Order ID | 53563633773 |
Type | Essay |
Writer Level | Masters |
Style | APA |
Sources/References | 4 |
Perfect Number of Pages to Order | 5-10 Pages |
Evaluation of Mental Health Paper
Evaluation, Mental, Health, Paper
Mental Health week 11 response
Mental Health week 11 response post
Responses
You are required to give a minimum of two responses and follow the criteria listed
below:
· Review how your classmates achieved each course competency and transferable skill.
· Identify new knowledge others gained you had not considered.
· Describe how this new knowledge could impact your nursing practice.
Describe the foundations of mental health nursing.
The foundations of mental health nursing have evolved. This competency was achieved
by a discussion post related to our perceptions about our current mental health system.
I believe that our current mental health system is severely broken. The social stigma
severely affects the economy, as well as people who don't want to be classified as
having to be "crazy or psycho."
One thing I learned was about St. Elizabeth's. I was unaware of the deinstitutionalization
of this facility back in the 1960s. This new knowledge will impact me as a future nurse
because I will relate and focus on how mental health has evolved. Although it may not
be going in the right direction, hopefully, mental health issues will be something
everyone is comfortable with.
Explain current legal issues and social concerns in mental healthcare.
In Module 3, we discussed legal and social issues in mental healthcare. Ethics is a
major topic that is discussed in healthcare. We learned about the different ethical
principles, clients' rights, HIPPA, and restraints in this module. One thing that I learned
was the involuntary admissions are limited to up to 60 days.
However, can be extended if they are a harm to themself or others (Morgan, 2021). This
new knowledge will be useful as a future nurse because clients have specific rights
when admitted to a facility. I will apply this knowledge to my practice because each
client is entitled to their legal rights.
Select appropriate nursing interventions for clients with certain cognitive, addictive, and
psychotic conditions.
In Module 4, we learned about neurological disorders and conditions that can affect
memory or change a level of functioning. In this module, we learned about the
differences between dementia and delirium. Dementia is a mental disorder that involves
a progressive functional decline in cognitive status.
Delirium is a condition that has an acute onset change in cognition that commonly
occurs from medical, surgical, or neurological conditions (Morgan, 2021). I will apply this
new knowledge by recognizing the signs and symptoms that my client presents if it's an
acute change because this could have occurred due to a medical condition. Often, we
treat these clients with medication or a consultation with psychiatry. However, I will use
these skills and apply them to my medical practice.
Evaluate nursing care strategies for clients with certain mental health/mood/personality
and eating disorders.
In Module 6 and 7, we discussed strategies with mood, personality, and eating
disorders clients. In module 6, bipolar and depressive disorders were the main topics
that were focused on. The most important thing was to ensure safety in these patients.
They are at high risk for suicide.
So, we want to ensure safety to our patients by suicide assessment, promoting a safe
environment, and providing one-to-one supervision. In module 7, we focused on
personality disorders and the fact that they amplify emotional dysregulation (Morgan,
2021). There are 10 personality disorders that are grouped into clusters A, B, and C due
to similar behavior patterns and personality traits.
One thing I learned in Module 6 is that clients who are taking antidepressants are at
high risk for suicide when they "regain energy." This was something I was very unaware
of and I will apply this to my nursing practice.
One thing I learned in Module 7 is that for borderline personality disorder they are at
high risk for self-mutilation. For these specific disorders, some nursing interventions
would include making aware of behaviors that are acceptable and those that are not,
use the least restrictive method, and recognize manipulative behaviors. I will apply
these interventions when I have contact with a client with this disorder. It will help me
provide the best care to the client as well as meet their needs.
Assemble nursing care interventions for clients with mental health/stress-related
disorders.
Identify factors that impact mental health in special populations.
In Module 8 we focused on clients with mental health and stress-related disorders. In
module 10, we focused on mental health in special populations. In module 8, anxiety
and obsessive-compulsive disorders were the main areas focused on. We learned that
normal anxiety is a healthy reaction. Our body reacts to both anxiety and fear. Anxiety is
an emotional process that invades personality and feelings of self-esteem and fear is a
cognitive process (Morgan, 2021).
One thing I learned is how to use nursing interventions for someone who is
experiencing anxiety. For example, want to minimize external stimuli, use clear and
simple statements, use low-pitched voice, speak slowly, present reality, and reassure
the client of safety and security. I will apply these interventions as a future nurse when I
have a client who is experiencing anxiety. This is something that is very common in
health care.
