Mental Health 4

1) Type the definition of each of the KEY TERM from the 1st page of each of the 39 chapters from the Psychiatric—Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices by Wanda K. Mohr.

2) Cite the page in the textbook each key term is found.

3) Submit all the Key Terms in one document.

 

Discussion Topics, Mohr

Chapter 21, Forensic Psychiatric Nursing

 

Discussion Topics Learning Objective
1. You have just graduated from nursing school and you are considering working in forensic nursing.

a. Explain the psychiatric nurse’s role in the forensic milieu.

b. What are your fears in dealing with people in correctional facilities?

c. What do you think would be most difficult about working with the forensic client?

d. Have you ever witnessed acting-out behavior in a client? What happened? How did it make you feel? What do you think about this situation now? Were there any clues that this behavior was imminent? Looking at this situation now, could it have been prevented?

1
2. You are interviewing a forensic nurse who works in a correctional facility. The nurse begins to discuss the issues associated with special populations.

a. Choose one of the special populations that forensic nurses may interact with (juvenile offenders, female offenders, older adult offenders, offenders with HIV/AIDS or hepatitis, or offenders with terminal illness). Discuss some of the issues that a forensic nurse faces when dealing with these special populations.

2
3. While performing a clinical rotation in a hospital, you are assigned to a client that has been admitted from a local correctional facility. He was admitted with severe chest pain and it was confirmed that the client had a myocardial infarction. When assessing the client, you must be accompanied by a police officer and he must un-cuff the client from the bed so that you can perform a complete assessment. When you read the client’s chart, you find out that he is incarcerated for the attempted murder of a child.

a. Would you treat this client differently than any other client who was admitted with a myocardial infarction?

b. How is security for the forensic nurse incorporated into client care and what type of challenges does this present?

1, 2
4.  You have just graduated from nursing school and started a job at the local correctional facility in the health clinic.  Your first client is a female who has just been transferred to the correctional facility today.  She has a diagnosis of terminal cancer.  You learn she has three children and a husband that are devastated about her incarceration.  The client reports being extremely worried about her family.

a. What are the potential blocks to the assessment process with this client?

b. What are potential nursing diagnoses for this client?  What interventions could be used for each diagnosis (use the textbook for support)?

c. What strategies would you adopt when working with the client’s family?  Provide examples of how you could implement these strategies.

3

 

 

Discussion Topics, Mohr

Chapter 22, Sleep Disorders

 

Discussion Topics Learning Objective
1. After you’ve worked the 7 am to 7 pm day shift for three years, your place of employment requires that you work the night shift for one year.

a. Define the term sleep.  Have you ever experienced sleep deprivation? If so, how did you feel physically? Emotionally?

b. How well do you feel you sleep at night? Do you feel rested when you awaken in the morning?

c. Do you participate in any routines or rituals before going to bed? If so, why?

d. Do you believe that your abilities as a nurse would be compromised if you were working with sleep deprivation? Why or why not?

1, 3, 4
2. Timothy is 52 years old and has just developed problems with sleeping. After conducting an interview with Timothy, it is determined that the use of alcohol, tobacco, and caffeine may be interfering with his sleep.

a. List the changes in sleep patterns that occur from infancy through the elderly years.

b. How does the use of alcohol, tobacco, and caffeine interfere with sleep?

2, 4
3. After feeling down for several months and having difficulty sleeping, Chris decided to seek help from a healthcare provider. Chris was diagnosed with major depression and was placed on an antidepressant.

a. What effect does major depression have on sleep?

b. How can the different types of medications used to treat depression effect sleep?

3, 6, 7
4.  Your 69 year old female patient is admitted for a sleep study.  She complains of sleep difficulty nightly.

a. Explain the normal changes in sleep across the lifespan to the patient.

b. What diagnostic testing would you anticipate this patient having?

c. How can the nurse assess for sleep difficulty?

d. What are some recommendations you can make for good sleep hygiene?

e. What is an appropriate nursing diagnosis for this patient?  What interventions would you use to assist the patient and why?

2, 5, 6, 8

 

 

Discussion Topics, Mohr

Chapter 23, Anxiety Disorders

 

Discussion Topics Learning Objective
1. You are caring for a client who is experiencing severe anxiety. Think about a time in your life when you have experienced anxiety.

a. Define anxiety.

b. What are your common symptoms when anxious? Pay attention to your body response and connect the response to the feeling of anxiety. Classify these as cognitive, affective, physiologic, or behavioral.

c. How is your response to anxiety similar and different when the anxiety is related to your personal life and to your experience as a nursing student?

d. What techniques do you use to reduce your own anxiety? Do they work? Do you use several techniques or only a few? Do you smoke, drink, or use food to reduce your anxiety?

1, 5
2. Alex is a 54-year-old man who has been suffering from extreme anxiety after being robbed by a man at gun point. He does not understand how anxiety results from being robbed.

a. Discuss the proposed etiology for Anxiety Disorders (PTSD) with Alex.

b. Compare and contrast acute stress disorder and post-traumatic stress disorder.

c. Describe the effects anxiety can have on sensation, cognition, and verbal ability.

4, 5, 6
3. Marsha is a 38-year-old woman who has been diagnosed with an anxiety disorder. She has little knowledge about anxiety and believes she is alone in her diagnosis.  She is also curious about the different treatment options available to treat anxiety.

a. Explain to Marsha what is meant by the term anxiety disorder.

b. To help her understand she is not alone, discuss the prevalence of anxiety disorders with Marsha.

c. Explain one of the cognitive-behavioral therapies used to treat anxiety.

d. Marsha’s psychiatrist has decided to place her on medication. What types of medications can be used to treat anxiety? Choose one of these medications and list client education you would want to provide to a client.

2, 3, 7

 

 

Discussion Topics, Mohr

Chapter 24, Somatoform, Dissociative, and Sexual Disorders

 

Discussion Topics Learning Objective
1. Mary is a 64-year-old woman who complains of chronic pain in her left arm, shoulder, and back. She has been through many diagnostic tests and no physical cause for the source of her pain can be found.

a. How do you feel about clients who constantly complain about various physical symptoms? How do you react when a client constantly complains about such symptoms? Do you think that your reaction to the clients interferes with developing a therapeutic relationship?

b. What do you believe about clients who have physical complaints but no demonstrated physiologic reason for them?

1, 2
2. Josephine is a 21-year-old woman who was sexual abused from the ages of 8 to 12. She has just been diagnosed with dissociative identity disorder.

a. What kinds of feelings do you experience when you think about working with clients who have been victims of severe physical or sexual abuse? How might these feelings affect your nursing care?

b. Reflect on times when you have been forgetful or not paying attention. How did these experiences make you feel when you realized they had occurred?

c. What nursing diagnosis would be appropriate to use with this patient?  What interventions do you believe are needed (use the textbook for support)?

5, 6, 7
3. During a patient interview, you are required to obtain information about a client’s sexual history.

a. Have you experienced a situation in which a client shared concerns about sexual issues with you? How did you feel? Were you comfortable listening? Did you seek advice about how to respond to the client?

b. What are your feelings about people who are homosexual or bisexual? How do your feelings influence your role as a professional nurse?

c. Have you ever had a problem, concern, or question related to sexual behavior? If so, how did you resolve it? Did you talk with anyone? In whom did you choose to confide? What was it about that person that made you feel comfortable discussing your concerns?

8, 9

 

 

Discussion Topics, Mohr

Chapter 25, Personality Disorders

 
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