Treatment Options and Nursing Interventions for Mental Health Disorders

HLTENN009 MENTAL HEALTH
Q1.
For each of the mental health disorder groups below, provide two (2) treatment
options (1 medication class and one therapy) and two (2) nursing interventions to
manage the disorder group
Note: Please do not repeat any answers
Mental Health
Disorder group
Therapeutic
Treatment options
Medication Class
Therapeutic
Treatment options
Psychotherapy
Nursing
Interventions
Mood disorders
 Bipolar
Affective
Disorder
 Depression
The medication
class of bipolar
disorder are mod
stabilizer,
anticonvulsant,
The psychotherapy
of bipolar
psychoeducation
and cognitive
education therapy.
The nursing
interventions of
bipolar disorder are
proper medical
adherence,
cognitive
behavioural therapy
and changing the
lifestyle.
Psychotic
Disorders
 Schizophrenia
 Psychoses
The medication
class of
schizophrenia and
psychoses is
antidepressants like
fluoxetine and
citalopram.
The psychotherapy
for managing the
psychotic disorders
are cognitive
enhancement
therapy.
The most important
nursing intervention
is establishing a
healthy therapeutic
relationship with the
patient and the
second intervention
is changing the
behaviour of the
patient.
Anxiety
Disorders
a) Obsessive
Compulsive
Disorder
b) Panic
disorder
c) Post-
traumatic
Stress
Disorder
The medication
class is
antidepressants
The psychotherapy
for anxiety
disorders is rational
emotive therapy.
The nursing
intervention is
providing education
to the patients
about self
management. The
other intervention is
cognitive
behavioural
interventions.

d) Social &
Specific
Phobias
e) Eating
disorders
Organic
Disorders
a) Dementia
b) Delirium
The medication
class of dementia is
anticholinergic and
for delirium is
antipsychotic drugs
The psychotherapy
for organic
disorders is
rehabilitation
therapy
The nursing
interventions
include providing
cognitive therapies
and properly
communicating with
the patient.
Personality
Disorders
a) Borderline
Personality
Disorder
The medication
class of borderline
personality disorder
is anticonvulsant.
The psychotherapy
for the personality
disorders is
psychoanalysis.
The nursing
interventions
include teaching
the patient to
maintain the
discipline and the
second one is
individual
interventions.
Q2.
For effective evidence-based practice in mental health nursing a variety of sources are
used, one of these is the client and carers perspective, discuss why this is important
(100 words max & Reference)
The client and the care giver perspectives is one of the important aspect of the evidence based
practice in the mental health. It is very important to know how the client or the patient is
perceiving the care that the nurses are providing them. According to the narrations that the
patients provide the nature of the care givers are judged like whether the care givers are kind
hearted or whether the care givers are rude, all these are judged completely by the statements that
the patients provide. The care givers influence the patients by creating new dialogues in the way
that is suitable for the patient to understand.
Q3.
For each of the following possible causes of mental illness from a biopsychosocial
perspective, state whether the causes are Biological, Social or Psychological
Biopsychological perspective Possible causes
Social perspective Life experiences, low self-esteem, unintegrated sense of self,
personality, lack of resilience.

Biological perspectives Altered neurotransmitters levels, anatomical malfunction,
acquired brain injury (ABI), substance abuse, infection,
exposure to toxins, epilepsy, stroke, endocrine imbalance.
Genetic factors – first degree relative, pre-natal infection,
predisposition to mental illness, constitution
Psychological perspectives Death, divorce, cultural, stress, housing, homelessness,
exposure to violent behaviours, childhood trauma (verbal,
physical, sexual), social isolation, childhood neglect and
abuse, attachment problems, parenting issues, substance
abuse, environment, grief and loss
3b. Outline 4 ways that you as the nurse can ensure that your own interactions with a
person experiencing a mental illness is therapeutic and positive (80-100 words and
reference)
The four ways to ensure that I am interacting with the patient in a therapeutic way are:
1. At first introducing myself to the patient and shaking hands at the first meet up.
2. Making sure that the patient is maintain the privacy at the time of providing care to
the patient.
3. Always maintaining the eye contact with the patient in order to identify whether the
patient is hiding anything or not.
4. Maintaining the professional boundaries like some people need hugging because of
illness while some patients do not like touching. All these things ensure that the patient
is getting a therapeutic care (Gjerberg et al., 2015).
Q4.
Clinical practice is guided by nursing theory. There are many different theories in
regards to mental illness. Phil Barker is renowned for his Tidal Model which looks at the
recovery journey.
Outline three (3) principles of this theory (Reference)
The three principles of the theory are:
1. Value of choice- The story of the person represents the beginning and the end of
the encounter of helping. This value embrace the distress of the person and also
the hope for the new resolution.
2. Respecting the language- Different people have different languages and also
have different ways of expressing and telling their stories. This must be
respected.
3. Become an apprentice- The practitioner normally develops a plan of patient care
and also the practitioner helps the person to identify the particular problems of
living (Alligood, 2017).
Q5.