Case Study: Miss C - Assessment, Communication, Suicidal Ideation, Bipolar Disorder, and Discharge P

Learning Outcomes and Objectives

ssignment 1:Case study. Learning Outcomes Please refer to course outline Learning Objectives Please view objectives in syllabus Directions 1.Read the following case study and reply to the questions. **Please note that while your responses do not need to be in the form of a formal essayit is expected that all responses contain your rationaleand are supported by credible sources referenced using APA 6thor 7thedition**. 2.When you are being asked to give answers in your own words, this means you will read the research related to the topic, paraphrase the ideas you have read into your own words and then use in-text citations appropriately. 3.You may use a MAXIMUM of three direct quotations in this case study.Please ensure you understand how to properly use direct quotations. 4.Submit your assignment via drop box by 2359hr on the assigned due date. Case Study: Miss C is a 34-year-old female who was brought into hospital by ambulance after being found slumped over in the front seat of her car outside her previous place of work.There were two empty bottles of sleeping pills beside her in the car. She was treated medically for an overdose, is medically cleared,and is now admitted to an inpatient psychiatric unit for further assessment and diagnosis. Miss C’s hair is matted in areas, she has a strong body odor,and the clothes that arrived on the unit with her are stained and dirty. Miss C is refusing to come to the dining room for breakfast and refusing to get out of bed to do morning care. You are the nurse on day shift caring for Miss C.1.Discuss four concerns related to the assessment information presented in the case study above. Recommend two further assessment questions you feel are appropriate at this time. (6 marks) 2.Describe how you would approach Miss C in the situation above to facilitate therapeutic communication.How would the nurse encourage Miss C to perform her activities of daily living.(2marks ) Miss C gets out of bed with help and is standing in the bathroom with her toothbrush. She says to you “what is the point of brushing my teeth anyways, it isn’t like I’m going to make it to my next dentist appointment.â€Â MENTAL HEALTH (VSP20) 3.Listtwo essential questions that you would ask Miss C to clarify her statement and fully assess for suicidal ideation and intent. (2 marks) 4.List six safety concerns for the patient on a mental health unit when they are expressing suicidal ideation. What should you check for to ensure patient safety?(6marks)Miss C has been on your unit for one week and states “these medications are not working properly; the doctor chose the wrong oneâ€Â. When you ask her why she believes that,she states, “I’m not feeling any better yet, I’m still feeling sad and patheticâ€Â. 5.How would you respond to Miss C’s concern that her medication is not working?(2marks)Miss C is treated and released five weeks from her admission date. Five months later you are taking report on your evening shift and you hear a name that sounds familiar. Miss C has been admitted to the unit for monitoring. She was brought into the emergency department with the police after creating a disturbance at a mall in the city. She was verbally and physically abusive to staff in the emergency department and her boyfriend states she has been increasingly bizarre for the last few weeks. He reports that she believes that she has found the cure for cancer and has been sleeping very little. He is worried as she is spending all of her money on advertising her cure for cancer and has been drinking alcohol and taking street drugs to keep herself awake. He states she has been “irritableâ€Â and they “have been arguing a lot.â€ÂTwo nights ago,Miss C left their home after an argument and he has not seen her since. Miss C is diagnosed with Bipolar Disorder. 5.Miss C’s family is upset about her diagnosis. Describe how you would explain bipolar disorder to Miss C’sfamily.(2marks) 6.Discuss three patient safety concerns as they relate to acute mania in the bipolar patient. Include your rationale for each concern.(6marks)Miss C’s treatment progresses well,and her mood stabilizes. She is ready for discharge but there is concern from the psychiatrist that she will not comply with treatment upon discharge. Her family also shares this concern as Miss C states that sheâ€Âdoesn’t need to keep taking the medicationâ€Âthat has been prescribed for her bipolar disorder once she is back home. 7.Discuss community treatment orders (CTO) as it relates to bipolar disorder.In your own words describe why a patient may be issued a CTO. (2 marks)Miss C is being discharged from hospital on your shift. She is going home on a therapeutic dose of lithium as well as valproic acid. MENTAL HEALTH (VSP20) 8.In your own words, describe the priority teaching points related to the lithium and valproic acid that you would discuss with Miss C during her discharge teaching. (4 marks) 9.Discuss why it is important to therapeutically end the nurse-patient relationship prior to discharge. (2 marks) 10.Explain the importance of professional self-reflection when working with patients in the mental health setting using current literature. (4 marks)MARKING RUBRIC Points 100% 75% 50% 25% Score Content Questions 1-10 Marks are allocated per question as listed in Case Study.All data in question is relevant with exceptional depth to answers and applicable to case study. Do not forget to reference your work.