Mental Health Nursing

This article discusses the issues and strategies in mental health nursing, focusing on the importance of family support, medication consumption, and withdrawal symptoms. It also explores how trauma-informed care can play a crucial role in the recovery process. The article provides insights into the application of principles and interventions in the context of a case study.

Running Head: MENTAL HEALTH- NURSING
Mental health- Nursing
Name of the student:
Name of the university:
Author note:

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After going through Lisa’s case it was found that she was suffering from three issues
which are:
Family support: family support is one of the major factor that influences and helps a person
in any circumstance. Lisa left her family and started staying with her boyfriend and she was
no more in contact with her (Aldersey & Whitley, 2015). She was feeling helpless and was
feared as she did not have any family to support her in the critical situation of her. Her
condition was increasing in a much worst manner because of lack of support (Tambuyzer,
Pieters & Van Audenhove, 2014).
Irregular Medication Consumption: in order to retain satisfactory recovery and improving
health outcomes from any type of substance abuse, it is essential to adhere to treatment and
medication on prescribed duration and time (Douglas‐Hall & Whicher, 2015). It is important
to take medication on time as lack of consumption of medication on time and avoiding
medication administration for a long period of time are found to induce complication in
health and occurrence of withdrawal symptoms and deterioration to previous drug usage
(Scheff, 2017). As observed in case of Lisa, her frequent absence in medication adherence
was leading her to worst health condition.
Withdrawal and Deterioration related with Drugs usage: Individuals who has a history of
drug abuse such as cannabis are found to be more vulnerable to the drug withdrawal
symptoms which are impatience, nervousness, bad temper and feelings of anxiety which
encourages the individual to restart the usage of the drug abuse (Lisdahl et al., 2014). Lisa’s
changing behaviour was reflecting the extensive withdrawal symptoms which might be the
reason behind her adherence to ‘speed’ drug and also the severe complications she has been
witnessing (Herrmann et al., 2014).

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Trauma-informed care and practice and the issues:
Family support: As mentioned earlier, lack of family support was one of the factors that
provoked Lisa’s engagement with the substance abuse. Lisa was facing deprived motivational
and emotional care from her parents. The Trauma-Informed Care and Practice (TICP) which
was established by the Substance Abuse and Mental Health Services Administration
(SAMHSA) guides the fact that the third principle of family support and conjoint self-help is
disturbed in case of Lisa (SAMHSA, 2019). It is an important aspect to keep in mind that
substance abuse and the related mental disorders are not only some outcome of the factors
inherent to the person’s behavioural change but also a consolidation of the mental health that
has been witnessed and extrinsic social aspects which can be social influences and
surrounding environments (Elga et al., 2014). In the condition Lisa is currently present, the
deprived nature of family support plays a major role in inducing forgetfulness in Lisa
regarding her medication administration and also enhances discomfort and insecurity which
increases the need of substance abuse in her. Thus, the third The Trauma-Informed Care and
Practice (TICP) principle which states about the peer support and mutual self-help guides the
nurse to aim towards delivering therapy and treatment process which will involve peer and
family members There is a need for mental support for Lisa including her friends and family
as Lisa has been feeling less empowered. Moreover, her family members would be
instrumental in gaining the trust and reductions of the paranoid symptoms Lisa has been
suffering from. In addition to all the aforementioned factors, Lisa would also be comfortable
and safe in her home and be helpful in the establishment of the relevant social networks.
Moreover there is a need of establishment of the understanding of the needs of the patient
along with opinions and the preferences which should be incorporated in recovery plan by the
mental health nurse (Patel et al., 2016). Support by the nurse is necessary for the effective
treatment of Lisa. From the case study of Lisa it can be understood that there is a pivotal role

