Highlights
Define
A) voluntary
B) Involuntary admission,
C) Explain why you think Liam has been admitted under an Involuntary admission
Refer to your State/Territory Mental Health Act.
Reference required.
Voluntary – is when the consumer is seeking treatment for mental illness and is treated as though they are fully competent and retain the rights to receive or withhold consent to treatment.Involuntary – when the consumer is admitted to a facility under the mental health legislation act and are a danger to themselves or others and thus limits their legal capacity to refuse or consent to treatment.Liam has been admitted under involuntary admission as according to the Mental Health Act 2016 his mental illness is preventing him from recognising that he needs care and indicates he has suicidal thoughts that put himself and family members in harm’s way, therefor he may be forced to go to a hospital or mental health facility without their consent to be assessed.Queensland Government. (2021, July 02). Queensland Health . Retrieved from Mental Health Act 2016: https://www.health.qld.gov.au/clinical-practice/guidelines-procedures/clinical-staff/mental-health/actEvans, K., Nizette, D., & O'Brien, A. (2016). Psychiatric and mental health nursing. ProQuest Ebook Central HYPERLINK "https://ebookcentral-proquest-com.torrens.idm.oclc.org/" \t "_blank" https://ebookcentral-proquest-com.torrens.idm.oclc.org
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Part 1: Question 2 The statements below explain the application of Mental Health legislation to an enrolled nurses’ own work practices and health care setting. In understanding what the key features of Mental Health legislation represent, match a key feature to the most appropriate statement.
Key Features:
Confidentiality
Objective
Involuntary review process
Community treatment orders
Involuntary admission
Admission procedures
Consumer rights
Seclusion and restraint
Role of the mental health practitioner
Consent
Reference required.
Key Feature Statement
ObjectiveAn example of this is to protect the civil rights of those persons with a mental health condition.
Consumer rightsThese are detailed in the Australian Charter of Healthcare Rights, and include the right to access, safety, respect, communication, participation, privacy and comment/feedback
Involuntary admissionIs applied to a consumer with a mental illness who requires inpatient treatment, and they are not giving their consent.
Admission procedures Requires being seen by an authorised medical officer as the first step.
Role of the mental health practitionerProvides authorisation of care in the best interest of the person with a mental health condition and is guided by the mental health act.
ConfidentialityAll health workers must respect the client’s right to privacy and not divulge personal or medical information gain in the process of caring for a client in a healthcare setting, this is regardless of the clients admission status.
Seclusion and restraint Are to be applied as a last resort and must be authorised.
Involuntary review process A procedure by which the client’s status is reviewed in a regulated and timely manner to ensure least restrictive care is applied in the best interests of the person with a mental health condition and the public.
Consent A person can give informed consent if they:
have capacity to give informed consent to the treatment or medical treatment proposed
have been given adequate information to enable the person to make an informed decision
have been given a reasonable opportunity to make the decision
have given consent freely without undue pressure or coercion by any other person
have not withdrawn consent or indicated any intention to withdraw consent.
The Mental Health Act permits an authorised psychiatrist to make a treatment decision for a patient who:
does not have capacity to give informed consent to the treatment proposed by the authorised psychiatrist or
has capacity to give informed consent to the treatment proposed by the authorised psychiatrist but has not given informed consent to that treatment.
Community treatment orders Compulsory treatment in the least restrictive manner.
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Part 1: Question 3 As a mental health nurse, it’s important to have a foundation upon which you build your nursing practice. In your care of a person with depression, explain how you would apply Hildegard Peplau’s nursing theory to this mental health context (50 words or less).
Reference required.
Response:
Hildegard Peplau’s nursing theory was based around Interpersonal Relationships. In the mental health setting we can apply this theory by actively listening to the patients concerns and what may be causing their depression by exploring their experiences and behaviours. By using evidence based practices we can modify our approach to treatment that best suits the learning styles of the patient to achieve outcomes of self-management and improved desired behaviours. BIBLIOGRAPHY \l 3081 Gonzalo, A. (2021, July 02). Nurselabs. Retrieved from Hildegard Peplau: Interpersonal Relations Theory: https://nurseslabs.com/hildegard-peplaus-interpersonal-relations-theory/?fbclid=IwAR2GtS7N9BCXB_O8J1Zb7v9VEewIs7sXq5s-wETIpb6ABV7CINmcTUsWeLwNumber Question
Part 1: Question 4 An important component of an enrolled nurse’s work is in supporting the rights of the person with a mental health condition and working towards diminishing the impacts of negative stereotyping.
.
Identify one (1) impact each for negative stereotyping, discrimination and stigma and provide a 20-30-word explanation for how you would positively interact with and support a client with depression and his carer, experiencing these potential impacts.
Discrimination
Stigma
Negative stereotyping
Response: Impact Interaction and supporting dialogue.
Discrimination StigmaNegative Stereotyping Reference required.
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Part 1: Question 5 As an Enrolled Nurse, you are required to communicate and work within the Mental Health Multidisciplinary Team. To do so effectively, you are required to understand and use the correct medical terminology,
For the terms and philosophies listed below,, explain your understanding in your own words and in 20-30 words for each, write your understanding of it in the definition box.
Reference required.
Term Definition
Community treatment order Deinstitutionalisation Least restrictive environment/setting/alternative Continuity of care Burnout Feelings of failure stem from a pattern of emotional tiredness and irritation with work, clients, and co-workers.Consumer A person who uses or has used a mental health service.Early intervention Mental disorder Recovery A very personal, one-of-a-kind method for altering one's attitudes, values, feelings, objectives, abilities, and/or roles. It's a way of life that's fulfilling, hopeful, and useful. As one develops past the disastrous impacts of psychiatric disability, recovery entails the formation of new meaning and purpose in one's life.Person-centred planning Primary mental healthcare Social inclusion Emphasizing on activities and initiatives that promote individual rights and access to resources that help to eliminate health disparitiesReference required.
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Part 1: Question 6 As an Enrolled Nurse, you may be involved in care of patient with complex mental health care.
Demonstrate your understanding of these by researching The international classification of Mental and Behavioural Disorders (ICD-10) or the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5), and your texts. Then, complete the table below. For each condition:
List two Clinical Manifestations.List two (2) types oof Nursing Interventions within your Scope of practice as an EN , r ( .
Mental health condition Behaviour or mental State EN role in management or treatment
Major Depressive Disorder Panic disorders Social phobia Obsessive Compulsive Disorder Post-Traumatic stress disorder Anorexia Nervosa Borderline Personality disorder Schizophrenia Dementia Delirium Anxiety disorder Psychosis Organic disorders Bipolar disorder Number Question
Part 1: Question 7 Alison is experiencing similar behaviours and mental patterns as Liam.
View this video involving an interview with Alison and perform a brief Mental Health Assessment using the Mental Health Assessment framework below. You will use this assessment to report to the multidisciplinary team. https://www.youtube.com/watch?v=4YhpWZCdiZc&t=45sMedical Status Examination
Date and Time Nursing Entry
Appearance and General Behaviour:
Mood:
Affect:
Thought content:
Thought rate:
Thought disturbance:
Speech: (Rate/volume/content):
Perception:
Attention/Concentration:
Sensorium and cognition:
Insight/Judgement:
Signs and Symptoms of reduced physical health:
Strengths:
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Part 1: Question 8 An important element for caring of Mental health patient client is provide strategies to manage oral health issues :
A) Why are mental health clients at higher Risk for Oral health issues.
B) State two strategies for managing Oral health issues.
Reference required.
Response:
Part A:
Part B:
Reference:
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