What types of challenges have you encountered in working with patients with mental health issues?

  1. What types of challenges have you encountered in working with patients with mental health issues? How do you feel these challenges would be different in a community-based setting? Would it be easier or more difficult and why?
  2. Discuss scenarios in which community health nurses might encounter ethical issues related to mental health. Examples could include hospice patients wanting to end their lives or asking nurses to give them too much medication; school nurses having students confide things to them that indicate serious mental health issues; nurses working in homeless shelters whose patients are abusing drugs and potentially exposing others to a communicable disease, etc.

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used (excluding the class textbook).  A minimum of 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 700 words is required.  

Chapter 27 Psychiatric Care and Mental Health in the Community

The Unique Role and Perspective of Psychiatric–Mental Health

Engages in therapeutic use of self

Presence

Self-reflection

Nursing in Caring for the Public’s Health

Demographic changes

Patterns of disease

Methods of control and prevention of health problems

Wellness focus

Definition of Mental Health

Mental health involves connection of body, mind, and spirit, in mental and physical wholesomeness.

History of Mental Health in the Community

Early humanitarian reform in mental health

Community mental health reform in the 1960s

History and Spirit of Psychiatric–Mental Health Nursing in the Community

State of the science of psychiatric–mental health nursing

Levels of psychiatric–mental health nursing practice

Basic-level function

Advanced-level function

Individuals and Population Groups Needing Psychiatric–Mental Health Services

Loss, death, separation

Crisis

Anxiety

Depression

Illness—acute and chronic

Stress and coping

Teens

Individuals and Population Groups Needing Psychiatric–Mental Health Services (cont.)

Victims of violence

American families

Elderly population

Models for Psychiatric–Mental Health Nursing Practice

Public health model

Primary care model

Primary mental health care model

Using reflection in nursing education and practice

Using a phenomenological perspective:

Understanding the public’s mental health lived experience, one person at a time

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