Case Study on Mental Health Nursing
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Added on 2019-11-26
Case Study on Mental Health Nursing
Added on 2019-11-26
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Running head: MENTAL HEALTH NURSINGMental health nursingName of the StudentName of the UniversityAuthor note
1MENTAL HEALTH NURSING1.Discuss the key interpersonal skills you will use to engage with AndrewIn mental health nursing, communication is an essential component for alltherapeutic interventions. The knowledge of interpersonal skills while communicatingwith the client is necessary and develops positive nurse-client relationship. In the givencase study, key interpersonal skills are important while communicating with Andrew ashe is greatly overwhelmed by the external environment. Skillful communication isrequired that can make a difference in the ability of Andrew to be engaged in theinterview. Interpersonal communication is the building block for the so that Andrewengages properly in the interview. This communication includes a variety of skills thatare client-centred communication like listening, paraphrasing, summarizing, questioningand using non-verbal communication (Stein-Parbury, 2013). Listening is the most challenging and essential component that allows the client totalk. While conversing with Andrew, the nurse needs to listen to him and this acts as atherapeutic effect. By employing this, she would be able to give opportunity to Andrew totell about him when he will feel that he is being heard. In the given case scenario,Andrew spoke in a low monotone voice and listening would make him feel that hisfeelings are being cared and accepted. It helps to establish a trust worthy relationshipwhen the nurse hear and understand him. It would help Andrew to feel less isolated andloosely connected with the present. Therefore, the nurse should provide time to Andrewto tell his story or experiences, with a purpose of understanding his concerns and payingfull attention to what he says and tuning of the internal and external distractions(Bramhall, 2014).
2MENTAL HEALTH NURSINGParaphrasing is also a way of interpersonal communication where it helps toexpress the core message of the client in own words. The nurse should be careful duringparaphrasing as the words should be different and does not change the meaning. It wouldhelp to demonstrate that the nurse heard whatever Andrew has said and feel supportiveabout it. It would also help to check clarity and understand rather than questioning(Morgan & Yoder, 2012). Summarizing would help Andrew to assess and reassure that the nurse heard himcorrectly and provide chance for clearing the misunderstandings. In addition, questioningwould also help Andrew to be engaged in the conversation Questioning is associated withprobing skills with open-ended questions that gives a full descriptive picture (Lin et al.,2013). As Andrew mentioned that he experience hearing voices, then “when”, “how”,“what" type of questions involving the hearing of voices would help focus on hiscognition, behaviour, beliefs and thoughts. Non-verbal skills are important called SOLER methods that involves S; sittingfacing Andrew, O: open posture, L: leaning towards him, E: maintaining eye contact andR: relaxed posture (Perry et al., 2013). The above mentioned interpersonal skills wouldhelp to engage with Andrew. 2.The doctor stated that Andrew has symptoms of a psychosis. Using correct clinicalterms and the clinical cues in the scenario, discuss three important signs andsymptoms that support the doctor’s opinionThere are certain clues in the scenario that are significant and indicate psychosisin Andrew. Psychosis is a condition where a person has impaired relationship with the
3MENTAL HEALTH NURSINGreality. They experience either delusions or hallucinations that are the recognisingsymptoms for psychosis. In the given case scenario, Andrew experiences auditory hallucinations where hementioned that he could hear people talking about him. However, there was no person inthe room and no external distractions. He even stated that he could clearly hear voicestalking about him. Hallucination is sensory perception in the absence of external stimuli.This means that the person sees, hears, feels or smells that is not present. Andrewexperience auditory hallucinations where he can hear voices and communicate with them.He could experience false perceptions of sound that have no real origin and connectionwith the outer world. It seems real to Andrew and these experiences are frighteningcharacterized by emotions and thinking that are impaired (Oorschot et al., 2012). The person who experiences psychotic symptoms has thoughts that arecontradictory to the real situation. They even face social withdrawal and loss ofmotivation. These are called delusions where a person holds false beliefs and impressionthat are contradicted by the reality. In this given case scenario, Andrew spoke of evidencethat people are conspiring against him and electrical items kept outside his unit that arebeing operated to interfere with his thoughts and claimed that other people are discussingto conspire and trying to put him into trouble. He has false belief and convinced that realpeople does not know who they are (Vorontsova, Garety & Freeman, 2013). Andrew also illustrated disorganized speech and switched topics erratically.During the interview, he suddenly started saying that people in his university are ASIOspies who conspire against him. They have fitted a transmitter chip in his brain that can
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