Assignment: Psychiatric
Case Study I: Psychosocial Theories and Therapy
The student nurse, in the clinical setting of a behavioral health care center, has been assigned by the clinical instructor to act in the role of a participant observer during interaction with an anxious and withdrawn client. The student is reminded that positive client outcomes depend on the nurse's ability to maintain self-awareness, respect for the client's unique individuality, and client-centered interaction.
1) Identify which theory is being used in this situation. Describe the specific components of that theory.
2) What are the most influential factors that determine a client's response to therapeutic interventions? How can the student nurse facilitate a positive outcome?
Case Study II: Client's Response to Illness
The student nurse is making a home visit with the community psychiatric nurse. The client, a young woman named Phi, is scheduled to receive home care, and this is the initial interview in the client's home. Phi's father Anh is present during the visit. Throughout the interview, Phi makes poor eye contact with the nurse and refers all questions to her father.
1) What is the nurse's role in assessing and working with this client in the home care setting?
2) When Anh, Phi's father, requests that the nurse assist with banishing the evil spirits in Phi in order to restore emotional harmony, what would be the best response for the nurse to make?
Case Study III: Grief and Loss
Nancy is a 59-year-old client who is grieving the loss of her 14-year-old Maltese dog that has recently died of congestive heart failure. Nancy has experienced fatigue, lack of energy, and mild depression. These symptoms have caused her to miss work. When her coworkers ask why she is feeling so tired, Nancy makes excuses by saying that she "just can't seem to sleep well at night." Nancy tells the nurse that she is reluctant to be honest with her colleagues because she thinks that they will not understand her overwhelming feelings of sadness and grief related to the death of her pet.
1) What is the cultural significance of Nancy's fear of sharing her feelings with her colleagues?
2) Which nursing diagnosis applies to Nancy?
Case Study IV: Mood Disorders and Suicide
Julia, age 62 years, became severely depressed 6 years ago when her son experienced a traumatic brain injury sustained in an automobile accident. She has been nonadherent with pharmacologic antidepressant therapy, which has led to her admission to an acute care psychiatric setting. During the assessment interview, she reports becoming increasingly forgetful and now has difficulty sleeping and concentrating. A physical assessment shows that she has lost 30 pounds during the last year as a result of "not being interested in eating." Her home needs repairs, and she feels overwhelmed with completing the maintenance required. Julia reports "feeling helpless and alone," adding that she "is alone and no one cares."
1) Determine three nursing outcome statements that would apply to Julia, and list them in order of priority.
2) Julia was started on sertraline (Zoloft). What client teaching should be done with Julia regarding the sertraline?
Format your assignment according to the following formatting requirements:
(1) The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
(2) The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
(3) Also include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.