What are your concerns or fears about mental health nursing in general? Are you interested in mental health nursing, or do you approach the topic with some anxiety?
The Nurse-Client Relationship
In this discussion, we’ll talk about the nurse-client relationship and the use of therapeutic communication as an important part of that relationship. Please answer the following questions:
What are your concerns or fears about mental health nursing in general? Are you interested in mental health nursing, or do you approach the topic with some anxiety?
What do you feel are essential aspects of a good nurse-client relationship?
Please include an example of how you established good rapport and a good professional relationship with a patient in the work or clinical setting. What nonverbal and verbal techniques did you use in this relationship?
NUR2488 Mental Health Nursing
Module 4 Discussion
Interventions for a Patient in the Clinical Setting with a Mood Disorder
In this discussion, you’ll describe a patient with a mood disorder and the appropriate nursing interventions. Please answer the following questions in your initial posting:
Describe a client from your clinical setting or previous experience who experienced depression or mania. Include a brief history and 3-5 most pertinent medications.
Identify one problem that was not resolved with the treatment regimen. What are the reasons it may not have been successful? Include nursing as well as other team members.
Identify one effective nursing intervention and why you feel it worked.
Overall, do you feel this client was kept safe? Why or why not?
Please provide supporting evidence for your answers.
Respond to at least to two other classmates and explain if you agree or disagree with how they would handle a client who was having those symptoms. If you do not agree, please provide how they could have approached the client differently.
NUR2488 Mental Health Nursing
Module 5 Discussion
Therapeutic Interventions for Clients with Severe Anxiety or Panic
In this discussion, we’ll discuss anxiety, effective and ineffective interventions, and stress management. Please include the following in your initial posting:
Describe a client from your clinical setting or work who experienced severe anxiety or panic. Include a brief history and three most pertinent medications.
Describe the assessment process for this patient.
Identify at least one effective and one non-effective nursing intervention. Why did they work? What didn’t work?
Name and describe two stress reduction techniques you have used and whether they were helpful or not in reducing stress.
Respond to at least to two other classmates and explain if you agree or disagree with how they would handle a client who was having severe anxiety. If you do not agree, please provide how they could have approached the client differently, and provide supporting rationale and citations.
NUR2488 Mental Health Nursing
Module 6 Discussion
Schizophrenia from Patient’s Point of View
Think about a client with schizophrenia that you know about from personal, work or clinical experience, or from news media or other sources. Describe the individual.
What are the positive and/or negative symptoms?
What are the person’s struggles? What treatments have been tried and failed? What works?
If you were that person, what would you like to tell your nurse about yourself, your needs, and your fears?
Please provide evidence from professional sources to support your information. Include examples of your prior experience with a client who was having a problem with delusions and/or hallucinations.
NUR2488 Mental Health Nursing
Module 7 Discussion
Borderline Personality Disorder
Read the case study about Borderline Personality Disorder and answer the following questions in your initial posting:
Module 07 Case Study
S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part time in a nursing home and also works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that her supervisor at the nursing home “is a bitch”; although she really liked her supervisor at first, she says “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get fulltime jobs five times in the last four years, was hired for three, but only lasted one or two weeks at each one.
S. reports that she is currently not talking to her daughter because “she is horribly mean to me and she needs to apologize or I won’t talk to her again”. She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that say “I still love you! Grandma”, but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her.
S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband, and has a pattern of meeting and dating men who eventually abuse her. She states that her last relationship was very good, however; the man was not abusive and “I loved himvery much”. The relationship ended for reasons that S. doesn’t understand, although she does report many arguments that ended in “scenes” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more and I showed it”. She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong on a regular basis. When the boyfriend asked to break up, S. reports sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about 4 months ago.
S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her individual psychotherapy 3 months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments.
How would you use therapeutic communication and principles of cognitive behavioral therapy with the client?
Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention.
What interdisciplinary referrals might be appropriate?
NUR2488 Mental Health Nursing
Module 10 Discussion
Course Reflection
As the quarter is coming to a close, reflect back on the concepts and learning experiences which have occurred, and answer the following:
What did you learn from this course that you did not already know?
How will you apply what you learned to your patient care?
Please provide evidence from professional sources to support your information. Include examples of your prior experience with a client who was having a problem with delusions and/or hallucinations.
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