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of the mental health nurse who should follow the third TCIP principle for collaboration as
well as mutuality. Moreover a proper plan of recovery is required by including Lisa as a part
of her mental recovery process (SAMHSA, 2019). Thus there is a need for distribution of
responsibilities as well as therapeutic relationships along with the need for the process of
decision making which is important for the recovery of Lisa.
Untimely medical Consumption: Lack of the proper medication process and adherence to
the process is another factor. She has not followed the exact dosage and the timings of the
drugs which has resulted in the emergence of the characteristics, psychological and
physiological effects which has been associated with the drug concerned (González-Ortega,
Martínez-Cengotitabengoa & González-Pinto, 2017). The use of drugs like sped as well as
cannabis has been found in the case of Lisa affecting her memory, concentration and
emergence of distortions in learning and perception (van Ours & Williams, 2015). Lisa is not
able to concentrate to a fixed unknown stimuli which has affected her senses of perception
understanding and cognition. She have been suffering from auditory hallucinations where
she has experience paranoia, mistrust. She has been sleeping with a knife which should be a
major concern for her mental nurse. She should follow the second TICP principle of
transparency and trustworthiness which would restore the faith of Lisa and help her in social
engagement by enhancing her feelings of paranoia (Cranwell, Polacsek & McCann, 2016).
Withdrawal and Relapse with cannabis Use: Since Lisa as not followed her medications
properly, there has been long term psychological and emotional effects of the issues like
family support and withdrawal symptoms. Thus Lisa have felt insecure, and her self-esteem
has also been affected along with her issues of auditory hallucinations which discourage her
through the voices within her (Mauri, Paletta & Di Pace, 2018).

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Her mental nurse should follow the fifth TCIP principle of voice, code and
empowerment which would help her to recognize as well as develop the strengths and seek
the values of the self-esteem in patients positively encouraging her to feel specially and
console her that people are unique with their own capabilities (SAMHSA, 2019). Thus the
mental health nurse would follow a patient centered approach for including Lisa in the
recovery plan for helping her gain her self-confidence and instill in her a sense of
empowerment for helping her to possess the hopes, goals and the dreams (Babson & Bonn-
Miller, 2014).
Consumer Issues and the Psychological Health Nurse
Therefore, understandings from the above mentioned and identified issues, it was
important that the psychological health nurse to cooperate with Lisa and to embrace the
succeeding elements in her recovery strategy:
Person, Family and Peer centred approaches:
Since Lisa was separated from her close relatives and family, it was major key
concerns revolving Lisa’s involvement in substance exploitation, the community should
include the second standard of common self-help and peer support in the mental well-being
recovery plan of Lisa. The accessibility of support, love, warmth, and understanding from an
individual’s family and friends, not only manages positive and encouraging state of mind
with self-esteem and self-worth but also inhibits the appearance of negative emotions of
unimportance, vulnerability and anxiety in substance abuse sufferers henceforth ensuing in
speedy retrieval (Lebow, 2016). Therefore, according to the above principle, the
psychological health nurse should firstly look for administration of peer and family centred
method to retrieval and include Lisa’s family members and her boyfriend in the recovery care
plan. The primary role of the nurse will be to discuss and educate the necessity to cooperative

