Describe how you would approach Miss C in the situation above to facilitate therapeutic communication. How would the nurse encourage Miss C to perform her activities of daily living

MENTAL HEALTH (VSP20): Miss C


Assignment 1: Case study
Learning Outcomes
Please refer to course outline
Learning Objectives
Please view objectives in syllabus
Directions

  1. Read the following case study and reply to the questions. Please note that while your responses do not need to be in the form of a formal essay it is expected that all responses contain your rationale and are supported by credible sources referenced using APA 6th or 7th edition.
  2. When you are being asked to give answers in your own words, this means
    you will read the research related to the topic, paraphrase the ideas you
    have read into your own words and then use in-text citations appropriately.
  3. You may use a MAXIMUM of three direct quotations in this case
    study. Please ensure you understand how to properly use direct
    quotations.
  4. Submit your assignment via drop box by 2359hr on the assigned due date.
    Case Study
    Miss C is a 34-year-old female who was brought into hospital by ambulance after
    being found slumped over in the front seat of her car outside her previous place of
    work. There were two empty bottles of sleeping pills beside her in the car. She was
    treated medically for an overdose, is medically cleared, and is now admitted to an
    inpatient psychiatric unit for further assessment and diagnosis. Miss C’s hair is
    matted in areas, she has a strong body odor, and the clothes that arrived on the
    unit with her are stained and dirty. Miss C is refusing to come to the dining room
    for breakfast and refusing to get out of bed to do morning care.
    You are the nurse on dayshift caring for Miss C.
  5. Discuss four concerns related to the assessment information presented in the
    case study above. Recommend two further assessment questions you feel
    are appropriate at this time. (6 marks)
  6. Describe how you would approach Miss C in the situation above to facilitate
    therapeutic communication. How would the nurse encourage Miss C to
    perform her activities of daily living. (2 marks)
    Miss C gets out of bed with help and is standing in the bathroom with her
    toothbrush. She says to you “what is the point of brushing my teeth anyways, it
    isn’t like I’m going to make it to my next dentist appointment.”
    MENTAL HEALTH (VSP20)
  7. List two essential questions that you would ask Miss C to clarify her
    statement and fully assess for suicidal ideation and intent. (2 marks)
  8. List six safety concerns for the patient on a mental health unit when they are
    expressing suicidal ideation. What should you check for to ensure patient
    safety? (6 marks)
    Miss C has been on your unit for one week and states “these medications are not
    working properly; the doctor chose the wrong one”. When you ask her why she
    believes that, she states, “I’m not feeling any better yet, I’m still feeling sad and
    pathetic”.
  9. How would you respond to Miss C’s concern that her medication is not
    working? (2 marks)
    Miss C is treated and released five weeks from her admission date. Five months
    later you are taking report on your evening shift and you hear a name that sounds
    familiar. Miss C has been admitted to the unit for monitoring. She was brought into
    the emergency department with the police after creating a disturbance at a mall in
    the city. She was verbally and physically abusive to staff in the emergency
    department and her boyfriend states she has been increasingly bizarre for the last
    few weeks. He reports that she believes that she has found the cure for cancer and
    has been sleeping very little. He is worried as she is spending all of her money on
    advertising her cure for cancer and has been drinking alcohol and taking street
    drugs to keep herself awake. He states she has been “irritable” and they “have
    been arguing a lot.” Two nights ago, Miss C left their home after an argument and
    he has not seen her since. Miss C is diagnosed with Bipolar Disorder.
  10. Miss C’s family is upset about her diagnosis. Describe how you would explain
    bipolar disorder to Miss C’s family. (2 marks)
  11. Discuss three patient safety concerns as they relate to acute mania in the
    bipolar patient. Include your rationale for each concern. (6 marks)
    Miss C’s treatment progresses well, and her mood stabilizes. She is ready for
    discharge but there is concern from the psychiatrist that she will not comply with
    treatment upon discharge. Her family also shares this concern as Miss C states that
    she” doesn’t need to keep taking the medication” that has been prescribed for her
    bipolar disorder once she is back home.
  12. Discuss community treatment orders (CTO) as it relates to bipolar disorder.
    In your own words describe why a patient may be issued a CTO. (2 marks)
    Miss C is being discharged from hospital on your shift. She is going home on a
    therapeutic dose of lithium as well as valproic acid.
    MENTAL HEALTH (VSP20)
  13. In your own words, describe the priority teaching points related to the
    lithium and valproic acid that you would discuss with Miss C during her
    discharge teaching. (4 marks)
  14. Discuss why it is important to therapeutically end the nurse-patient
    relationship prior to discharge. (2 marks)
    10.Explain the importance of professional self-reflection when working with
    patients in the mental health setting using current literature. (4 marks)
    MARKING RUBRIC
    Points 100% 75% 50% 25% Score
    Content
    Questions
    1-10
    Marks are
    allocated per
    question as
    listed in Case
    Study.
    All data in
    question is
    relevant with
    exceptional
    depth to answers and
    applicable to case
    study.
    Shows exceptional
    understanding of
    the material and
    evidence of critical
    thinking
    Data is relevant,
    appropriate depth and
    applicable to the case
    study.
    Shows an acceptable
    understanding of
    material with
    evidence
    of critical thinking
    Some data is not
    relevant or
    appropriate to the
    case study
    Lacks depth in
    answers
    Shows some
    understanding of
    material
    Evidence of critical
    thinking not well
    presented
    Most data not
    relevant or
    appropriate to the
    case study.
    Lack of depth in
    answers or questions
    skipped.
    Shows lack of critical
    thinking and
    understanding of
    material /38
    Grammar
    and
    Mechanics
    No errors in spelling,
    grammar, or
    mechanics
    Very few minor errors
    in spelling, grammar,
    or mechanics
    Quite a few errors in
    spelling, grammar, or
    mechanics
    Major errors in
    spelling,
    grammar, or
    mechanics
    /4
    APA
    Formatting
    No errors in APA
    formatting
    Very few, minor errors
    in APA formatting
    Quite a few errors in
    APA formatting
    Major errors in
    APA formatting /4
    Research Research on the topic
    is thorough and
    academically rigorous
    with a minimum of
    three current sources
    used
    Research on the topic
    is acceptable with a
    minimum of three
    current sources used
    Research on the topic
    is poor and/or less
    than three current
    sources used
    Minimal research
    evident. Less than
    three current sources
    used
    /2
    TOTAL /48
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