Mental Health Nursing Practice: Factors, Interventions, and Ethics

This report analyzes a case study of a 38-year-old veteran, Tina, focusing on her mental health nursing needs. It emphasizes the importance of identifying biopsychosocial factors impacting her well-being, including her history of trauma, alcohol use, and lack of social support, which contribute to her nightmares, disassociation, and behavioral issues. The report identifies three key factors influencing Tina's presenting problems, such as alcohol consumption, lack of a support network, and her denial of having a mental health problem. It then justifies three appropriate nursing interventions: psychological interventions like talk therapy, physical treatments and medication to manage her symptoms (diazepam, temazepam, and seroquel), and interventions like exercise, mindfulness, and self-help strategies. Finally, the report discusses the ethical and legal implications nurses must consider, including autonomy, beneficence, non-maleficence, and justice, to ensure Tina receives appropriate and ethical care. The report uses relevant literature to support its analysis and recommendations.

Mental Health Nursing
Practice
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CONTENTS
Contents...........................................................................................................................................2
A) Improtance of identifying the biopsychosocial factors that impact well being of client
during mental helath assessment?................................................................................................3
B) Three factors that impact on presenting problem of clinet and detremine its importance in
development of client’s presenting problem................................................................................3
C) Identify and justify three appropriate nursing intervention....................................................4
D) The ethical and legal implication that nurses must consider for client..................................5
REFERENCES................................................................................................................................7
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A) Importance of identifying the biopsychosocial factors that impact well being of client during
mental health assessment?
The biopsychosocial factors are those which have a direct influence over the health of an
individual by developing the illness through a complex interaction with psychological, biological
and social factors. These are responsible for creating a environment in which we live which in
turn directly influence the mental health of an individual (Barry and et. al., 2018). Hence the
environment in which an individual lives has a huge influence over the heath of a patient as it
involve the factor such as social which involve the relation of person with its family, friend or in
community. The failure in maintain this relationship affects the mental health of patient. Other
than this the biological factor such as genetic health issues also influence the wellbeing of
person. Psychological factors such as relationship with other, past experiences and way of living
also affect the wellbeing of a person. In current scenario of Tina is experiencing a nightmare and
period of disassociation which have a huge influence at her mental health which can be seen
from her behaviour of not to getting involve with other people, being rude to other patients and
don’t letting nurses to enter her room. These are the impact of biopsychosocial factor which is
affecting her day to day life and of course mental health.
It is essential to consider the biopsychosocial factors while conducting the assessment
process. This is so because it helps in determining the actual cause behind a particular health
disorder found within the patient. In case of Tina, she went through so many of the interpersonal
trauma which changes her life totally (Blank and 2019). As she experiences a trauma of death of
her parents, found under cared by grandparents, got habitual of drinking at vey young age etc.
these all change her personality. So, it become very crucial for medical staff to get knowledge
about all these issues while diagnosing the mental condition of Tina. This will support them in
creating a better treatment plan for her by resolving all past issue or helping her to recover from
them.
B) Three factors that impact on presenting problem of client and determine its importance in
development of client’s presenting problem.
In current scenario of Tina, she went through a range of issues in her past which have a
huge impact over her mental health. Tina is facing a issue of ongoing nightmare which is not
letting them to normalise her mental condition (Dollard, Dormann, Tuckey and Escartín, 2017).
As with these nightmares she finds it difficult to sleep which make her ruder to other people, got
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angry quickly over nurses etc. Another reason can be found as period of disassociation where she
is experiencing a disconnectedness among her thoughts, surrounding actions and identity
(Noonan, Doody, Jomeen and Galvin, 2017). This situation make more difficult for her to get
recover from mental illness which in turn changing her behaviour continuously. The main reason
behind her health condition is biopsychosocial factors, among them the three which are affecting
her present condition are drinking large amount of alcohol, no support network and not excepting
she has a mental problem.
Tina use to drink 4 bottle of wine in night, which is very bad for the health of Tina as
over consumption of alcohol directly affect the brain function and hormonal system which in
turn further develop mental disorder such as anxiety which is the reason she is facing so many
issue related with nightmare (Rickwood and et. al., 2019). Another factor is support network she
is having very few of friends and not much people to interact with and lost all her family in some
accident which make her remain along, feel lonely. This make her to enter into a life where she
does not want to get much involve with other people and stay alone and upset with them. The
third factor is she is not excepting that she is heaving a mental issue and due to which she not
effectively interacts with staff, member and also not taking the treatment appropriately which is
the reason she found it difficult to get recover.
C) Identify and justify three appropriate nursing intervention
Tina is suffering from the mental disorder issue due to several of the past experience and
biopsychosocial factors which are making her situation the worsen. So, with reference to the
analysis of the situation of Tina following are the nursing intervention that are consider to be
appropriate for her,
 Psychological intervention: Tina is suffering from a mental health issue due to having a
bad experience of her past life which make her stay alone and have less interaction with
people. Due to lack interaction of people she doesn’t have much network to overcome
from her past which in turn affecting her mental heath badly (Palm and 0Hochmuth,
2020). So in this situation the talking therapy will be best approach to adopt from
providing her with better treatment. She likely to interact with staff member but not other
people so by having a talk therapy it become easier for the staff member to understand
her mental situation and at the same time make her overcome from the past so that she
can be able to recover herself from these issues.
