design, 23(7), 485-506.

REFLECTION ESSAY 4
McGivern, G., & Fischer, M. (2012). Reactivity and reactions to regulatory transparency in
medicine, psychotherapy and counseling”. Social Science & Medicine 74 (3): 289–296.
Mihm, J. C. (2014). Implementation Approaches Used to Enhance Collaboration in Interagency
Groups. GAO Reports, i-52.
Van der Vegt, G. S., Essens, P., Wahlström, M., & George, G. (2015). Managing risk and
resilience. Academy of Management Journal. pp. 971-980.

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