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Original Question
Please help grade this assignment: eflect on your clinical day: 1. What were your initial reactions to your clinical site? When I first arrived at the Clinical site, I felt a combination of nervousness and anticipation. I was aware of maintaining safety and boundaries, which made me a bit anxious at first. However, seeing how organized and professional the staff were with the patients. They seemed to know all the patient names and their behaviors and what to expect from each of them, which helped ease my anxiety and gave me reassurance which helped me feel more grounded. 2. Briefly describe an interaction that you had with a client. Describe the client’s behavior (both verbal and non-verbal) as it relates to the manifestation of symptoms. Describe your thoughts and feelings during this interaction. My first interaction was with Walter, he is a 42-year-old African American male, he is diagnosed with Schizoaffective D/O bipolar disorder. He was lying on the couch resting, head covered with his hooded sweater and arms crossed over his chest. When I approached him and called his name he sat up with a big smile, not removing his hooded sweater but rubbing the side of his face, I asked if I could sit with him and asked a few questions and he said yes still smiling arms folded on his lap and thumps rubbing together. He expressed feelings about how he got here, and that he was leaving in the week. I felt empathy and a strong desire to provide comfort to him especially when he spoke about his family, I wanted to know more about Walter and talk more because I had the feeling he wanted to tell me more. It was emotionally moving to see how mental illness can deeply affect someone’s sense of self-worth. 3. What did you do/say that you feel was “therapeutic” for your patient. I remained seated at his level and maintained a calm, friendly, non-judgmental tone, matching his smile with mine. I validated his feelings and allowed him to speak freely, which seemed to help him feel safe enough to continue talking. I also asked open-ended questions e.g. what his plans will be when he goes to TLL. I believe the therapeutic part showed that I was interested in talking to him and listening without judgements. 4. Identify one aspect of the interaction that was satisfying to you. The most satisfying moment was when Walter spoke about his bible that he carries with him every time. It was brief but genuine as he explained he had been reading the bible since he was twelve years old. It felt meaningful to me. Speaking with Walter I felt as though I had made a friend and reassured me that even with mental health symptoms, individuals value human interaction and kindness and can experience joy when given the right space and support. 5. Name some parts of the interaction that you would have done differently. Looking back, I wish I had explored more about his coping strategies when he goes to TLL. I didn’t want to dig too much as I got a feeling, he didn’t like talking about group therapy and I didn’t want to overwhelm him, but after the encounter with Walter, he came up to me asking questions about the community and what the community is like. Now I realize that gently guiding the conversation towards possible support could have been beneficial. 6. Discuss any other thoughts and reactions regarding the clinical day. My clinical day reinforced for me the importance of empathy, patience, and non-verbal communication in mental health nursing. It showed me the effects of medications such as lithium and the cause it has on the body when taking it. It has been a humbling and eye-opening experience that strengthened my compassion for mental health nursing.
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