Instructions:
Jasmine Clark is a 18-year-old female who resides at home with her mother and father. She is a senior in high school and plans to attend the University of Nebraska next fall. This is her first psychiatric visit. She insists that she needs to go to the hospital because she is “mentally ill”. Her parents are with her at the pediatric office.
Chief Complaint: “I think I need help.”
Past Psychiatric History: No prior psychiatric treatment
Medical History: No acute or chronic medical conditions. Reports regular menstrual period. No history of sexual relationships. Urine toxicity negative and pregnancy test negative upon admission. No incidents of tic disorder.
This is an unfolding case study which we will be utilizing for this discussion
Questions:
- In your opinion, what is mental illness?
- You are the nurse who will be interviewing the patient. What concepts do you need to consider before you prepare to go and speak with Jasmine? (Elaborate on at least 3)
- Based on the nervous system, what assessment questions could illuminate a potential mental health disorder? (Elaborate on at least 3).
- What information can be obtained from the parents
- Give one example of an ego defense mechanism statement that Jasmine states during your interview. (You must pick a different defense mechanism than your peers)
My example: ” I am going to the University of Nebraska. My dad has always said the best and the brightest are Cornhuskers. That’s me.”
EGO Defense Identification
Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.
Expert Solution Preview
Introduction:
In this case study, we will be discussing a patient named Jasmine Clark, who visits the psychiatric clinic for the first time and claims to be mentally ill. As a medical professor, it is crucial to understand the patient’s mental health, identify the symptoms and provide appropriate treatment.
1. In your opinion, what is mental illness?
Mental illness refers to a broad range of disorders that affect an individual’s cognitive, behavioral, and emotional functions. These disorders can impair a person’s ability to think, control their emotions, and interact with others. Mental illnesses can be caused by a combination of genetic, environmental, and social factors. Some common examples of mental illnesses include anxiety disorders, mood disorders, personality disorders, and psychotic disorders.
2. You are the nurse who will be interviewing the patient. What concepts do you need to consider before you prepare to go and speak with Jasmine? (Elaborate on at least 3)
Before conducting the interview with Jasmine, the nurse must consider the following concepts:
– The nurse should establish a therapeutic relationship with the patient to gain their trust and make them feel comfortable.
– The nurse should be aware of ethical and legal issues concerning the patient’s privacy and confidentiality.
– The nurse should understand the cultural and social contexts of the patient’s experience to avoid biases and stereotypes.
3. Based on the nervous system, what assessment questions could illuminate a potential mental health disorder? (Elaborate on at least 3).
The following assessment questions could help to identify potential mental health disorders based on the nervous system:
– Do you experience recurring panic attacks or feelings of intense fear or worry? (potential anxiety disorder)
– Have you noticed any changes in your sleep patterns, such as difficulty falling asleep or staying asleep, or waking up too early? (potential depression or manic episode)
– Have you experienced any auditory or visual hallucinations or delusions? (potential psychotic disorder)
4. What information can be obtained from the parents?
The nurse can obtain important information from the parents, such as the patient’s medical and psychiatric history, family history of mental illnesses, and any significant life events or stressors that may have contributed to the patient’s symptoms.
5. Give one example of an ego defense mechanism statement that Jasmine states during your interview. (You must pick a different defense mechanism than your peers)
Jasmine may display projection as an ego defense mechanism by stating “Everyone thinks I’m crazy. They don’t understand me.” This statement could suggest that Jasmine is projecting her thoughts and feelings onto others, rather than facing her own issues.
Add a question:
What are some of the challenges that mental health professionals may face when treating patients with comorbid medical and psychiatric conditions?