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mutual support and explaining the benefits useful for Lisa comprising of factors that lead to
her bad condition due to lack of the support from her boyfriend and family members that
actively contributed in worsening of Lisa’s psychological health situation (Moos, 2017).
Secondly, the nurse should seek to comprise the thoughts and opinions of Lisa’s boyfriend
and from her family members in the recovery plan to observe the TICP ideologies of joint
self-help and support (SAMHSA, 2019). Finally, the last principle includes concept of
partnership and sympathy, the psychological health nurse should develop patient centered
methods and embrace Lisa’s thoughts in the communal decision making procedure in order to
direct a modified recovery plan depending on her exclusive needs (Szapocznik et al., 2016).
Personal and Social safety Plan:
As Lisa was sleeping outside it was important to consider her safety and also include
the safety of people surrounding her as they can be under higher risk of any deed, as Lisa was
under continuous distress of being ‘observed by cameras’ ensuing in her out outside.
Therefore, joined with the philosophies of communal management, the psychological health
nurse should also follow to the primary TICP principle of security in Lisa’s mental health
recovery plan construction (SAMHSA, 2019). The plan will comprise a Psychological State
Inspection of Lisa in order to evaluate for the occurrence of any dangers, violence of
hostility. The nurse might also requisite to manage a safety workers or alternative care team
who will Lisa every time during her visits in the premises of organization and act punctually
in conditions of emergency (Marshall et al., 2015). Similarly the alternative safety team and
the nurse should a maintain systematic telephonic interaction with either Lisa or her family
and boyfriend using family and peer centered methods for guaranteeing that Lisa’s will not
involve in any violence or self-harm acts (Flanagan et al., 2016). Subsequent, following to
safety and patient centered methods the nurse should thoughtfully, unwearyingly and yet
skillfully must follow beneficial association philosophies to instruct Lisa on the necessity to

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twig to her medicines in an appropriate method and the significances to Lisa, her family and
boyfriend if not obeyed to the similar condition (Farrell et al., 2016). Likewise, taking
understandings from third TICP standard of communal decision-making, Lisa and the
psychological health nurse can collectively improve on a medicine strategy as per the needs
of Lisa to involve with her boyfriend and family members in order to establish regular
reminders bearing in mind about her absent-mindedness (SAMHSA, 2019).
Self-development plan- The withdrawal symptoms of Lisa along with her resultant relapse
would be considered as one of the factors for her auditory hallucinations or voce which
would often remind her of her value. Thus the mental health nurse should recommend the
fifth principle of the TCIP for empowerment, voice and choice for instilling the sentive issue
like resilience, empowerment as well as self-confidence for the escalation of Lisa’s intrinsic
strengths as well as capabilities. Thus the nurse should take an individualized approach and
engage with Lisa regarding the incorporation of personalized development plan. This activate
communication with Lisa is required for the identification of thee resilience, strength of Lisa
for helping h the nurse to formulate a plan of self-reflection, resilience and goals for the
future. This would help her to encourage and recover form paranoia as well as self-esteem for
helping her to regain control of her life like a normal individual (Barringer et al ., 2017).
Application of principles-Thus for the need of dealing with issues like lack of family
support an, the nurse must adhere to the TCIP principle including the opinions of her
boyfriend and family members. Many clients might not be comfortable in the involvement of
their families and so the nurse should include a patient centered approach (Van Ryzin et al.,
2016). Alternatively the mental health nurse should incorporate the TCIP principle of
collaboration as well as mutuality for the administration of the shred decision making process
in Lisa’s Life. (SAMSHA, 2019) For controlling the effects for paranoia, she should adhere
to the TCIP principle for controlling her effects due to irregular medications. The mental

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health nurse should also consider risk assessment or the allocation of safety workshop for
monitoring the issues of Lisa (SAMSHA, 2019). Thus, such interventions should help Lisa s
agitation and she might lose trust in the service (O’ Toole et al., 2015). Thus it is important
for the nurse to maintain the principles of TCIP including transparency and trust=worthiness
which would educate Lisa empathetically as well as persuade her to maintain her medications
and develop a personalized plan for restoring her trust (SAMSHA, 2019). As per the
principles off shared decision making according to TCIP, the mental health nurse should help
Lisa and take her consent for improvement of her sills of understanding. (SASHA, 2019).
There are various methods like psychotherapeutic principles like Cognitive Behavioral
Therapy CBT have been found to be helpful regarding the management of issues involving
her substance use. By teaching the patients for regulating their harmful behaviors as well as
emotions which could be used in response to the specific stimuli. Thus f the effectiveness of
the procedures like CBT are considered then the mental health nurse should collaborate with
the psychotherapist for the use of CBT for a better comprehend treatment for LISA (Acosta et
al., 2017).

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