Psychiatric
Case Study, Chapter 3, Psychosocial Theories and Therapy1. The student nurse, in the clinical setting of a behavioral health care center, hasbeen assigned by the clinical instructor to act in the role of a participantobserver during interaction with an anxious and withdrawn client. The student isreminded that positive client outcomes depend on the nurse’s ability to maintainself-awareness, respect for the client’s unique individuality, and client-centeredinteraction. (Learning Objectives: 1 and 4)a. Identify which theory is being used in this situation. Describe the specificcomponents of that theory.b. What are the most influential factors that determine a client’s response totherapeutic interventions? How can the student nurse facilitate a positiveoutcome?Case Study, Chapter 7, Client’s Response to Illness1. 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, andthis is the initial interview in the client’s home. Phi’s father Anh is present duringthe visit. Throughout the interview, Phi makes poor eye contact with the nurseand refers all questions to her father. (Learning Objectives: 5, 6, and 7)a. What is the nurse’s role in assessing and working with this client in the homecare setting?b. When Anh, Phi’s father, requests that the nurse assist with banishing the evilspirits in Phi in order to restore emotional harmony, what would be the bestresponse for the nurse to make?Case Study, Chapter 10, Grief and Loss1. Nancy is a 59-year-old client who is grieving the loss of her 14-year-old Maltesedog that has recently died of congestive heart failure. Nancy has experiencedfatigue, lack of energy, and mild depression. These symptoms have caused herto miss work. When her coworkers ask why she is feeling so tired, Nancy makesexcuses by saying that she “just can’t seem to sleep well at night.” Nancy tellsthe nurse that she is reluctant to be honest with her colleagues because shethinks that they will not understand her overwhelming feelings of sadness andgrief related to the death of her pet. (Learning Objectives: 5, 6, and 8)a. What is the cultural significance of Nancy’s fear of sharing her feelings withher colleagues?b. Which nursing diagnosis applies to Nancy?Case Study, Chapter 17, Mood Disorders and Suicide1. Julia, age 62 years, became severely depressed 6 years ago when her sonexperienced a traumatic brain injury sustained in an automobile accident. Shehas been nonadherent with pharmacologic antidepressant therapy, which hasled to her admission to an acute care psychiatric setting. During the assessmentinterview, she reports becoming increasingly forgetful and now has difficultysleeping and concentrating. A physical assessment shows that she has lost 30pounds during the last year as a result of “not being interested in eating.” Herhome needs repairs, and she feels overwhelmed with completing themaintenance required. Julia reports “feeling helpless and alone,” adding that she“is alone and no one cares.” (Learning Objectives: 3, 4, and 6)a. Determine three nursing outcome statements that would apply to Julia, andlist them in order of priority.b. Julia was started on sertraline (Zoloft). What client teaching should be donewith Julia regarding the sertraline?Homework requirement: All questions need to be answered with 300 words or more.
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