I completed this competency by writing a case study about anxiety and OCD. I provided
examples of anxiety and OCD and the knowledge of different types of therapeutic
communication skills. Also, interventions and rationales would help Lauren deal with her
disorder.
In Module 10, the areas of focus were child abuse, intimate partner violence, older
adult abuse, and end of life. Abuse is an important topic to focus on because it is
something that occurs. Often, as healthcare professionals, we are hesitant to report
something. We don't want to make someone else mad or have false reports. One thing I
found interesting was that Erik Erikson described the worst sin someone could commit
as the mutilation of a child's spirit (Morgan, 2021).
It saddens me when I hear about child abuse and how someone could do something so
harmful to a child who is unable to defend themself. As a future nurse, I will use correct
judgment skills and understand the signs of physical, emotional, and sexual abuse. I will
not be hesitant to report (based on my objective data) to the correct officials.
References
Morgan, K. (2021). Davis Advantage for Psychiatric Mental Health Nursing (10th ed.). F.
A. Davis Company.
Course Competencies
I learned these competencies by thoroughly reading about them in our book. The book
was very readable, and I found the material interesting to read about.
Describe the foundations of mental health nursing.
This competency mainly covered the biology of the mind/brain, drugs, and legal-ethical
issues in mental healthcare. One major concept I learned that even people that are
involuntarily admitted, have the right to refuse ordered medication unless their safety or
the safety of other’s is compromised, or it is court ordered (Morgan, 2021).
Explain current legal issues and social concerns in mental healthcare.
Some legal issues in mental healthcare are elder abuse, the use of restrains and
seclusion, and privacy or protected information “HIPPA” laws. The elderly, demented
individuals are at high risk of abuse by staff. Restraints must be used only when safety
is compromised or when consent has been signed for use during a procedure.
Informed consent must be achieved in order to do any surgery. Social issues revolve
around the fact that many mentally ill people struggle finding/keeping steady jobs. They
are often homeless and continue in a downward spiral with crime and drugs (Morgan,
2021).
Select appropriate nursing interventions for clients with certain cognitive, addictive and
psychotic conditions.
When caring for cognitively ill clients, the goal is to maintain safety and dignity, and
decelerate the process. When working with intoxicated or psychotic clients, protect your
own safety first by assuring that you have the appropriate security in place.
Keep sentences short and simple. Set boundaries. Observe signs of withdrawal and
alert provider immediately for medication to relieve symptoms. Encourage expression of
feelings and thoughts by MH clients. Provide emotional support and encourage
activities to maintain/regain independence (Morgan, 2021).
Evaluate nursing care strategies for clients with certain mental health/mood/personality
and eating disorders.
You must set boundaries on behavior and ensure clients feel safe. Manic clients must
be provided frequent rest periods, finger foods, and a physical outlet. Depressive clients
always must be monitored for self-harm. For anorexic/bulimic clients, stay with them for
an hour after eating to ensure they do not vomit. Start with small meals at first to avoid
overwhelming these clients (Morgan, 2021).
Assemble nursing care interventions for clients with mental health/stress related
disorders.
It is important to encourage expression of anger or grief for stress related issues. Help
client gain independency and identify resources for support (Morgan, 2021).
Identify factors that impact mental health in special populations.
A history of abuse (violent, sexual, psychological) can severely affect the mental health
of the victim. Age is a factor here. Children are vulnerable and often abused by family
especially low-income and intoxicated parents. The elderly are vulnerable and often
abused or neglected. Being female also increased risk for sexual abuse. Being disabled
also makes you more vulnerable. Being poor or homeless also increases risk of abuse
(Morgan, 2021).
Describe how you achieved the transferable skill, Communication, including at least one
example of new knowledge gained related to the transferable skill
I achieved the skill of communication by studying the therapeutic vs non-therapeutic
methods of interviewing. For example, restating helps the client feel understood and
heard while asking why provokes defensiveness (Morgan, 2021).
Describe how this new knowledge will impact your nursing practice.
This new knowledge will help me be a better nurse. I will know the signs of mental
health illness and how to properly care for these individuals.
Morgan, K. (2021). Davis Advantage for Psychiatric Mental Health Nursing (10th ed.). F.
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