Mental Health Nursing Assignment

Nursing 211

Mental Health Nursing

 

Clinical Interview/Process Recording Paper

 

Your clinical interview/process recording paper must contain the following information.

1. Client’s history and setting (1 paragraph, double-spaced)

• Psychiatric history (include past hospitalizations, reason for current admission, diagnosis)
• History of substance abuse
• Medical problems
• Living arrangement and support system
• Description of the clinical interview setting

1. Actual recording of the clinical interview (2-3 pages utilizing the table for process

       recording, single-spaced)

 

• Conversation between you and the client in direct quotes
• Analysis of what you said (include communication strategies, thoughts, emotions)
• Analysis of what the client said (include both verbal and non-verbal messages conveyed)

III. Summary (1 paragraph, double-spaced)

• Describe your experience of the clinical interview.
• Identify specific strengths and weaknesses as an interviewer (what communication strategies did you feel most comfortable using, and which ones must you improve on). Mental Health Nursing Assignment

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1. References (separate sheet of paper; must be in APA format, 7^th edition)

 Process Recording

Student Nurse (direct quotes)	Client (direct quotes; include verbal and nonverbal ways of communication)	Communication Techniques – Identify specific technique(s) used. – State whether the technique is therapeutic or not, followed by an explanation.	Student’s Thoughts & Feelings – If nontherapeutic, state the alternate response (I could have said, “…..).

SAMPLE PAPER – FOR REFERENCE USE ONLY

 

Clinical Interview Paper

My client is a 52-year-old African American male who was taken to the emergency department (ED) at Mount Sinai Hospital on 8/15/20 due to an overdose of aspirin. This is his second psychiatric admission. His last admission was at St. Elizabeth’s Hospital three years ago for major depression. Client’s current diagnosis is major depressive disorder (MDD) without history of substance use. His medical problems include hypertension and asthma. He is currently taking albuterol, amlodipine, and sertraline. He works full-time as a mechanic and is presently living with his wife. He considers his 22-year-old married daughter to be his support system. The clinical interview took place in the client’s bedroom. His roommate was not in the room at the time. I asked if I could turn on the light and the client agreed. He then sat down on the edge of his bed, while I positioned myself by the door and sat down on a nearby chair facing him. There were no interruptions during our conversation. Mental Health Nursing Assignment

 

Process Recording

Student Nurse (direct quotes)	Client (direct quotes; include verbal and nonverbal ways of communication)	Communication Techniques – Identify specific technique(s) used. – State whether the technique is therapeutic or not, with a brief explanation.	Student’s Thoughts & Feelings – If nontherapeutic, state the alternate response (I could have said, :….).
“Good Morning, Mr. JH.”	“Who are you, and where the devil am I? (gazes around with a confused look on his face, quickly sits on the edge of the bed).	Therapeutic: Giving recognition. Explain why it is therapeutic.	I was feeling nervous. He had attempted suicide, and I didn’t know if I could help him. Initially, I was feeling somewhat overwhelmed.
“I am Nancy. I am a student nurse from the college, and you are at Mt. Sinai Hospital. I would like to spend some time with you today.”	“What am I doing here? How did I get here?” (spoken in a loud, demanding voice).	Therapeutic: Giving information. Explain why it is therapeutic.   Therapeutic: Offering self. Explain why it is therapeutic.	I felt a bit intimidated when he raised his voice.
“You were brought in by your wife last night after swallowing a bottle of aspirin. You had to have your stomach pumped.”	“Oh … yeah” (silence for 2 minutes, shoulders slumped while staring at the floor).	Must be filled in	I was uncomfortable with the silence, but since I did not have anything useful to say, I stayed with him in silence for the 2 minutes.
“You seem upset, Mr. JH. What are you thinking about?”	“Yeah, I just remembered I wanted to kill myself” (said in a low tone almost to himself).	Must be filled in	I began to feel sorry for him, he looked so sad and helpless.
“Oh, Mr. JH, you have so much to live for. You have such a loving family.”	“What do you know about my life? You want to know about my family? My wife is leaving me, that’s what” (faces the nurse with an angry expression on his face and speaks in a loud tone).”	Nontherapeutic: Minimizing feelings. Explain why it is not a therapeutic communication strategy. .	I felt overwhelmed. I did not know what to say. His talking about killing himself made me nervous. I could have said, “Tell me more about that” (exploring).
“I didn’t know. You must be terribly upset by her leaving.”	“Yes, I am. After 25 years of marriage, she now decides to leave me. Wouldn’t you feel the same if you were in my situation?” (angry tone of voice).	Must be filled in	I really felt for him, and now I thought that encouraging him to talk more about this could be useful for him.
“Yes, I would. Why does she want to leave?”	“I don’t know. You have to ask her” (still with an angry tone).	Nontherapeutic: Agreeing. Explain why it is not a therapeutic strategy.   Nontherapeutic: Use of “why” question. Explain why it is not therapeutic strategy	I thought that agreeing with him would make him feel better. I could have remained neutral, neither agreeing nor disagreeing with the client.   I shouldn’t have used “why” in my question. I could have said, “What do you think is the reason for her decision to leave?”
“Can you tell me what you think might be the reason?’	“No … I don’t know” (voice is softer with a sad affect).	Must be filled in	I wanted to explore his marital situation, but I should have used an open-ended question. I could have said, “What do you think might be her reason for deciding to leave?”
“Have you tried going to a marriage counselor?”	“That doesn’t work” (shaking his head).	Must be filled in	I wanted to offer the client some suggestions, and although he did not simply respond with a “yes” or “no,” I should have said, “What have you and your wife done to help resolve your marital issues or problems?’
“What makes you say that counseling does not work?”	“I really feel tired and would like to rest now” (voice got softer).	Must be filled in	I could tell that Mr. JH was not ready to open up about his feelings and thoughts.”
“Okay, Mr. JH, you can rest now. Before I leave, I just need to ask if you are still thinking of harming yourself?”	“No” (avoids eye contact but firm with his response).	Must be filled in	I was nervous about asking if he had suicidal ideations, but I knew that I had to ask.
“Thank you for talking to me. If you need anything, let me know.”	“Okay, thank you” (starts to stand up with a flat affect).	Must be filled in	I wished Mr. JH could have talked more about his feelings and thoughts, but I realize that he was not ready to do so, especially with a student nurse.”

