401013 Promoting Mental Health Assignment Answers

This unit will contribute to completion of course level outcomes, Western Sydney University graduate attributes and the Nursing and Midwifery Board of Australia Registered Nurse Standards for Practice. Course level learning outcomes can be accessed on your Unit vUWS Home Page.

The Unit Name unit is part of Course Name(s). The unit provides the foundation for developing comprehensive, coherent and connected knowledge in the nursing discipline and introduces and develops interaction skills which will be required by graduates in their work environments.

Learning outcomes for the unit are outlined below.

Outcome

1 Apply primary health care principles in the promotion of mental health & wellbeing in diverse settings.

2 Distinguish the mental health priorities in relation to meeting the needs of individuals and their families/significant others in the community.

3 Relate the principles of stress, mental health assessment, risk assessment and management in promoting mental health and wellbeing.

4 Explain the principles and skills of therapeutic communication and interventions related to caring for people experiencing alterations in thought, behaviour, and mood.

5 Apply ethico-legal implications in relation to the care of people with mental health concerns and/or illnesses

6 Develop an understanding of the lived experiences and recovery for individuals with mental health concerns and/or illnesses.

– 1a) Using the case study provided, identify an urgent risk area. Ensure your answer details why you have identified this risk area including specific information about the client and current literature.

– 1b) Identify one nursing / midwifery intervention you would immediately undertake with your client to address the risk area noted in question 1a and include a rationale for the intervention.

Ensure the intervention includes who and when you would actually carry out the intervention. Your rationale should state how and why you would carry out the particular intervention. Ensure literature is included.

Answer:

a) The most urgent area of concern is the suicidal thoughts that Chung has been having for the last one week. Chung is even aware of a medication that he can take to commit suicide. Chung’s self-harm thoughts are revealed through having flat moods, repeated withdraw from family and experiencing inadequate sleep. The self-harm thoughts may be arising from pressure from work, feeling helplessness and absence of an association in his wife and daughter life. Men are more probable to terminate their life through suicide since they do view interdependence as essential and hence less probable to consult family members and friends when in challenging situations(Ribeiro et al, 2016).

b) Creating a suicide safe environment is the most effective intervention practice that a nurse can commerce to address Chung’s suicidal thoughts. The nurse should ensure that he/she communicate and collaborate effectively with the family members of Chung to assist in identifying any possible hazards around Chung’s environment(Shah et al, 2014). As in the case study, a nurse should remove the medication that Chung thinks of using to commit suicide and remove any sharp and hazard object surrounding Chung. Creating a suicide safe environment is the most effective intervention as it assists in creating a protected and harmless environment for a client hence decreasing the probability of committing suicide(Batterham et al, 2014).

a) Chung has been undergoing through anxiety for the last two months. Anxiety is an area of concern because it makes a person to feel uncomfortable, helpless and out of control(Leichsenring & Leweke, 2017). As in the case study, Chung has shown symptoms of anxiety through the feeling of lack of control and helpless. Chung’s anxiety may be resulting from his wife’s health condition, inadequate connection in his daughter’s life and continuous long working hours. Men have a high chance of experiencing anxiety since they consider themselves to be tough and self-reliant and hence they are less likely to share or talk about their circumstances.

b) Psychotherapy that involves non-medication interventions are the best practices to reduce anxiety. An example of psychotherapy is Cognitive Behavioral Therapy (CBT), CBT involves relaxation activities, exposure techniques, and positive self-talk. CBT involves strategies that can be utilized to teach a client how to manage their anxiety. A nurse can meet for two hours with a client and by use of a positive language incorporate skill that are necessary to deal with anxiety. As in the case study, a nurse can meet and share with Chung the necessary techniques that can assist him in coping with his situations. Especially assisting him in dealing with the way he is feeling uncomfortable and helpless(Olatunji, Kauffman, Meltzer, Davis, Smits & Powers, 2014).

The Mental Health Act necessitates the nurse/midwife to always respect a patient’s confidentiality. The Nurses have an obligation to always inform patients of the anticipated use of information collected and ought to consult their patients before sharing the information collected. The Data Collection Act also entitles a nurse/midwife to hold accurate, up to date and relevant information about the patient and only allow access of patient’s personal information to those people who really require access to it. The nurse should ensure conformity to confidentiality when teaching Chung skills to cope with anxiety.

The Nursing and Midwifery Board of Australia (NMBA) standards entitles every nurse/midwife to enhance autonomy. A patient is authorized to self-rule and is at freedom from any external limitations that may cause hindrance when exercising self-rule (Carney, 2016). Autonomy is an essential ethical issue because it gives a client freedom in making a decision. It also assists the healthcare provider and the patient to decide on a mutual care strategy. During the provision of care to Chung, the nurse requires to settle with Chung the significance of medication because Chung is viewing his circumstances as self-imposed and hence treatment can’t assist him.

References

Batterham, P. J., Fairweather-Schmidt, A. K., Butterworth, P., Calear, A. L., Mackinnon, A. J., & Christensen, H. (2014). Temporal effects of separation on suicidal thoughts and behaviours. Social Science & Medicine, 111, 58-63.

https://doi.org/10.1016/j.socscimed.2014.04.004

Carney, M. (2016). Regulation of advanced nurse practice: its existence and regulatory dimensions from an international perspective. Journal of nursing management, 24(1), 105-114.

https://doi.org/10.1111/jonm.12278

Leichsenring, F., & Leweke, F. (2017). Social anxiety disorder. New England Journal of Medicine, 376(23), 2255-2264.

DOI: 10.1056/NEJMcp1614701

Olatunji, B. O., Kauffman, B. Y., Meltzer, S., Davis, M. L., Smits, J. A., & Powers, M. B. (2014). Cognitive-behavioral therapy for hypochondriasis/health anxiety: a meta-analysis of treatment outcome and moderators. Behaviour research and therapy, 58, 65-74.

https://doi.org/10.1016/j.brat.2014.05.002

Ribeiro, J. D., Franklin, J. C., Fox, K. R., Bentley, K. H., Kleiman, E. M., Chang, B. P., & Nock, M. K. (2016). Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: a meta-analysis of longitudinal studies. Psychological medicine, 46(2), 225-236.

https://doi.org/10.1017/S0033291715001804

Shah, R., Franks, P., Jerant, A., Feldman, M., Duberstein, P., y Garcia, E. F., ... & Kravitz, R. L. (2014). The effect of targeted and tailored patient depression engagement interventions on patient–physician discussion of suicidal thoughts: a randomized control trial. Journal of general internal medicine, 29(8), 1148-1154.

https://doi.org/10.1007/s11606-014-2843-8

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