Question

5. Provide two (2) treatment strategies and describe the nursing management (in 30-40 words each) of the following 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, pace at 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 1

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 or situations. Acknowledge the need for the patient to avoid such source of irrational 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 decrease anxiety.
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) in blood
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