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 Physical treatment or medication: - Tina is experiencing the ongoing nightmare due to
which she is experiencing a sleeping disorder and to deal with this she takes 4 bottle of
red wine. But this is affecting her mental health very badly and tackle this, it is required
to calming down her brain. For this Diazepam medicine can be provided to her which
help in treating anxiety, seizures and alcohol withdrawal. Other than this for make her
sleep Temazepam 20 mg can be provided to her (Linardon and et. al., 2019). Additionally
she is having a issue of depression that can be treated with the help of Seroquel 25 mg.
these all the medication will support in making her mind relax, reducing her craving to
alcohol and minimising the anxiety which all are creating more issues to her such as
changing behaviour or encouraging sleeping disorder .
 Exercise, mindfulness and self-help: Other interventions that can be adopted by the
nursing staff to treat Tina is to arrange exercise sessions for her, as physical exercise is
consider to be a better way to gain peace of mind and making body healthier. Other than
this by having a regular communication it become easier to make her talk about her
situation (Sim, Crookes, Walsh and Halcomb, 2018). With the help of this it become
easier to make her realise about the behaviour that is affecting her health and can be
improved to get a better life. Additionally, she can also be involved by the staff member
within reviewing the plan for care so that it become possible to make her more engaged
in helping her self for better health condition.
D) The ethical and legal implication that nurses must consider for client
The ethics are consider to be crucial part within the treatment and medical intervention
taken by the medical staff. This help the medical staff members in remain true to their profession
which considering the ethics when they get confused and found difficult while working. In case
of Tina she is suffering from mental disorder and to provide her with treatment it is crucial to
follow all the ethical consideration (Wong and et. al., 2018). Most commonly there are four
ethics to be consider while offering treatment of mental illness. These are,
 Autonomy: This ethics state that the medical staff must respect the autonomy of patient
while providing treatment to them or choosing the intervention for their treatment. The
medical staff must consult with Tina before providing her treatment as it is essential to
have will of Tina before implementing nay kind of intervention over her. As ethics said
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that a treatment must be provided to patient only when he get agrees and comfortable in
getting that intervention to be implemented.
 Beneficence: The term beneficence indicates that those cations must be undertaken
which promote the well being of others. So, the medical staffs must try to take actions
that remains within the best interest of Tina as she is already suffering from so many of
issues and also not able to recover from them (Seidler and et. al., 2018). Additionally, her
treatment of grief recovery was also failed, so those interventions must be adopted which
remains better toward her health.
 Non-maleficence: This is actually a kind of oat that doctors take while entering into the
profession i.e. not to harm patient for doing good to them. Hence, before providing any
treatment to Tina it is crucial for the medical staff to firstly evaluate the treatment
procedure effectively that it do not harm her in any manner.
 Justice: This ethics means that each patient must be treated equally and fairly which care
is distribute among all the patients and there must not be any kind of biasness while
treating the patients (Williamson, Rash, Campbell and Mothersill, 2019) Tina is having a
harsh attitude and rude toward people in care home, so due to this behaviour the staff
members must not remain partial toward her while providing treatment rather they must
remain fair and ensure equality while delivering the treatment.
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REFERENCES
Books & Journals
Barry, K. M., & et. al., (2018). Psychological health of doctoral candidates, study-related
challenges and perceived performance. Higher Education Research &
Development, 37(3), 468-483.
Blank, R. & et. al., (2019). International clinical practice recommendations on the definition,
diagnosis, assessment, intervention, and psychosocial aspects of developmental
coordination disorder. Developmental Medicine & Child Neurology, 61(3), 242-285.
Dollard, M. F., Dormann, C., Tuckey, M. R., & Escartín, J. (2017). Psychosocial safety climate
(PSC) and enacted PSC for workplace bullying and psychological health problem
reduction. European Journal of Work and Organizational Psychology, 26(6), 844-857.
Linardon, J. & et. al., (2019). Meta-analysis of the effects of third-wave behavioural
interventions on disordered eating and body image concerns: Implications for eating
disorder prevention. Cognitive behaviour therapy, 48(1), 15-38.
Noonan, M., Doody, O., Jomeen, J., & Galvin, R. (2017). Midwives’ perceptions and
experiences of caring for women who experience perinatal mental health problems: An
integrative review. Midwifery, 45, 56-71.
Palm, R., & Hochmuth, A. (2020). What works, for whom and under what circumstances? Using
realist methodology to evaluate complex interventions in nursing: A scoping
review. International Journal of Nursing Studies, 109, 103601.
Rickwood, D. & et. al., (2019). Australia's innovation in youth mental health care: the headspace
centre model. Early intervention in psychiatry, 13(1), 159-166.
Seidler, Z. E. & et. al., (2018). Men in and out of treatment for depression: strategies for
improved engagement. Australian Psychologist, 53(5), 405-415.
Sim, J., Crookes, P., Walsh, K., & Halcomb, E. (2018). Measuring the outcomes of nursing
practice: A Delphi study. Journal of Clinical Nursing, 27(1-2), e368-e378.
Williamson, T. M., Rash, J. A., Campbell, T. S., & Mothersill, K. (2019). Ethical considerations
in assessment and behavioral treatment of obesity: Issues and practice implications for
clinical health psychologists. Professional Psychology: Research and Practice.
Wong, Y.C.I. & et. al., (2018). National Mental Health Service Planning Framework-
Implementation of joined-up regional planning of mental health service
delivery. International Journal of Integrated Care (IJIC), 18.
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