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Mental Health Case Study Case Study, Mohr: CHAPTER 1, Introduction to Psychiatric–Mental Health Nursing 1. Karen is a 25-year-old white woman who lives alone in an apartment with her dog. Kare... n has been divorced for 2 years and is taking Prozac prescribed by her psychiatrist for depression. Karen and her boyfriend had been discussing marriage until he told her that he wanted to end their relationship. Karen became even more depressed and could not work for a week. Karen returned to work, refusing to discuss her issues with family, friends, or coworkers. She did, however, make an appointment to see a psychiatric nurse practitioner. Karen told the nurse that she was making some changes in her life. Karen said that she and a girlfriend were joining a gym program for workouts and a social group for young men and women. Karen stated that she realizes that her former boyfriend had not been committed to her, and she anticipates meeting and dating other young men from the adult social group. Karen also said that she thinks that the gym exercise will be beneficial to her mentally and physically. (Learning Objectives: 1, 4) A-How will the psychiatric nurse assess if Karen has made progress toward self- realization? ➢ Karen had suffered from depression which is a form of mental disorder because of divorce and a broken relationship with her boyfriend. This situation according to Hypocritical in 15th century BC, upholds the brain as the organ of consciousness; this occurs when both normal and abnormal behavior arise from the brain. ➢ The psychiatric nurse can assess if Karen has made progress towards self- realization by committing to diagnosing and treating her responses to the problems that caused her psychiatric disorder. In-addition, the nurse can make assessment based on Karen’s psychoanalytical disposition such as: transference, defense mechanism, countertransference, acting out, denial of the reality befallen her and projection. B-Identify strengths that Karen has for progress in personal growth. The strengths Karen has for progress in personal growth include the followings: ➢ Her cognitive behavioral responses showed optimism towards a better life as well as fighting against her depressed state. Hence, her willingness to date younger men. ➢ Karen sought immediate medical attention where she was administered with Prozac to help mitigate her depression state. ➢ Ability to make use of social support, that is, she visited a psychiatric nurse, social group and registered in a gym. ➢ She was realistic about her situation, therefore made herself ready to face the reality before her. C-Karen has been seeking treatment for her depression. Analyze the factors that might contribute to Karen’s reluctance to discuss her depression with others. ➢ Karen’s reluctance to discuss her depression with others hinges on the fact that her depression was a kind called social depression. Social depression is a psychological disorder caused by several factors such as: interpersonal relationship which involves the relationship between a person and the interactions of emotions of everyone expressed directly and discreetly to each other. ➢ Another is a Common interpersonal relationship, this includes: Family, social environment (work place), and interaction among age groups and genders. Because Karen had divorce and broken relationship, she didn’t feel safe in herself discussing her depression with family and friends but to seek a professional whose job is to attend to her depressed case. Hence, her neuroticism was calm and strong willed. Case Study, Mohr: CHAPTER 2, Neuroscience: Biology and Behavior 1. Michael is a 22-year-old college senior whose GPA has declined with this semester’s grades. Michael plans to apply to medical school and thinks that the lower GPA may prevent his acceptance to medical school. For the last 2 weeks, Michael has skipped most classes because he has insomnia and fatigue. Michael is now very depressed and has been thinking of suicide. He took a loaded gun from his father’s gun cabinet and then wrote a suicide note to his family. At the last moment, he telephoned 911 and told them of his suicide plan. The police came, took the gun away, and then took Michael to the city hospital to be admitted for psychiatric treatment. In the admission interview with the psychiatric nurse, Michael said that his pastor thought that only weak-willed people experienced depression and that it was a punishment for personal sins and the sins of one’s ancestors. Michael told the nurse that he must be weak-willed and will never be able to accomplish anything. The psychiatric nurse explained that multiple factors are the cause of depression. The nurse told Michael that one theory holds that an imbalance of neurotransmitters, or chemical messengers of the brain, occurs in depression. Neurotransmitters influence the individual’s emotions, thoughts, and subsequent behavior. Recent research implies that neurobiology, heredity, as well as Psychological and environmental factors may be involved in the development and progression of depression. (Learning Objectives: 5, 6) A-Will Michael think that the psychiatric nurse’s explanation for the cause of depression is more correct than that of his pastor? ➢ No. It is indeed difficult for Michael to accept the doctor’s opinion since before he fell sick, he had information from the pastor on depression on which he solely believed and now he is a living prove. B-Michael asks the nurse why he has to have psychotherapy. He states that he only needs to take a couple of pills to get better. How should the nurse respond to Michael’s question and comment? ➢ The nurse has to explain to Michael why he should consider psychotherapy. Because of the many misconceptions about psychotherapy, you may be reluctant [Show More]

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