172. CCA Study Notes: Recognizing and Communicating with Angry Clients

The Big Picture

Anger often has something underneath it. A client or family member might feel frustrated, afraid, anxious, hurt, in pain, or helpless. Illness, disability, loss of body function, and loss of independence also relate to anger.

Your job is to notice how anger appears and respond with respect. Stay calm, listen, avoid arguing, and report the client’s behaviour to your supervisor. If you think you are in danger, leave the client and call your supervisor.

Look for Nova Scotia CCA Notes throughout this page for current provincial guidance.

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Course Notes: Key Ideas You Need to Know

Why a Client Might Feel Angry

Anger is a common response to illness and disability for both clients and family members.

Possible reasons include:

  • frustration
  • anxiety
  • fear
  • pain
  • hurt feelings
  • feeling that self-esteem is under attack
  • loss of body function
  • loss of independence

A person who feels angry often also feels helpless about the situation.

Anger is also a symptom of diseases that affect thinking and behaviour. People who abuse alcohol or drugs can show anger. Some people are often angry or unhappy, and few things please them. There are many possible reasons for this demeanour .

CCA action: Do not judge an angry client. Report the angry behaviour to your supervisor and continue giving compassionate, high-quality care.

Verbal Signs of Anger

Verbal communication means messages sent through spoken words.

Verbal signs of anger include:

  • outbursts
  • shouting
  • a raised voice
  • rapid speech
  • telling you what to do
  • threatening you

Nonverbal Signs of Anger

Nonverbal communication means messages sent without words.

Signs include:

  • rapid movements
  • pacing
  • clenched fists
  • a reddened face or neck
  • glaring
  • moving too close while speaking
  • violent behaviour

Body language forms part of nonverbal communication. Gestures, posture, and facial expressions give information about a person’s physical, mental, or emotional state.

Other Ways Anger May Appear

Some clients remain silent when they are angry. Others become uncooperative and refuse to answer questions.

Effective communication is important for preventing and dealing with anger.

Communicate with Respect and Dignity

Recognize that an angry client is feeling frustrated or frightened. Think about the client’s situation and how you would want someone to treat you.

Treat the client with respect and dignity throughout the interaction.

Answer Questions Clearly

Answer the client’s questions clearly and thoroughly.

CCA action: If you cannot answer a question, tell the client that your supervisor will answer it.

Keep the Client Informed

Tell the client what you plan to do and when you plan to do it.

Do not leave the client waiting for long periods. If you tell the client you will do something, follow through promptly.

Stay Calm and Professional

Speak in a normal tone.

Do not answer the client’s anger with anger of your own. Try not to take the anger personally. The anger relates more to the client’s feelings than to you or the care you provide.

Avoid: Do not argue with the client.

Listen and Use Silence

Give the client time to express angry feelings.

Listen instead of arguing or taking over the conversation. Silence also has value. The client sometimes feels better after expressing those feelings.

Protect Yourself from Violence

Safety: Protect yourself from violent behaviour.

If you think you are in danger:

  1. Leave the client.
  2. Call your supervisor.

Report Angry Behaviour

Report: Tell your supervisor about the client’s behaviour.

Discuss with your supervisor how you should deal with the client.

Training for Difficult Situations

Courses exist to teach workers how to deal with angry clients.

In most provinces, this type of training is called Non-Violent Crisis Intervention. Other courses also exist, depending on the area.