Effective Communication in Nursing Practice
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AI Summary
The assignment provides a detailed analysis of a nurse's role in managing a patient with hallucinations. It highlights the importance of effective communication, education, and planning in nursing practice. The case study demonstrates how nurses can use these skills to improve patient outcomes and reduce stressful conditions. The assignment also emphasizes the significance of maintaining proper clinical records and planning treatment plans in nursing education.
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Mental Health
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Table of Contents
Q1. Major issues in case of Veronica.............................................................................................1
Q2. Some related question to case study and their rationale for identifying the additional
information regarding case of Veronica..........................................................................................1
Q3. Current knowledge about the client's mental illness.................................................................1
1. Disorder presented in the case............................................................................................1
2. Clinical manifestations.......................................................................................................2
3. Common options of treatment............................................................................................2
Q4. Different issues raised in the case.............................................................................................2
1. Registered Nurse standards for practice.............................................................................2
2. Support to the person in night shift....................................................................................2
3. Justifications for the interventions......................................................................................3
4. Safety concerns for the patients..........................................................................................3
Q5. Justification of the thoughts......................................................................................................4
REFERENCES................................................................................................................................5
Q1. Major issues in case of Veronica.............................................................................................1
Q2. Some related question to case study and their rationale for identifying the additional
information regarding case of Veronica..........................................................................................1
Q3. Current knowledge about the client's mental illness.................................................................1
1. Disorder presented in the case............................................................................................1
2. Clinical manifestations.......................................................................................................2
3. Common options of treatment............................................................................................2
Q4. Different issues raised in the case.............................................................................................2
1. Registered Nurse standards for practice.............................................................................2
2. Support to the person in night shift....................................................................................2
3. Justifications for the interventions......................................................................................3
4. Safety concerns for the patients..........................................................................................3
Q5. Justification of the thoughts......................................................................................................4
REFERENCES................................................................................................................................5
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Q1. Major issues in case of Veronica
There were many key issues related to the case of veronica: her practising of self harming
and suicidal attempts, becoming psychotic after her 23rd birthday, voices coming in the mind of
veronica and speaking in different languages. Along with this her drug addiction and her
thinking regarding Speed that makes her energetic and made her thinking free are some major
key issues that are important in this case study.
Q2. Some related question to case study and their rationale for identifying the additional
information regarding case of Veronica
a) From or since how many years the patient is consuming drug?
By getting knowledge about her drug addiction manager can get idea of her drug taking
intensity and related effects and can interpret what specific issues are aroused in Veronica related
to this addiction.
b) What were the reasons for taking speed drug initially?
By this information manager can get information about her past and background to know
about the situations that forced her to take these drugs as a solution of her problems.
c) What was the experience of her first hallucination and how did she react to it?
This information will help case manager in understanding the level of her first trauma
which further affected her mental health conditions. Moreover, hallucination can also be the
result of troubled childhood.
d) What suspicious practices the mother noticed first time in Veronica?
Through this information manager can interpret what were the initial consequences of her
condition and how they transformed into more severe problems.
e) What are the patients coping strategies?
With the help of this information case manager can identify the patient self willingness to
get rid of this situation and help in identification of the actual problem that she was facing in her
early life.
Q3. Current knowledge about the client's mental illness
1. Disorder presented in the case
In this particular case there is a girl name Veronica and she suffering various problems
related to mental health disorder. It includes: Schizophrenic disorder, Psychosis, Bipolar
1
There were many key issues related to the case of veronica: her practising of self harming
and suicidal attempts, becoming psychotic after her 23rd birthday, voices coming in the mind of
veronica and speaking in different languages. Along with this her drug addiction and her
thinking regarding Speed that makes her energetic and made her thinking free are some major
key issues that are important in this case study.
Q2. Some related question to case study and their rationale for identifying the additional
information regarding case of Veronica
a) From or since how many years the patient is consuming drug?
By getting knowledge about her drug addiction manager can get idea of her drug taking
intensity and related effects and can interpret what specific issues are aroused in Veronica related
to this addiction.
b) What were the reasons for taking speed drug initially?
By this information manager can get information about her past and background to know
about the situations that forced her to take these drugs as a solution of her problems.
c) What was the experience of her first hallucination and how did she react to it?
This information will help case manager in understanding the level of her first trauma
which further affected her mental health conditions. Moreover, hallucination can also be the
result of troubled childhood.
d) What suspicious practices the mother noticed first time in Veronica?
