Case Study of Mrs. B: Communication Techniques, Major Depressive Episode with Psychotic Features, Nursing Interventions for Appetite and Sleep

Running head: CASE STUDY OF MRS. B
Case study of Mrs. B
Name of the student:
Name of the university
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CASE STUDY OF MRS. B
Reflection on the communication technique:
Effective communication in patient centric care is crucial for providing competent patient
centric care (inpatient interview, 2018). In the video of the Inpatient Interview” in Module 6, I
have observed a few techniques of nursing for interviewing Mrs B. (inpatient interview, 2018). I
have observed the due to mental condition the communication of the patient was impaired and
therefore nurse for assessing necessary data involved her in conversation by giving her
recognition. The recognition acknowledges a patient’s behavior and highlights an overt
compliment, which provides the patient with a sense of comfort. I have observed that the nurse
showing active listening skills while communicating with the patient. According to Kaiser et al.
(2015), the verbal cues of nurses encourage the patient to continue talking and highlight the
interest of nurse. I have observed the clarification and summarizing skills while interviewing the
patient. These are a useful technique for nursing which made the patient feel wanted and worthy.
In my opinion, the techniques were demonstrated well since the patient complimented the nurse
that he is nice which in turn indicate that the patient was comfortable in the interview with the
nurse. Moreover, environment is crucial for interviewing patient and interviewer ensured that the
environment was pleasant without any distraction, which enabled interviewer to obtain necessary
data through communication.
Features of a major depressive episode with psychotic features:
Psychotic depression or major depressive disorder with psychotic features is a serious
illness in which a person suffers from a combination of the depression of mood along with
psychosis (Siu et al., 2016). Wagner et al. (2013), stated major depressive disorder
characterized, the loss of contact with the reality manifesting itself as the nihilistic type,

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CASE STUDY OF MRS. B
delusions with false belief, false perception, hallucination, suicidal attempt more commonly for
elder patient (Australian commission on safety and quality of the health care, 2018). Mrs.
B has the false belief that she is going to die and strong wish of death resulted in probable feeling
of unworthiness. These symptoms often regarded as the major depressive disorder where patient
often have a period of increase depressed mood and tearfulness, social isolation, sleeping too
much, sense of worthlessness (Greenberg et al., 2015). These delusions and hallucinations
seem real to the patient and consequently, it implants a tendency of self-harm. Therefore, the
patient with the major depressive disorder with psychotic features needs immediate clinical
attention in order to prevent self-harm and provide quality of life.
Communication skills can nurse used to response to the situation of Mrs. B:
Acutely mentally ill patient present their beliefs and convictions in such a way that
challenges the normal social interaction (Gartlehner et al., 2015). Therefore, strategic
interpersonal communication skills are crucial for caring mentally ill patient, which
involves active listening, identification and problem solving approach. As observed in this
case study, Mrs. B was suffering from the major depressive disorder with psychotic features with
false beliefs and delusions, which resulted in the loss of appetite and hopelessness. In this
context, in order to solve issues nurses can show the expression of empathy through the activity
of reflective listening where she will feel comfortable. The communication skills also involve the
development of discrepancy between the goals of the patient and their current behavior and
beliefs(Bashshur et al., 2016). Further communication involves body orientation, maintaining,
eye contact, use of open question, use of short sentence, slow pace of speech and attention.
Moreover, response based spontaneous approach without being judgmental to the patient while