Nursing Mental Health: Crisis Intervention and Special Populations

This nursing assignment delves into various aspects of patient care across different populations and situations. It addresses crisis intervention strategies, including personal experiences and reactions to significant events like 9/11 and Hurricane Katrina. It explores maturational crises and available resources. The assignment further discusses pediatric clients, focusing on adolescent development, developmental delays, and mental illness risk factors. Additionally, it examines the care of older adult clients, considering aging-related changes, medication management, and communication techniques. The assignment also addresses the challenges faced by homeless clients with mental illness and community programs available to them. Finally, it considers clients with medical illnesses, exploring psychological disturbances secondary to medical conditions and reactions to diagnoses like myocardial infarction and cancer. This assignment provides a broad overview of essential considerations in nursing practice, and Desklib offers similar resources for students seeking assistance with their studies.

Running head: NURSING ASSIGNMENT
Nursing assignment
Name of the student:
Name of the University:
Author’s note

1NURSING ASSIGNMENT
1.
a. I become angry when things do not go according to my plan and people do not listen to
my perspective when situations demands. I manage to handle my anger by resisting
entering into arguments with the person and trying to speak with the person after getting
relaxed. I am satisfied with my ability to control anger as I am not hypertensive and I take
control over the situation with my patience.
b. Once, I was very irritated with a client as he was trying to get personal and enter into a
friendly relationship which was outside my scope of professional practice. The client was
over-friendly and he wanted my contact number so that we could talk with me regularly. I
told the client that he can approach the staffs at the clinic whenever he wants help.
No, the situation was different from other situations when I was angry. Apart from being
angry, I was feeling afraid because of the strange behaviour of the client. In a psychiatric
setting, overload of work and inappropriate behaviour of client or staffs can increase the risk
of aggression and violence. Inpatient health care environment is important because incidence
of violence ad aggression is most likely to occur in a busy clinic where staffs cannot attend to
one patient at a time.
2.
a. Cognitive behavioural therapy or counselling related to problem solving or relaxation
training can be used to treat aggressive client. Both aims to mitigate aggressiveness; however
cognitive behavioural therapist works to changes beliefs and perceptions of the client about
the world, whereas psychotherapy emphasizes on skills to deal with aggression (McKay et al.
2015).
b. Use of restraint and seclusion is controversial for treatment of aggressive patient as it
violates human rights and increases risk of injury for patient. Some of the legal issues that
may arise due to use of restraint and seclusion include it may lead to ethical issues and
violation of code of conduct for practice (Muir‐Cochrane, Baird and McCann 2015).
c. I would for signs like aggressive posture, verbal abuse and tendency to harm others.
To ensure safety of other clients, I would avoid standing directly in front of the client and
move away from the client.

2NURSING ASSIGNMENT
Reference:
McKay, D., Sookman, D., Neziroglu, F., Wilhelm, S., Stein, D.J., Kyrios, M., Matthews, K. and
Veale, D., 2015. Efficacy of cognitive-behavioral therapy for obsessive–compulsive
disorder. Psychiatry research, 225(3), pp.236-246.
Muir‐Cochrane, E.C., Baird, J. and McCann, T.V., 2015. Nurses' experiences of restraint and
seclusion use in short‐stay acute old age psychiatry inpatient units: a qualitative study. Journal of
psychiatric and mental health nursing, 22(2), pp.109-115.