 

It was an anxiety-provoking experience for me to engage in a 1:1 conversation with a client diagnosed with mental illness. Oftentimes, I was not sure of what to say, especially since Mr. JH looked angry. I tried to apply the therapeutic strategies that I learned but it was quite difficult to do so. I feel that I was good at active listening since I was really paying attention to what the client was saying, both verbally and non-verbally. I was observing his body language to better understand how he was feeling. I also used the technique of making observations to determine if I was being accurate. I provided my client information about myself and recognized him as I started my interaction with him. At the end of our conversation, I made sure I offered my assistance to Mr. JH. I really wanted to explore Mr. JH’s life situation with his wife, but instead of using open-ended questions, I ended up using closed-ended type of questioning. I also should avoid putting my client on a defense by asking the “why” questions. As a healthcare provider, I should remain unbiased when my client asks for my personal opinions. I have learned so much based on my clinical interview with Mr. JH. I hope that I can be more effective and confident in my future interactions with my clients. Mental Health Nursing Assignment

References

(Must be in APA format, 7^th edition)

 

 

 

 

Week 8: Neurodevelopmental Disorders

Assignment: Study Guide Forum

Abnormal brain development or damage at an early age can lead to neurodevelopmental disorders. Within this group of disorders, some are resolvable with appropriate and timely interventions, either pharmacological or nonpharmacological, while other disorders are chronic and need to be managed throughout the lifespan

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Assignment: Study Guide Forum

Abnormal brain development or damage at an early age can lead to neurodevelopmental disorders. Within this group of disorders, some are resolvable with appropriate and timely interventions, either pharmacological or nonpharmacological, while other disorders are chronic and need to be managed throughout the lifespan.

For this Assignment, you will develop a study guide for an assigned disorder and share it with your colleagues. In sum, these study guides will be a powerful tool in preparing for your certification exam.

To Prepare

Your Instructor assign you SPEECH SOUND DISORDER a specific neurodevelopmental disorder from the DSM-5-TR.

Research your assigned disorder using the Walden Library. Then, develop an organizational scheme for the important information about the disorder. Week 8: Neurodevelopmental Disorders

The Assignment

Create a study guide for your assigned disorder. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the DSM-5-TR but also supported by at least three other scholarly resources.

Areas of importance you should address, but are not limited to, are:

Signs and symptoms according to the DSM-5-TR

Differential diagnoses

Incidence

Development and course

Prognosis

Considerations related to culture, gender, age

Pharmacological treatments, including any side effects

Nonpharmacological treatments

Diagnostics and labs

Comorbidities

Legal and ethical considerations

Pertinent patient education considerations.

