Promoting Mental Health & Wellbeing 1

This text discusses identifying urgent risk area and nursing/midwifery intervention for mental health concern in the case study. It also highlights legal, ethical or professional issues a nurse/midwife may need to consider when working with the client. The case study is about Chung who is feeling low in mood and experiencing sleeplessness and fleeting thoughts of suicide. The major risk factor in the case of Chung is feeling of hopelessness. The text suggests cognitive behavioural therapy as the most significant intervention for Chung. Educational intervention is suggested as the most effective health intervention for addressing the mental health concern of depression. The two ethical issues that could occur in the given case scenario are related to the cultural sensitivity and patient’s autonomy.

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)
As identified in the case study, Chung has been
feeling very low in mood since past 6 weeks and
also suffering from the problems of sleeplessness,
which is mainly the initial insomnia and early
wakening at 3 am. Due to the various problems in
his professional life, he feels hopeless and
worthless, sue to which he is also experiencing the
fleeting thoughts of suicide. He feels hopeless and
as well as helpless and wants to die. Therefore,
feeling o hopelessness is the major risk factor in
the case of Chung. According to the study of Daniel
& Goldston, (2012) hopelessness is significantly
associated with the suicidal thought that could also
continue for the life span. Steeg et al (2016) hhave
also informed that hopelessness and helpless ness
can affect individual and can result in frequent
non-fata self-harm or suicide.
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
Hopelessness is associated with cognitive
vulnerability. Therefore, the nursing intervention
requires to focus on applying the hope inspiring
strategies. Cognitive behavioural therapy for the
psychological rehabilitation is the most significant
intervention for Chung, because according to
Gudmundsdottir & Thome (2014) it is considered
as most effective in reducing hopelessness and risk
of suicide. CBT can be given to the patient for 3 to
5 times a week. The therapist can conduct the CBT
session with the patients that will start with
orienting patient with CBT, setting the goals,
identifying the maladaptive thoughts and
behaviour, applying problem solving and relaxation
programs such as community programs and family
interactions (Wright et al, 2017)

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)
The main mental health concern for the patient
according to given case study is Depression. The
study conducted by Gudmundsdottir & Thome
(2014) has identified that hopelessness is the
cardinal symptom of depression. The stressful live
events interact with the cognitive vulnerability of
the patient and increases the risk of depression
(Haeffel et al, 2017). According to case scenario,
patient has also undergone the stressful life events
that have made him more cognitively vulnerable
that displays depression and increased chances of
suicide. Depressed individual can harm themselves
and it also reduces their quality of life. Therefore,
in the case of Chung Depression could be a major
mental health concern.
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
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
Educational intervention will be the most effective
health intervention that could be applied in the
case of Chung. The education intervention will help
to understand the concerns of the individual and
will also allow patient to learn about managing
their mental and emotional condition while dealing
with stressful events (Jorm, 2012). Conejo-Cerón et
al (2017) has also identified that educational
intervention can be very beneficial in enhancing
the cognitive ability of the patient’s and reducing
the depressive symptoms. Educational intervention
can also help patient to enhance their self-care
skills and can motivate them focus on improving
their mental health (Conejo-Cerón et al, 2017).
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
The two ethical issues that could occur in the given
case scenario are related to the cultural sensitivity
and patient’s autonomy. Since, the patient is from
different culture, it is important to acknowledge
and accept his cultural values while treating him,
because lack of cultural competence can lead to
ethical issues in care (Truong, Paradies, & Priest,
2014). Secondly in mental health care the concept
of autonomy is significantly questioned, because it
can lead to major ethical issues. Supporting
patient’s autonomy in mental healthcare supports
respect towards patient’s dignity and can improve
their health outcomes (Tambuyzer, Pieters & Van

Audenhove, 2014).
References
Conejo-Cerón, S., Moreno-Peral, P., Rodríguez-Morejón, A., Motrico, E., Navas-Campaña, D.,
Rigabert, A., ... & García-Campayo, J. (2017). Effectiveness of psychological and educational
interventions to prevent depression in primary care: a systematic review and meta-
analysis. The Annals of Family Medicine, 15(3), 262-271.
Daniel, S. S., & Goldston, D. B. (2012). Hopelessness and lack of connectedness to others as risk
factors for suicidal behavior across the lifespan: Implications for cognitive-behavioral
treatment. Cognitive and Behavioral Practice, 19(2), 288-300.
Gudmundsdottir, R. M., & Thome, M. (2014). Evaluation of the effects of individual and group
cognitive behavioural therapy and of psychiatric rehabilitation on hopelessness of depressed
adults: a comparative analysis. Journal of psychiatric and mental health nursing, 21(10), 866-
872.
Haeffel, G. J., Hershenberg, R., Goodson, J. T., Hein, S., Square, A., Grigorenko, E. L., & Chapman, J.
(2017). The Hopelessness Theory of Depression: Clinical Utility and
Generalizability. Cognitive Therapy and Research, 41(4), 543-555.
Jorm, A. F. (2012). Mental health literacy: Empowering the community to take action for better
mental health. American Psychologist, 67(3), 231.
Steeg, S., Haigh, M., Webb, R. T., Kapur, N., Awenat, Y., Gooding, P., ... & Cooper, J. (2016). The
exacerbating influence of hopelessness on other known risk factors for repeat self-harm and
suicide. Journal of affective disorders, 190, 522-528.
Tambuyzer, E., Pieters, G., & Van Audenhove, C. (2014). Patient involvement in mental health care:
one size does not fit all. Health Expectations, 17(1), 138-150.
Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in
healthcare: a systematic review of reviews. BMC health services research, 14(1), 99.
Wright, J. H., Brown, G. K., Thase, M. E., & Basco, M. R. (2017). Learning cognitive-behavior therapy:
An illustrated guide. American Psychiatric Pub.