Through this information manager can interpret what were the initial consequences of her
condition and how they transformed into more severe problems.
e) What are the patients coping strategies?
With the help of this information case manager can identify the patient self willingness to
get rid of this situation and help in identification of the actual problem that she was facing in her
early life.
Q3. Current knowledge about the client's mental illness
1. Disorder presented in the case
In this particular case there is a girl name Veronica and she suffering various problems
related to mental health disorder. It includes: Schizophrenic disorder, Psychosis, Bipolar
1
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disorder, hallucinations, Paranoid personality and depression (Rubio and et.al., 2013). Thus,
these problems have hindered Veronica to lead a normal life.
2. Clinical manifestations
There are many clinical manifestation associated with mental disorders. Physical
symptoms are: depression, loss of weight, fatigue and loss of libido. It also includes feeling of
sadness, helplessness and fear. There are also many emotional symptoms associated with mental
disorders which includes: changes in mood, impulsive actions, feeling of exaggeration,
inconstant thinking and chronic anxiety (Nieuwenhuijsen and et.al., 2013). Sometimes these
disorders also create the drug addiction in patient and bring changes in their brain chemistry.
3. Common options of treatment
There are numerous treatment options available for the treatment of mental disorders.
The most common treatment procedures are: therapeutic treatment (psychotherapy), medications
such as antidepressant, anti anxiety medicines, mood stabilizing and anti psychotic medications,
case management with the help of case manager, brain stimulation treatment, through various
hospital and residential treatment programmes, substance abuse treatment for reducing drug
addiction problem and participation of patient in their own care procedures (Yap, Reavley and
Jorm, 2013).
Q4. Different issues raised in the case
1. Registered Nurse standards for practice
The appropriate NMBA Registered Nurse Standards for Practice that would be applicable
for in supporting the person in this Case Study are: Standard 2: Engaging of Registered nurse in effective professional and therapeutic
relationship.
Standard 4: Registered nurses should conduct systematic and comprehensive assessment
practices for effective treatment of patients.
Standard 6: Registered nurses should aim in provision of effective, high quality, safe and
appropriate nursing practices to patients (Registered nurse standards for practice, 2017).
Standard 7: Registered nurses should also evaluate and monitor the progress of their
applied nursing practice.
2. Support to the person in night shift
The roles performed by registered nurse during her shift to support veronica are:
2
these problems have hindered Veronica to lead a normal life.
2. Clinical manifestations
There are many clinical manifestation associated with mental disorders. Physical
symptoms are: depression, loss of weight, fatigue and loss of libido. It also includes feeling of
sadness, helplessness and fear. There are also many emotional symptoms associated with mental
disorders which includes: changes in mood, impulsive actions, feeling of exaggeration,
inconstant thinking and chronic anxiety (Nieuwenhuijsen and et.al., 2013). Sometimes these
disorders also create the drug addiction in patient and bring changes in their brain chemistry.
3. Common options of treatment
There are numerous treatment options available for the treatment of mental disorders.
The most common treatment procedures are: therapeutic treatment (psychotherapy), medications
such as antidepressant, anti anxiety medicines, mood stabilizing and anti psychotic medications,
case management with the help of case manager, brain stimulation treatment, through various
hospital and residential treatment programmes, substance abuse treatment for reducing drug
addiction problem and participation of patient in their own care procedures (Yap, Reavley and
Jorm, 2013).
Q4. Different issues raised in the case
1. Registered Nurse standards for practice
The appropriate NMBA Registered Nurse Standards for Practice that would be applicable
for in supporting the person in this Case Study are: Standard 2: Engaging of Registered nurse in effective professional and therapeutic
relationship.
Standard 4: Registered nurses should conduct systematic and comprehensive assessment
practices for effective treatment of patients.
Standard 6: Registered nurses should aim in provision of effective, high quality, safe and
appropriate nursing practices to patients (Registered nurse standards for practice, 2017).
Standard 7: Registered nurses should also evaluate and monitor the progress of their
applied nursing practice.
2. Support to the person in night shift
The roles performed by registered nurse during her shift to support veronica are:
2
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Taking care of her acute conditions by building a relationship with her and fulfilling all
her physical and emotional needs to provide the best possible care.
By administering the proper medications and treatment procedures along with assessing
the results of these practices.
By dealing with specific mental illness such as hallucinations, confusion and then
reducing the intensity of these stressful conditions and helping her to overcome the
challenges she is facing.
By interacting with her family members and other including care staff that offers the care
giving advices and provides me with information regarding patient’s condition and
appropriate solutions for them.
