Promoting Mental Health & Wellbeing 1 - Risk Area, Nursing Intervention, Legal and Ethical Issues

This text discusses identifying risk areas and nursing interventions for promoting mental health and wellbeing. It also covers legal and ethical issues that nurses and midwives need to consider when working with patients. The case study provided highlights the importance of managing physician burnouts, suicidal ideation, and confidentiality.

Promoting Mental Health & Wellbeing 1
401013
Student name:
Student number:
Question Answers – Ensure each answer contains
relevant literature and relates back to the case
study.
1a) Using the case study provided, identify
an urgent risk area. Ensure your answer
details why you have identified this risk area
including specific information about the
client and current literature. (2 marks)
Hospital area where he is working. He spends most
of his time at hospital because he has met his
family back in china only one time since he left for
Australia and he has long working hours and works
under motive of becoming emergency medicine
consultant thus working under pressure. Chung did
a clinical error due to a lot of several work, and he
was being investigated by resource department
this contributed to stress and depression, he felt
that he was not involved in planning his wedding
due to his long hours of working and due to this he
found his wedding day emotionally difficult. He has
little time with his family because of often working
shifts, he may not even sleep for 20-
24hours.Harriet, his wife, is sick with a lot of pain
and not able to move around but he’s not able to
get time to be there for her instead Harriet’s family
does.

1b) Identify one nursing / midwifery
intervention you would undertake directly
with your client to address the risk area
noted in question 1a and include a rationale
for the intervention. (2 marks for the
intervention and 2 marks for the rationale)
Ensure the intervention includes how, who
and when you would actually carry out the
intervention. Your rationale should state
why you would carry out the particular
intervention. Ensure literature is included.
1a and 1b – 200 words in total
Reduce physician’s burnouts. Burnouts reduce
patient’s quality of care, increases medical errors
and it causes depression and stress (Tawfik et.al
2018). This can be done by encouraging the
individual to consider part time status, work- home
balance and attend stress management training. To
achieve this a therapeutic relationship should be
established and this involves listening and even
being emphatic when engaging in a discussion or
consultation (Hungerford, and Hodgson, 2013).
This will in turn make Chung gain trust and be able
to disclose more which will enhance better
management.
2a) Using the case study provided, identify a
mental health concern. Ensure your answer
details why you have identified this concern
including specific information about the
client and current literature. (2 marks)
Suicide thought and low mood which occurs when
someone feels they are no longer able to cope with
a situation (Segal, Williams, & Teasdale, 2018). The
cause of suicidal ideation for Chung is a feeling of
hopelessness and helplessness. He feels he is

worthless, he feels he has let down his wife and
daughter and that he has failed in his medical role.
Chung has been having thoughts of suicide for the
past one week. He is also aware of lethal
medication to take away his life taking through
overdose.
Chung has also been anxious for the past 2months,
he has had an exaggerated feeling of fear and
discomfort to an extend of having heart
palpitations, thoughts of having high heart rate and
that he could die. He also experiences
sleeplessness, initial insomnia and morning
awakening at 3am, has reduced appetite thus
missing meals which has caused him to loose 5kg in
past one month.
2b) Identify one nursing / midwifery
intervention you would undertake directly
with your client to address the mental health
concern noted in question 2a and include a
rationale for the intervention. (2 marks for
the intervention and 2 marks for the
rationale)
Ensure the interventions includes how, who
and when you would actually carry out the
Psychosocial interventions will be appropriate
whereby the nurse manage Chung both
psychologically and socially. This include home
visits between sessions, counselling and even
motivation reinforcement (Siu et.al 2016).
Involving the family members may also add up to
this, for example it may be a form of group therapy

intervention. Your rationale should state
why you would carry out the particular
intervention. Ensure literature is included
when you discuss the rationale.
2a and 2b – 200 words in total
whereby Chung will also feel part of the whole
process.
3) Using current literature, identify and
discuss (2) two legal, ethical or professional
issues a nurse / midwife may need to
consider when working with the client in the
case study (4 marks).
Qu 3 – 100 words in total
Confidentiality
Personal information that the patient tells the
clinician should be traditionally, ethically and
legally guarded by confidentiality (Pope, &
Vasquez, 2016). Clinician are supposed to avoid
divulging information from the patients and to be
cautious to ensure that such details are not
inappropriately dispatched by others to whom it
may not be known professionally. (Nursing and
Midwifery Board of Australia).

Use of informed consent
This is the ability of the patient to make decisions
about their medical condition without the
influence of a nurse or a medical practitioner
(Hunink et.al, 2014). This principle allows the nurse
to educate the patient but does not let the health
care provider to make decisions for the patient.
Instead an informed consent should therefore be
signed by the patient to show his acceptance for
any health concern (Nursing and Midwifery Board
of Australia).
References
Hungerford, C. and Hodgson, D. (2013). Addressing mental health nursing workforce issues in
Australia: a case study analysis. The Journal of Mental Health Training, Education and
Practice, 8(2),

Hunink, M. M., Weinstein, M. C., Wittenberg, E., Drummond, M. F., Pliskin, J. S., Wong, J. B., &
Glasziou, P. P. (2014). Decision making in health and medicine: integrating evidence and
values. Cambridge University Press.
Nurses Board of Australia. (2014). Codes of professional conduct & ethics for nurses & midwives in
Australia.
Pope, K. S., & Vasquez, M. J. (2016). Ethics in psychotherapy and counseling: A practical guide. John
Wiley & Sons.
Segal, Z. V., Williams, M., & Teasdale, J. D. (2018). Mindfulness-based cognitive therapy for
depression. Guilford Publications.
Siu, A. L., Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M., ... & Krist,
A. H. (2016). Screening for depression in adults: US Preventive Services Task Force
recommendation statement. Jama, 315(4), 380-387.
Tawfik, D. S., Profit, J., Morgenthaler, T. I., Satele, D. V., Sinsky, C. A., Dyrbye, L. N., ... & Shanafelt, T.
D. (2018, July). Physician burnout, well-being, and work unit safety grades in relationship to
reported medical errors. In Mayo Clinic Proceedings. Elsevier.