5. Provide two (2) treatment s

5. Provide two (2) treatment strategies anddescribe the nursing management (in 30-40 words each) of thefollowing mental health conditions

Mental health conditions

Treatment strategies

Nursing management

Manic Episode

Electroconvulsive therapy,

Family and marital therapy

Assess the character of verbal speech like tone of voice, paceat which thoughts are processed.

Observe the rate at which words are spoken are relevant.

Check the sleep disturbances.

Mood and affect should be assessed for congruency.

Mental health conditions

Treatment strategies

Nursing management

5.1

Personality disorders

5.2

Anxiety disorders

5.3

Psychosis

5.4

Organic brain/mental disorders

5.5

Panic disorder

5.6

Social phobia and specific phobias

5.7

Obsessive-compulsive personality disorder

5.8

Post-traumatic stress disorder

5.9

Depression

5.10

Bipolar disorder

5.11

Eating disorders

5.12

Borderline personality disorder

5.13

Schizophrenia

5.14

Dementia

5.15

Delirium

Answer:

Mental Health conditions

Treatment Strategies

Nursing Mamagement

Personality disorders

Cognitive behaviour therapy

Interpersonal therapy

Examine inappropriate behaviors

Encourage independence and give positive reinforcement

Explore fears

Explain inappropriateness of these behaviors

Anxiety disorders

Antianxiety drugs & antidepressants

Biofeedback

Stay with client; offer reassurance of safety

Remain calm

Use simple explanations

Low stimuli environment

Tranquilizers, as ordered

Psychosis

Antipsychotics

Family therapy

Present reality

Orient the client

Refrain from forcing communication

Organic brain disorders

Medication and treatment based on underlying cause

Orient the client to environment

Communicate to the level of client

Panic disorders

Antianxiety drugs & antidepressants

Psychotherapy

Stay with client; offer reassurance of safety

Remain calm

Use simple explanations

Low stimuli environment

Tranquilizers, as ordered

Encourage verbalization of current situation

Social phobia & Specific phobia

Cognitive behaviour therapy

Antidepressants

Assess the patient if he or she is using projection,displacement, repression and sublimation.

Be alert for signs of unrealistic fear of objects, things orsituations.

Acknowledge the need for the patient to avoid such source ofirrational fear.

Obsessive compulsive personality disorder

Antianxiety drugs

Cognitive behaviour therapy

Limit, but do not interrupt, the compulsive acts.

Teach the client to use alternate coping methods to decreaseanxiety.

Post traumatic stress disorder

Cognitive behaviour therapy

Eye movement desensitization and reprocessing

Listen actively to client

Give psychological support

Encourage to communicate with friends and family

Teach relaxation exercises

Depression

Antidepressants

Electroconvulsive therapy

Improve interaction

Identify suicidal risk and take safety measures

Involve in simple constructive activities

Bipolar disorder

Mood stabilizers

Electroconvulsive therapy

Assess mood and communicate appropriately

Teach importance of regular medication

Regular follow up & checking drug levels(Lithium) inblood

Eating disorder

Cognitive behaviour therapy

Cognitive remediation therapy

Assess nutrition status

Maintain adequate fluid balance

Check weight daily

Borderline personality disorder

Dialectical behaviour therapy

Psychotherapy

Observe client’s behaviour frequently

Secure verbal no-harm contract from client

Encourage verbalization of feelings

Make environment safe

Schizophrenia

Antipsychotics

Psychotherapy

Establish trust

Assess positive and negative symptoms

Orient to reality

Avoid arguing

Dementia

Medications- Acetyl cholinesterase inhibitors

Cognitive stimulation therapy

Use reminders

Talk with client about recent events

Maintain routine

Avoid stressful situation

Delirium

Treat underlying cause

Supportive care

Provide calm environment

Orient client

Promote sleep and rest


 
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