NUR2488 All Modules Discussions Latest 2019 January Question # 00599441 Course Code : NUR2488 Subject: Health Care Due on: 03/14/2019 Posted On: 03/14/2019 12:07 PM Tutorials: 1 Rating: 4.7/5

NUR2488
Mental Health Nursing

Module 2
Discussion

The Nurse-Client Relationship

In this discussion, we’ll talk about the nurse-client
relationship and the use of therapeutic communication as an important part of
that relationship. Please answer the following questions:

What are your concerns or fears about mental health nursing
in general? Are you interested in mental health nursing, or do you approach the
topic with some anxiety?

What do you feel are essential aspects of a good
nurse-client relationship?

Please include an example of how you established good
rapport and a good professional relationship with a patient in the work or
clinical setting. What nonverbal and verbal techniques did you use in this
relationship?

NUR2488
Mental Health Nursing

Module 4
Discussion

Interventions for a Patient in the Clinical Setting with a
Mood Disorder

In this discussion, you’ll describe a patient with a mood
disorder and the appropriate nursing interventions. Please answer the following
questions in your initial posting:

Describe a client from your clinical setting or previous
experience who experienced depression or mania. Include a brief history and 3-5
most pertinent medications.

Identify one problem that was not resolved with the
treatment regimen. What are the reasons it may not have been successful?
Include nursing as well as other team members.

Identify one effective nursing intervention and why you feel
it worked.

Overall, do you feel this client was kept safe? Why or why
not?

Please provide supporting evidence for your answers.

NUR2488
Mental Health Nursing

Module 5
Discussion

Therapeutic Interventions for Clients with Severe Anxiety or
Panic

In this discussion, we’ll discuss anxiety, effective and
ineffective interventions, and stress management. Please include the following
in your initial posting:

Describe a client from your clinical setting or work who
experienced severe anxiety or panic. Include a brief history and three most
pertinent medications.

Describe the assessment process for this patient.

Identify at least one effective and one non-effective
nursing intervention. Why did they work? What didn’t work?

Name and describe two stress reduction techniques you have
used and whether they were helpful or not in reducing stress.

NUR2488
Mental Health Nursing

Module 6
Discussion

Schizophrenia from Patient’s Point of View

Think about a client with schizophrenia that you know about
from personal, work or clinical experience, or from news media or other
sources. Describe the individual.

What are the positive and/or negative symptoms?

What are the person’s struggles? What treatments have been
tried and failed? What works?

If you were that person, what would you like to tell your
nurse about yourself, your needs, and your fears?

Please provide evidence from professional sources to support
your information. Include examples of your prior experience with a client who
was having a problem with delusions and/or hallucinations.

NUR2488
Mental Health Nursing

Module 7
Discussion

Borderline Personality Disorder

Read the case study about Borderline Personality Disorder
and answer the following questions in your initial posting:

MODULE 07 CASE STUDY

S.is a 48-year-old divorced woman with one adult daughter
and three grandchildren. She is currently working as an LPN part time in a
nursing home and also works at a convenience store one or two days per week.
She has had many jobs over the last 22 years, usually changing every one or two
years. S notes that she has been called less often to work in the convenience store
and worries that they don’t like her anymore. She reports being written up
several times for arguing with customers. She also reports that her supervisor
at the nursing home “is a bitch”; although she really liked her supervisor at
first, she says “Now I hate her; she’s trying to get me fired.” S. reports that
she has tried to get fulltime jobs five times in the last four years, was hired
for three, but only lasted one or two weeks at each one.

S. reports that she is currently not talking to her daughter
because “she is horribly mean to me and she needs to apologize or I won’t talk
to her again”. She is upset that she hasn’t seen her three small grandchildren
in about a year. She sends them presents and cards frequently that say “I still
love you! Grandma”, but hasn’t called them since she stopped talking to her
daughter. She is considering reporting to the county that her daughter is
keeping her grandchildren from her.

S. is very unhappy that she isn’t in a relationship. She was
abused by her ex-husband, and has a pattern of meeting and dating men who
eventually abuse her. She states that her last relationship was very good,
however; the man was not abusive and “I loved himvery much”. The relationship
ended for reasons that S. doesn’t understand, although she does report many
arguments that ended in “scenes” such as her throwing chairs, stomping out of
the house, making crank phone calls to his family, and calling the police with
false reports. But S. also reports that she “couldn’t have loved him more and I
showed it”. She gives examples of going to her boyfriend’s place of work with
flowers, buying him expensive presents, surprising him with tickets to Mexico
at the last minute – she was very upset that he wasn’t willing to drop
everything and go with her. S. reports asking him why he didn’t love her and
what she was doing wrong on a regular basis. When the boyfriend asked to break
up, S. reports sitting outside his house for weeks, crying; she called his
mother, called his boss, and called and texted him until he filed a restraining
order. This occurred about 4 months ago.

S. admitted herself to the mental health unit when she felt
suicidal. She reports that she had stopped her individual psychotherapy 3
months ago and stopped going to DBT. She also stopped her anti-depressant at
that time, as she felt it wasn’t working, and missed her last two psychiatrist
appointments.

How would you use therapeutic communication and principles
of cognitive behavioral therapy with the client?

Describe your assessment process. What are some likely
co-morbid conditions? List one nursing diagnosis and an appropriate nursing
intervention.

What interdisciplinary referrals might be appropriate?