You will need to submit your Assignment to two places: the Week 8 Study Guide discussion forum as an attachment and the Week 8 Assignment submission link. Although no responses are required in the discussion forum, collegial discussion is welcome. You are encouraged to utilize your peers’ submitted guides on their assigned neurodevelopmental disorders for study. Week 8: Neurodevelopmental Disorders

Human Experience Across the Health-Illness Continuum

Research the health-illness continuum and its relevance to patient care. In a 750-1,000-word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
2. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing and are consistent with the Christian worldview.
3. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
4. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

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You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, Human Experience Across the Health-Illness Continuum

 

Family Health – Week 5 Discussion 1st REPLY

Please reply to the following discussion with one or more references. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.

Responses must consist of at least 350 words (not including the greeting and the references), do NOT repeat the same thing your classmate is saying, try to add something of value like a resource, educational information to give to patients, possible bad outcomes associated with the medicines discussed in the case, try to include a sample case you’ve seen at work and discuss how you feel about how that case was handled. Try to use supportive information such as current Tx guidelines, current research related to the treatment, and anything that will enhance learning in the online classroom.

References must come from peer-reviewed/professional sources (No WebMD/Mayo Clinic or Wikipedia please!).

Discussion attached

Jessica Alper discussion

Areas of concern

An important area of concern for this 16-year-old patient is to find out why she is having difficulties concentrating in school. As the practitioner, I would want to inquire in more details about the child’s life. What are some stressors in the child’s life that are making it difficult to focus in school? How is her family life? How are her friends? Additionally, seeing that this patient already looks thin and frail in appearance, I would wonder what her diet consists of. Why would a thin and frail teenager inquire about diet pills? What is the reason for her wanting to lose weight?  Family Health – Week 5 Discussion 1st REPLY

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It seems that this patient could be experiencing depression, as well as body dysmorphic disorder, and an investigation of her lifestyle is a must. There are six categories to discuss with a teenager that can help the practitioner understand the health-related behaviors leading to death and disability. The topics include behaviors contributing to unintentional injuries and violence, risky sexual behaviors that can lead to unintended pregnancy and sexually transmitted diseases, the use of alcohol or any drug use, tobacco use, unhealthy dietary behaviors, as well as physical activity that can be inadequate (Youth Risk, 2020).

Screening tools

An important screening tool to be used at the beginning of the visit is using the HEADSSS assessment. This acronym stands for Home, Education, Activities, Drugs and alcohol, Sports, Sex, Suicide as well as Safety. Asking these questions can help the practitioner understand the patient a bit more in order to better help them. When inquiring about the home, it is important to note who the patient lives with and if they feel safe. Questions related to the education includes grades, interests, and career aspirations. Activities questions may include extracurricular involvements, and favorite pass times. When covering the topic of drugs and alcohol, many screens can be performed, such as the CRAFFT assessment tool. This specific tool includes questions regarding driving a car while being under the influence of alcohol or drugs, the need to take drugs or alcohol to be able to relax, if the patient ever uses any substances when they are alone, if the patient ever forgets things when using substances, if family or friends ever think they should cut down on drugs, and finally, if the patient has ever gotten in trouble while using mind alternating substances (Adolescent Medicine, 2020).  Family Health – Week 5 Discussion 1st REPLY

The next step of the HEADSSS assessment includes asking questions about sports. Such questions may be related to what types of concussions, palpitations, or any history of cardiac issues in the family. Sexual questions may include their age at their first sexual encounters, number of partners, and sexual orientation. Suicide questions may revolve around anxiety and/or depression the teenager may be feeling. An assessment tool that can be used at this point is the Patient Health Questionnaire-9 (PHQ-9), modified for teens. This tool allows the patient to understand questions about their moods and feelings in the last two weeks. The patient answers these questions with “not at all”, “several days”, “more than half the days”, and “nearly every day”. Depending on the score, depression may be better assessed, and additional help provided, whether it includes referral to psychiatry, therapy, or low-dose medications. The last portion of the HEADSSS assessment includes inquiring about safety. These questions can include physical and sexual abuse, bullies, gang involvement, seatbelt usage, helmet, etc. (Adolescent Medicine, 2020).

Promotion strategies

For this patient, it would be important to focus on “nutrition and the relationship between good nutrition, health, and a positive body image” (Burns et al., 2019). Because the patient is asking about diet pills when she is already looking thin and frail, it is important to emphasize on healthy eating habits, limiting the sugar intake as well as caffeinated drinks, and lastly to not skip any meals. This patient should be encouraged to following healthy paths to weight management. Body dysmorphic disorder (BDD) is described as “a preoccupation with perceived defects in physical appearance, as well as avoidance and repetitive behaviors, causing distress and impairment (Rautio et al., 2022). This condition can severely impact the teenager’s education as well as social development, and it can be associated with severe levels of psychiatric comorbidities, poor insight, psychiatric treatment refusal, as well as suicidal behaviors. It seems that this patient is experiencing these symptoms on top of her depression.

