The interview process between a clinician and his or her client seems to be the groundwork upon which treatment and healing begins. Dependent on the type of case and diagnosis is presented specific settings, techniques, and boundaries will be applied to produce the best results. Thus, it is imperative for a clinician to fully comprehend how what may appear insignificant in his or her opinion negatively can influence his or her client in the vastest way. A scenario of a 15-year-old Filipino female recently hospitalized for attempted suicide will be used as a theoretical case study and the methods in helping her will be examined. The primary goal of the scenario analysis is to evaluate, identify, and treat the young girl in regard to her exceptional set of circumstances, personal characteristics, and cultural divergence. Supplementary to the clinician’s initial objectives it is important that a stage is prepared for the client to feel compelled to communicate openly and receive guidance to heal.…
Videbeck, S. L. (2001). Psychiatric Mental Health Nursing (2nd ed.). Philadelphia, PA: Lippincott Williams & Wilkins.…
Julianna has explained the five patterns of enabling as described by the text, and I would like to use an example for enabling based on a situation that I was thrown into professionally. I once had a forty-something year old (Patient A) patient that presented to the ED as a heroin overdose. The patients seventy-something year old mother called EMS after finding her son unresponsive on the bedroom floor. Patient A was a well known poly substance abuser that preferred heroin to achieve his high, but would use ANYTHING in its place, he has overdosed at least 7 times during my time in the ER. His mother a frail women, would "ride in" with the ambulance each time (stroking his head and telling him "everything will be okay"), instructing the ER staff to "opt…
It must address the needs of one MENTAL HEALTH patient that you select to work with. The patient should be on at least 2 psych meds. (Remember that you must establish rapport, gain trust, and initiate with the patient before you can move in to the “working” phase of the nurse-patient relationship. Use your verbal and non-verbal therapeutic communication skills).…
7. Develop three Nursing Diagnoses for this client based on the health history and screening. Include: one actual nursing diagnosis, one wellness nursing diagnosis, one "Risk For" nursing diagnosis, and your rationale for the choice of each nursing diagnosis for this client.…
3. The nurse formulates a nursing diagnosis of “impaired verbal communication” for a male patient with schizotypal personality disorder. Based on this nursing diagnosis, which nursing intervention is most appropriate?…
Being that E.O has never been prescribed penicillin; her healthcare provider is concerned that she may be allergic to the antibiotic. Penicillin is an antibiotic that is used to treat many bacterial infections in the body. People with asthma and a history of any type of allergy should be monitored very closely when taking penicillin for the first time and should be given the right dose to safely take the antibiotic. An allergic reaction to penicillin can range from a simple rash to a life threatening condition known as anaphylaxis. If allergic to penicillin, E.O’s healthcare provider is mainly concerned that she might develop an anaphylactic shock, which may become fatal if the condition is not treated immediately.…
A person with cluster B personality disorder struggles to regulate there feelings and often swings between positive and negative views of others this can lead to patterns of behaviour others will describe dramatic/unpredictable and disturbing an example is borderline personality disorder where the person is emotionally unstable has impulses to self harm can have intense and unstable relationships with others.…
Veterans’ psychiatric diagnoses includes, but not limited to: Co- morbid conditions, Posttraumatic stress disorder (PTSD), Suicidal ideation (SI), Depression, Bipolar, Substance Abuse, Schizophrenia, and other psychosocial and medical conditions from a diverse veterans’ population. Ms. Greene utilizes nursing knowledge and complex nursing judgment to assess health needs and provide care.…
Read each case below and determine what psychological disorder each patient might have. In your own words, state your reasons why. Type your answer directly below each case.…
This unit introduces the main forms of mental health problems. You will be expected to know the strengths and limitations of the main psychiatric classifications systems and have a working knowledge of alternative frameworks for understanding mental distress. The unit also looks at the ways that mental health problems affect the individual and others in their social network, and considers the benefits of early intervention in promoting mental health and wellbeing. You will need to: ▶ know the main forms of mental illness ▶ consider the impact of mental ill health on individuals and others in their social network. The assessment of this unit is entirely knowledge-based. To successfully complete this unit, you will need to produce evidence of your knowledge as shown in the table opposite. Your tutor or assessor will help you to prepare for your assessment. The tasks suggested in the unit will help you to create the evidence you need.…
In the case study with Deidre’s her questions and concerns appear to be focused on her anxiety. I feel the clinic has diagnosed Deidre with anxiety, and given her medication in hopes to settle her issue. Nonetheless, at the same time refers her to a counselor, which I…
1. Describe the main types of mental ill health according to the psychiatric (DSM/ICD) classification system: mood disorders, personality disorders, anxiety disorders, psychotic disorders, substance-related disorders, eating disorders, cognitive disorders.…
The assignment will discuss the importance of assessment in Mental Health nursing, focusing on a 54 year old lady suffering from major depression. The Department of Health (DoH, 2010) pointed out that depression is a disorder of mood and may be characterised by low mood and feelings of unhappiness, exhaustion, self blame and suicidal thoughts. The assessment scale called Health of the Nations Outcome Scales (HONOS) (see appendix B) and the rational for using this scale will be explored. A brief profile of the patient and the practice setting will be discussed. The scale will be used on the patient and the details of the patient and the hospital will not be disclosed to protect the patient’s identity according to the Nursing and Midwifery code of conduct (NMC, 2008), hence the name used will be fictitious. The process of the assessment and the involvement of the service user, family, carer and contribution of the multi-professional team will be highlighted in relation to the patient’s future care planning needs. The good and drawbacks of the scale will be explored. A summary of the experience of using the assessment scale will be written.…
Competency in a rapidly changing healthcare environment remains a key component of excellent nursing care and the practice of nursing requires critical thinking and clinical reasoning. Indeed reasoning, and judgement can be taught to nurses over time and well organized mentoring that fosters their growth so they can become experts in their practice. Clinical reasoning and judgement are all part of critical thinking that an expect nurse acquired over time with learning experiences, this involves an ability to gather and analyze a patient data, evaluate, and decides on possible nursing actions to improve outcome. “Clinical reasoning also guides nurses in assessing, assimilating, retrieving, and/or discarding components of information that affect…