Question

Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include - or have included - cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.

Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion - including cultures unique to one particular family. Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA Format and include:

Assessment: Discuss what you would assess in regard to a client's culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?

Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.

Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?

Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client's safety? What can you do to make sure the client's cultural needs are met?

Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.

In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting

Answer 1

Culturally competence in the Mental Health Nursing:

Assessment:

The nurse should keep in mind about the patient's ethnicity, race, acculturation, and language. The patient is African-American and he has somatic complaints. He has no interest, anxiety, loss of appetite, and sleep disturbances. The patient has specific food practices. He believes that the mental illness is due to the god's punishment. He also believes in the traditional healing process.

Diagnosis:

1. Risk for imbalanced nutrition less than body requirements related to loss of appetite.

2. Disturbed sleep pattern related to depression.

3. Impaired verbal communication related to a language barrier.

4. Impaired social interaction related to loneliness.

5. Anxiety related to depression.

Planning:

• Maintain the nutritional needs of the patient.
• Improve behavioral changes that are socially acceptable.
• Maintain eye contact with the patient to initiate social interaction with the patient.
• Respect to the patient's cultural beliefs and religious practices to establish trust of the patient with the staff.
• The patient will not harm self or others.

Implementation:

• Diet has provided according to the patient practices and frequency has been increased to maintain the body requirements.
• Be with the patient when the interacting.
• Use simple languages when communicating with the patient. Use gestures and other signals for the communication.
• Explain the patient about behavior modification and the positive attitudes.
• Maintain relationship with the family members.
• Maintain eye contact with the patient.
• Explain to the family members to provide a calm and quiet environment.
• Gather information regarding when the patient getting anger, and it's behavioral response and perception towards the anxiety.
• Redirect the behavior when the patient feels anxiety.
• staff should maintain a positive and calm attitude to the client.
• Anxiety should be relieved safely.

Evaluation:

• Patient nutritional status improved and the needed body requirements have met.
• the patient trusted with the staff and communicated with the caregiver.
• the patient interacts with the family members and with the society in an appropriate manner.
• Anxiety is maintained to a minimum level.
• The patient recognizes and ready to express his feelings.
• the patient initiates verbal and non-verbal communication.

Summary:

The patient has cooperated after establishing a trust. He respects and hears the caregivers words and also maintains good rapport. He shows improvement in behavioral modification. But the anxiety level still to be minimized. The patients show positive attitudes and still, he has to be under the guidance of someone. The patient's needs are met.