Along with all this most important work is to maintain the veronica health records than
on the basis of that care plans are prepared which also includes the assessment of risk
factors.
Provides effective timely supervision to ensure that the provided practice is safe and
correct.
3. Justifications for the interventions
The main reason behind choosing these interventions is the patient suffering from mental
disorders are not able to take care of themselves by their own. Building the relationship can help
nurses in understanding the basic requirements of the patients and being Registered nurse is the
first person to be in contact with her and can able to provide her with the best available care.
Proper administration of the medications can help nurses in providing the effective treatment that
can help them to overcome the situation on early basis (Frances, 2013). By proper
communication with family can further help in solving the problems by identifying and
preparing the solutions for any upcoming situation. Proper maintenance of health records can
assist nurses in preparing the further treatment plans that further helps Veronica in coming up
from her current situation.
4. Safety concerns for the patients
From the above done discussion, it is clear that Veronica is suffering from chronic mental
disorders along with many complications. It includes change in mood, hallucinations,
schizoaffective disorders, delusions and she also tried to self harm by cutting the fore arms and
try to commit suicide. Thus is need of constant eye in her as she can again indulge in activities
3
her physical and emotional needs to provide the best possible care.
By administering the proper medications and treatment procedures along with assessing
the results of these practices.
By dealing with specific mental illness such as hallucinations, confusion and then
reducing the intensity of these stressful conditions and helping her to overcome the
challenges she is facing.
By interacting with her family members and other including care staff that offers the care
giving advices and provides me with information regarding patient’s condition and
appropriate solutions for them.
Along with all this most important work is to maintain the veronica health records than
on the basis of that care plans are prepared which also includes the assessment of risk
factors.
Provides effective timely supervision to ensure that the provided practice is safe and
correct.
3. Justifications for the interventions
The main reason behind choosing these interventions is the patient suffering from mental
disorders are not able to take care of themselves by their own. Building the relationship can help
nurses in understanding the basic requirements of the patients and being Registered nurse is the
first person to be in contact with her and can able to provide her with the best available care.
Proper administration of the medications can help nurses in providing the effective treatment that
can help them to overcome the situation on early basis (Frances, 2013). By proper
communication with family can further help in solving the problems by identifying and
preparing the solutions for any upcoming situation. Proper maintenance of health records can
assist nurses in preparing the further treatment plans that further helps Veronica in coming up
from her current situation.
4. Safety concerns for the patients
From the above done discussion, it is clear that Veronica is suffering from chronic mental
disorders along with many complications. It includes change in mood, hallucinations,
schizoaffective disorders, delusions and she also tried to self harm by cutting the fore arms and
try to commit suicide. Thus is need of constant eye in her as she can again indulge in activities
3
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through that she can self harm again. Thus, there is need of constant spy on her so to avoid
further such kind of activities. Different nurses should be appointed for at duration of different
shifts so that continuous watch can be maintained on her.
Also, she has problems related hallucinations in which she hears and feels things that
actually don't exist. These hallucinations can be frightening for patients and in some cases
patients lose control over themselves, so nurses should be strong enough to handle Veronica
when such situation arises.
Q5. Justification of the thoughts
In my opinion the particular Registered nurse have played her role in the best possible
way. She has provided Veronica with all her necessary emotional and physical need it concludes
that nurse has used the holistic approach of care in case her. This particular event reflect that the
particular nurse have involved the concept of sociology to improve the practice of her given care.
Along with that timely supervision and assessment of the result of the treatment given reflects
her quality of dedication toward the assign work and for her nursing profession.
Knowledge regarding maintaining proper clinical records and planning the treatment plan
reflects the level of education in aspects of registered nursing (Armour, Műllerová and Elhai,
2016). Education plays the important role in field of nursing as it helps nurses to learn various
strategies and techniques to deal with patients in certain emergency conditions. In case of
Veronica, she has hallucination related problem and this education regarding handling patients
help the registered nurse in dealing with various mental illness in Veronica. Along with this the
nurse also succeeds in lowering down the stressful condition through which Veronica was going
and encourages her in overcoming all the challenges.
The effective use of communication is done by registered nurse to communicate with
parents and other helping staff in hospital to identify the current situation and possible future
problems and pre plan the solutions to come up with those problems in more efficient way
(Wynter, Rowe and Fisher, 2013).
4
further such kind of activities. Different nurses should be appointed for at duration of different
shifts so that continuous watch can be maintained on her.
