Get Answer: Caring Female Client Question Guide

This question tests key academic concepts commonly covered in coursework.

What This Question Is About

This question relates to caring female client and requires a structured academic response.

How to Approach This Question

Start by identifying the main issue, then apply relevant academic frameworks.

Key Explanation

This topic involves caring female client. A strong answer should include explanation, application, and examples.

Original Question

You are caring for a female client aged 36 who has been involuntarily admitted after being found wandering the streets near her house at 4am in a heightened state of mania. The client appears undernourished and unrested, but is wearing a lot of makeup and a bright miniskirt inappropriate for the current cold weather. She is talking very rapidly and seems to believe that what she is saying is highly profound. The client’s records indicate a diagnosis of Bipolar I Disorder, but also reveal she has not engaged with mental health services for several years. What would be three (3) objectives in using psychotherapy in the treatment of this client? Your Answer: Three (3) objectives in using psychotherapy in the treatment of this client would be; Promotion of the patient’s safety, which is the most vital concern in patients during episodes of mania. Patients in a state of mania usually manifests an inappropriate elation of mood, an unusual increase in energy and impulsivity. With regard to the situation where the patient is seen wandering the streets, this not only puts the patient herself at risk but as well as the community. Their manifestations as mentioned enables them to disregard the different sensations they often experience normally. The promotion of safety also heps to tackle and address the incomprehensibility of their speech. Appropriate therapeutic communication is the often the first approach to help calm the patient down especially in a manic episode. Proper communication allows the healthcare worker to engage with the patient safely which also helps to address the need for safety of the patient. Protecting the patient’s identity and privacy is one of the most common concerns in the healthcare industry as well. As healthcare workers, protection of the patient’s identity and privacy is of utmost concern. Often times, mentally challenged individuals have no worries about such information, and with this in mind, this puts the patient’s information at risk. It is crucial that the development of an appropriate meal plan be implemented as mentally institutionalized patients are routinely taking medications to help control their symptoms. It is essential that the patient is well-nourished all throughout the course of the therapy as proper nutrition and pharmacotherapy works in hand in hand in the hopeful improvement of the patient’s overall mental health. As a result of a patient’s state of mania, this bypasses their need for nutrition or food which very well puts them at risk for malnourishment hence the great importance of the patient’s need for development of a meal plan as soon as possible to help address the undernourishment. Reference: Tabbner’s Nursing Care, 2020, 8th Ed., Australia, Elsevier, Ch.39 Feedback from teacher: Hi Pratima, to answer this question correctly, you do need to understand what the ‘goals’ of psychotherapy are and then read the scenario again and then state and explain how you as an EN can do help this client to mange ‘stress, moods, sleep hygiene’ and so on. Review Chapter 39 in the Tabbner’s Nursing Care Theory and Practice 2020 text and chapter 25 in Psychiatric and Mental Health Nursing by Evans – both available in Clinical Key.

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