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Mental Illness Case Studies

Mental Illness Case Studies

Case Study: Chapter 3 Psychosocial Theories and Therapy

1. The student nurse, in the clinical setting of a behavioral health care center, has been assigned by the clinical instructor to act in the role of a participant observer during interaction with an anxious and withdrawn client. The student is reminded that positive client outcomes depend on the nurse’s ability to maintain self-awareness, respect for the client’s unique individuality, and client-centered interaction. (Learning Objectives: 1 and 4)

a. Identify which theory is being used in this situation. Describe the specific components of that theory.

b. What are the most influential factors that determine a client’s response to therapeutic interventions? How can the student nurse facilitate a positive outcome?Case Study: Chapter 7 Client’s Response to Illness

1. 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, and this is the initial interview in the client’s home. Phi’s father Anh is present during the visit. Throughout the interview, Phi makes poor eye contact with the nurse and 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 home care setting?

b. When Anh, Phi’s father, requests that the nurse assist with banishing the evil spirits in Phi in order to restore emotional harmony, what would be the best response for the nurse to make?

Case Study: Chapter 10 Grief and Loss

1. Nancy is a 59-year-old client who is grieving the loss of her 14-year-old Maltese dog that has recently died of congestive heart failure. Nancy has experienced fatigue, lack of energy, and mild depression. These symptoms have caused her to miss work. When her coworkers ask why she is feeling so tired, Nancy makes excuses by saying that she “just can’t seem to sleep well at night.” Nancy tells the nurse that she is reluctant to be honest with her colleagues because she thinks that they will not understand her overwhelming feelings of sadness and grief 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 with her colleagues?

b. Which nursing diagnosis applies to Nancy?

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