Principles of Mental Health Nursing Clinical
Clinician’s Guide to Mental and Behavioral Health: Personality Disorder Day 1: What makes you most stressed out? Can you do something about this? What factors make a difference? There are many things in my life that could cause me stress, but I think my job is the biggest one. My job is fast-paced and has a lot of pressure, which can be very stressful. This can change, though, if I look for a new job or change how I feel about the one I have. One of the things that makes me stressed is that I have a lot of responsibilities at work. I work a lot of hours, but I don’t get paid very well.
2. What have you done in your life to deal with stress? What other skills might help you deal with stress? How could you use them in your everyday life? I’ve dealt with stress in my life by taking breaks when I need to, talking to people around me in an open and honest way, and working out regularly. Meditation, writing in a journal, and spending time in nature are also things that might help me deal with stress. I could use these ways to deal with stress by giving myself time every day to meditate, write in a journal, or go for a walk outside.
What are three false beliefs about people who try to kill themselves? What are two cultural and/or social things that can make someone want to kill themselves? These could be things that either raise or lower the risk of suicide. There are a lot of wrong ideas about suicide and behavior that leads to suicide. Some people think that suicide is selfish, that only weak people try or finish it, or that people who talk about suicide don’t actually do it. But suicide isn’t a sign of selfishness, weakness, or a need for attention. People of all ages, races, and socioeconomic backgrounds have problems with suicide. Some cultural and social factors that contribute to suicide are being alone, having a bad reputation, and not having access to mental health services.
4. Summarize each article’s findings and include an APA citation.
The article talks about what people with Borderline Personality Disorder and their families go through. The authors found that patients often felt shame, guilt, and fear, among other negative feelings (Barr et al., 2020). Patients also said that their families didn’t understand them or help them, and that mental health professionals didn’t understand them either (Barr et al., 2020). The study gives important information about how people with BPD and their family members live their lives. The results show that mental health professionals need to know more about BPD and that this group of people needs easier access to affordable treatments that are backed by research.
5. What do the articles you read not tell you? Do you notice any kinds of bias? One problem with the study is that the sample size is small and the people who took part are not very different from each other. There is no evidence of bias.
6. BPD case study: answer the questions on the next few slides in full sentences.
3: Before going into the room, I would take a few moments to find out as much as I could about the patient. This would help me give the best care possible. This could involve reading the patient’s chart, talking to other staff members who have worked with the patient, and looking at the patient’s medical history. When I walk into the room, I’ll say hello to the patient and tell them what I’m going to do. I would then do a general survey of the patient, looking for obvious signs of pain or distress. If the patient seems to be in pain, I will take steps as soon as possible to make them feel better. This could mean giving the patient medicine, helping them feel better, or setting up an appointment with a pain specialist.
6: Medication
Therapeutic Classes, How They Work, What Side Effects They Cause
Valproic Acid is an anticonvulsant and antiepileptic. It works by increasing the amount of gamma-aminobutyric acid (GABA) in the brain. It also blocks voltage-gated sodium channels, which can cause drowsiness, dizziness, tremor, nausea, vomiting, diarrhea, weight gain, hair loss, skin rash, easy bruising or bleeding, and changes in liver function tests.
Clonazepam benzodiazepine
It binds to GABA receptors in the brain and makes GABA bind to these receptors more strongly. This slows down the ability of neurons to get excited, which has a calming effect. -Drowsiness -Fatigue -Dizziness – less coordination, less memory, slurred speech, and trouble focusing.
Zolpidem sedative-hypnotic drug
It works because it slows down the brain’s activity and makes you sleepy.
Zolpidem can make you feel dizzy, give you a headache, make you sick, or make you throw up.
Gummy Vitamins supplement
Stomach problems, like diarrhea or not being able to go to the bathroom.
If you take benzodiazepines with hypnotics, they may make the hypnotics even more relaxing. This can make you tired, slow your reflexes, and make it hard to make good decisions. If you stop taking a benzodiazepine all of a sudden, you might have withdrawal symptoms. Some of these symptoms are anxiety, trouble sleeping, anger, and headaches. In very bad cases, you might also have seizures.
9: The patient’s risk factors that can be changed are her diet, how often she works out, and the fact that she sometimes uses cocaine. The patient’s family history and her recent breakup are risk factors that she can’t change.
11: Both the patient’s heart rate and breathing rate are high, which could mean that they are in pain or anxious. Their blood pressure is a little low, but it is still within the normal range. Their level of oxygen is good.
13: Pain in the body, like headaches, stomachaches, and body aches, can be caused by pain in the mind. It can also make you tired, make you sleepless, and make you lose your appetite.
15: As an LPN, I can take care of the pain and the symptoms that come from it. The most important thing is to ease the patient’s pain and make sure they are comfortable. The pain the patient is feeling is the main problem that needs to be fixed by a doctor. On a scale from 0 to 10, the pain is a 5, and the patient says it’s gotten worse in the last 6 hours. The patient also says that doing too much makes the pain worse and that Percocet helps ease the pain.
20. The patient is having withdrawal symptoms, and Lorazepam is given to help ease these symptoms. The medicine should start working in about 30 minutes to an hour. To see if the medicine is working, the patient’s vital signs and level of consciousness will be watched.
1. The ER nurse will tell Clementine about the importance of mental health and how it affects physical health. She will also tell her about the signs and symptoms of mental illness, as well as where to get help and treatment.
2. Psychiatric Nurse: The psychiatric nurse will teach Clementine how important it is to take care of her Borderline Personality Disorder by giving her information about the disorder’s signs and symptoms as well as resources for treatment and support.
7. Think about the game of waiting. What did you think about how the patient talked to the nurses, in particular?
The inpatient game was a great way to learn how to talk to people who were sick. The patient and the nursing staff got along very well. I learned a lot about how to talk to people and make friends with them.
Reference
Barr, K. R., Jewell, M., Townsend, M. L., & Grenyer, B. F. S. (2020, September 7). Patients and family members talk about what it’s like to live with a personality disorder and get help for it. Borderline Personality Disorder and Emotional Dysregulation, 7 (1). https://doi.org/10.1186/s40479-020-00136-4