Social media is an enormous component to BDD. In the last couple decades, bullying has been very prevailing, and many children and teenagers are affected. Different types of bullying exist, such as body shaming and fat shaming, and can have a great negative influence on one’s own perception of their body image, leading to low self-esteem and BDD. Social media may be a trigger to the teenagers who already are predisposed to the disorder, and could therefore worsen the symptoms (Body Dysmorphic, 2022).

At this point, I would not feel comfortable prescribing this patient any diet pills. Once I have evaluated the patient and I am more informed on her situation from the questions I will be asking her, I believe a referral to therapy is advised so that she can receive the proper care. During therapy, a deeper understanding can be communicated through the use of cognitive behavioral therapy (CBT). This type of therapy added to an antidepressant, such as SSRI, can greatly increase outcomes. Additionally, the patient should be encouraged to continue participating in family activities and social gatherings, encourage the parent to show their child unconditional love, to be patient and supportive, to maintain a positive and close relationship, to be a good role model and a good listener. The main advice to the parent of a child with BDD is to not be critical of their child, but rather to encourage them to receive professional help (Body Dysmorphic, 2022).

Additionally to referring the child to psychiatry and therapy, I would also refer the child to a nutritionist. Sometimes patients, especially teenagers, may be falsely informed on foods and food groups and they do not necessarily know the right foods to eat. Focusing on protein and vegetables, while limiting portions and not skipping meals is of great importance and the patient should be thoroughly educated on it. Lastly, education about incorporating a light workout routine may be complementary to the healthy diet.  Family Health – Week 5 Discussion 1st REPLY

References

Adolescent medicine: Routine screening [The University of Chicago]. (2020).

https://pedclerk.bsd.uchicago.edu/page/adolescent-medicine-routine-screening

Body dysmorphic disorder (BDD) and youth. (2022). Mental Health America. https://www.mhanational.org/body-dysmorphic-disorder-bdd-and-youth

Burns, C., Dunn, A., Brady, M., Starr, N., & Blosser, C. (2019). Burns’ pediatric primary care (7th ed.). Elsevier.

Rautio, D., Gumpert, M., Jassi, A., Krebs, G., Flygare, O., & Monzani, B. (2022). Effectiveness of multimodal treatment for young people with body dysmorphic disorder in two specialist clinics, Behavior Therapy, 53, 1037-1049.

Youth risk behavior surveillance system (YRBSS). (2022). Centers for Disease Control and Prevention. https://www.cdc.gov/healthyyouth/data/yrbs/index.htm

 

PART 1

Deconstruct the Relationship Between Concepts, Constructs, and Variables

 

The purpose of this assignment is to help you better understand how to conceptualize and operationalize healthcare measures (variables) of interest for research or analytic purposes. More so, this assignment will assess the degree to which you understand and can apply the concept of measurement in healthcare services settings.

Using measures in the healthcare services setting, discuss the relationship between concept, construct, and variable. How are these terms similar or different? How are they applied in the conceptualization and operationalization of healthcare measures? Explain using examples as needed.

Length: 1-2 pages, not including title and reference pages

Resources: Include a minimum of 3 scholarly resources. Nursing homework help

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PART 2

Create a Healthcare Measurement Chart

 

Demonstrate your understanding of the concept of measurement in the healthcare field by populating the concept/construct table as shown.

From the healthcare services setting, provide one example for each concept and each construct that you might be interested in measuring. Align these examples with their corresponding variables, operational definitions, data categories (continuous or categorical), and level of measurement (e.g., nominal, ordinal, interval or ratio). A clear understanding and distinction between a concept and construct are key to the success of this assignment.

Note: Depending on the construct or concept, the example selected may or may not require multiple variables. If the concept/construct requires more than three variables, you will need to add additional rows to accommodate the number of variables required. Nursing homework help

Concept/ Construct	Variables	Operational Definition	Data Category*	Measure**
Concept example (Health Status):	Health Status   1 = Healthy   0 = Unhealthy	Do you consider yourself healthy or unhealthy?	Categorical	Nominal
Construct example:

Table 2^{: *}Data category (Continuous or categorical)

^**Levels of measurement (Nominal, Ordinal, Interval and Ratio)

Length: 1-2 pages of a completed table, not including title and reference pages

Resources: Include a minimum of 3 scholarly resources. Nursing homework help