Also, she has problems related hallucinations in which she hears and feels things that
actually don't exist. These hallucinations can be frightening for patients and in some cases
patients lose control over themselves, so nurses should be strong enough to handle Veronica
when such situation arises.
Q5. Justification of the thoughts
In my opinion the particular Registered nurse have played her role in the best possible
way. She has provided Veronica with all her necessary emotional and physical need it concludes
that nurse has used the holistic approach of care in case her. This particular event reflect that the
particular nurse have involved the concept of sociology to improve the practice of her given care.
Along with that timely supervision and assessment of the result of the treatment given reflects
her quality of dedication toward the assign work and for her nursing profession.
Knowledge regarding maintaining proper clinical records and planning the treatment plan
reflects the level of education in aspects of registered nursing (Armour, Műllerová and Elhai,
2016). Education plays the important role in field of nursing as it helps nurses to learn various
strategies and techniques to deal with patients in certain emergency conditions. In case of
Veronica, she has hallucination related problem and this education regarding handling patients
help the registered nurse in dealing with various mental illness in Veronica. Along with this the
nurse also succeeds in lowering down the stressful condition through which Veronica was going
and encourages her in overcoming all the challenges.
The effective use of communication is done by registered nurse to communicate with
parents and other helping staff in hospital to identify the current situation and possible future
problems and pre plan the solutions to come up with those problems in more efficient way
(Wynter, Rowe and Fisher, 2013).
4
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REFERENCES
Books and journal
Armour, C., Műllerová, J. and Elhai, J. D., 2016. A systematic literature review of PTSD's latent
structure in the Diagnostic and Statistical Manual of Mental Disorders: DSM-IV to
DSM-5. Clinical Psychology Review. 44. pp.60-74.
Frances, A., 2013. The new somatic symptom disorder in DSM-5 risks mislabeling many people
as mentally ill. BMJ: British Medical Journal (Online). 346.
Nieuwenhuijsen, K. and et.al., 2013. Return to work perceptions and actual return to work in
workers with common mental disorders. Journal of occupational rehabilitation. 23(2).
pp.290-299.
Rubio, J. M. and et.al., 2013. Original Research Quality of Life Following Remission of Mental
Disorders: Findings From the National Epidemiologic Survey on. J Clin
Psychiatry. 74(5). pp.445-450.
Wynter, K., Rowe, H. and Fisher, J., 2013. Common mental disorders in women and men in the
first six months after the birth of their first infant: a community study in Victoria,
Australia. Journal of affective disorders. 151(3). pp.980-985.
Yap, M. B. H., Reavley, N. and Jorm, A. F., 2013. Where would young people seek help for
mental disorders and what stops them? Findings from an Australian national
survey. Journal of Affective Disorders. 147(1). pp.255-261.
Online
Registered nurse standards for practice. 2017. [Online]. Available through
<http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-
standards/registered-nurse-standards-for-practice.aspx#>. [Accessed on 22nd September
2017].
5
Books and journal
Armour, C., Műllerová, J. and Elhai, J. D., 2016. A systematic literature review of PTSD's latent
structure in the Diagnostic and Statistical Manual of Mental Disorders: DSM-IV to
DSM-5. Clinical Psychology Review. 44. pp.60-74.
Frances, A., 2013. The new somatic symptom disorder in DSM-5 risks mislabeling many people
as mentally ill. BMJ: British Medical Journal (Online). 346.
Nieuwenhuijsen, K. and et.al., 2013. Return to work perceptions and actual return to work in
workers with common mental disorders. Journal of occupational rehabilitation. 23(2).
pp.290-299.
Rubio, J. M. and et.al., 2013. Original Research Quality of Life Following Remission of Mental
Disorders: Findings From the National Epidemiologic Survey on. J Clin
Psychiatry. 74(5). pp.445-450.
Wynter, K., Rowe, H. and Fisher, J., 2013. Common mental disorders in women and men in the
first six months after the birth of their first infant: a community study in Victoria,
Australia. Journal of affective disorders. 151(3). pp.980-985.
Yap, M. B. H., Reavley, N. and Jorm, A. F., 2013. Where would young people seek help for
mental disorders and what stops them? Findings from an Australian national
survey. Journal of Affective Disorders. 147(1). pp.255-261.
Online
Registered nurse standards for practice. 2017. [Online]. Available through
<http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-
standards/registered-nurse-standards-for-practice.aspx#>. [Accessed on 22nd September
2017].
5
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