NRSG210 Mental Health Nursing


Assignment Title — Culturally Secure Practices and Mental Health

Assessment CaseWorld Justin O’Dowd

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Activities to be Completed:Listen to the audio Me describing Justin’s story and review figure 6.2(

Describe how Justin might feel about recent life events.2.

How can Justin’s cultural interpretation of mental illnesses differ from yours, Justin?3.

You can identify how your beliefs and values in relation to mental illness might influence your communication with Justin.4.

How can Justin and Justin’s extended and immediate family develop and sustain relationships throughout his journey of care?5.

What should be done to ensure Justin’s safety once he has been admitted?6.

This information is based on the Mental Heath Assessment and Mental State Examination.

What are Justin’s care priorities and areas of concern?7.

Look at the 1:1 intervention notes. Determine the communication skill that allows Justin to communicate with Justin in culturally safe frames.

8. Read the discharge plans and 3-month reviews and consider Justin’s Supportive Services to ensure that he is well after his return to his family.9.

After you’ve considered Justin’s issues, think about your own experiences in relating with people from different cultures.

Now, consider how your knowledge from Justin’s Mary might affect your practice.10.

What do you need to continue learning/doing to ensure that your practice can deliver safe and culturally sensitive healthcare?

Answer to Question: NRSG210 Mental Health Nursing

Justin’s life experience, particularly stress and social isolation, may have an adverse effect on his health.

He was already suffering from severe clinical depression.

He was diagnosed with Type 2 diabetes Mellitus.

He feels depressed and lost.

These feelings have become more severe over the years. He has also lost a close friend.

He has no friends and thinks constantly about his future.

He knows that his prospects are bleak and that there aren’t any jobs for him.

He knows he may develop Type 2 Diabetes like his father.

Studies have shown that people with diabetes are more likely than others to experience depression.

American Diabetes Association (2015) says that diabetes can also lead to anxiety and anger.

Justin is experiencing depression due to diabetes.

The main reason for depression is loneliness.

If someone is socially connected and has friends, they are less likely to suffer from depression.

Justin’s life is bound be depressing and lonely if he does not have friends.

This has a negative effect on social wellbeing.

Justin can feel depressed because his father has Diabetes and he is unable to manage it. Justin cannot see any hope for treatment.

He has been losing weight.

This can impact his health and make him weaker.2.

A large section of the questions related to mental health concerns cultural differences, social change and historical events.

Different ways can be used to enhance and define the quality of your life.

There are also variations in the treatment, explanation, and determination of mental illness.

It is unclear what the effect of social and cultural changes on health will be and how they will be interpreted. (Parker (2015)

These Aboriginal people have many cultural differences that affect mental health.

Casual attribution biases is one such example.

Most people understand events and their causes as being external forces and causes.

Others might view them as having internal attributes and control over their life.

The way they respond to abnormality is another variation. Different notions of culture affecting mental health are also found (, 2015).

Justin could have these traits in relation the mental health’s cultural understanding.

Justin may see his mental illness as the result of factors such as loneliness and death.3.

Mental health services and communication are affected by how people view and value their mental health.

Each person is unique and has his own set beliefs and values.

Patients deserve to be heard with patience, and to be treated with respect.

They deserve to be respected and protected.

Patients and their families must communicate with each other. They should be treated with complete sympathy.

It is important that patients and their families communicate with each other regardless of race, religion, gender, or culture.

To be effective and fully participate in the life of the individual, it is necessary to do so.

Respect the principles of healthy practice that can help with mental health recovery.

It is essential to foster positive and authentic relationships through effective communication.

Tensions between patients and their caregivers must be resolved.

Good working relationships are the key to quality service.

Patients should have positive attitudes.

It is important to have positive attitudes when you interact with the patient.

It assists in addressing any situation that may arise due to mental illness., 2015. Carers must be kind, compassionate, professional, hopeful, and encouraging.

These beliefs and attitudes could influence Justin’s communication.4.

Effective partnerships with patients help prevent further illness and allow them to heal naturally (Denham, 2015.

In order to make the caregiving process more effective, family members can be made a part of it by forming partnerships with them.

It becomes legitimized.

Self-efficacy can be encouraged and supported by the health professional.

For the achievement of this goal, the family must be educated in a proper manner.

Health care professionals should see the family as an integral part of providing care. They must view themselves as educators and not as experts who can teach families how to solve patient problems.

It is possible for families to learn skills that will help them solve problems., 2015.

A patient’s involvement can make a significant difference in the quality of his life.

Patient’s active participation is essential.

Carers can incorporate this by educating patients.

Carers should exert strong and consistent efforts to get patients involved in all aspects of patient care.

Patient care must be done with empathy and compassion to ensure that they have faith in the partnership.

Patient and family partners need to have patience in order to get the desired outcomes (Mezey, 2002).5.

Justin must be taken care of at all times in order to provide safe and culturally sensitive care.

Health professionals need to know the history and culture of the patient.

It is important to have a good understanding of cultural competencies, cultural awareness as well as cultural humility and cultural safety.

They need to be aware that patients may have different perspectives on culturally safe care.

Carers need to be aware that there may be ongoing discussions of significance for the patient.

It is important to acknowledge the role of patients in treatment (Baunach et. al., 2015).

For patients to receive effective care, they need unbiased health care services.

Respecting patients’ beliefs and values, professionals must be careful not to upset their feelings.

Before they can take any action against traditional medicine, they should first ask the patient about their use.

The patients must not be subject to their personal views and beliefs. They should also be informed about any actions that could be taken to harm the patient’s culture (Douglas, et al. 2014).6.

Justin is suffering from depression. He is worried about the social withdrawal that has occurred over the last year.

He is reluctantly able to speak, and when he does speak, he shares his thoughts regarding the death his uncle.

The assessment found that he was not at high risk for alcohol and drugs, but that he was at higher risk for emotional wellbeing.

Depression is the major concern.

This should be treated with the proper care plan.

Young people can experience depression from many different reasons.

It has an impact on how the person behaves and leads their lives.

It can also cause problems in the home and with other people.

Like any other disease, there may be other factors that can cause a decline in mental condition.

They can impact the person’s entire life.

Suicide can be a thought that comes to many people’s minds.

If the illness is not treated promptly, it will cause further harm.

Justin’s main focus and concern must be depression.7.

Different strategies allow the health professional to communicate with the patient in a safe and culturally appropriate manner.

Traditional healers may offer some relief to patients and make them feel comfortable.

In order to communicate effectively, it is essential that the patient be able to identify culturally safe resources and then reflect on this thought during communication.

It takes patience and empathy to make a patient feel safe and secure (Baker and Giles (2012)).

It is necessary to recognize and respect cultural beliefs in order for patients to have faith in their health care professionals.

Communication should reflect cultural sensitivity.

Communicating with one another requires mutual respect, listening and openness.

Patient safety is enhanced by shared understanding and acknowledgment of the common identities of patients.

Healthcare professionals must communicate that they are familiar with the history, beliefs, and values of ethnic groups.

Skellett, 2015. No assault, denial of identity, or challenge must be made to the patient.

These strategies are used to speak with Justin in a culturally secure manner by the health care practitioner.8.

Justin must receive support and guidance to help him feel well after his return to the community.

The family should facilitate Justin’s re-engagement in certain culture laws.

The patient’s treatment must continue for long-term. Family members should be involved.

Families can provide emotional support and help for mental patients (Hermann, Palmer, 2002).

They are in desperate need of love and sympathy.

The most powerful force to improve the patient’s wellbeing is usually the family (Leggatt (2002).

For proper treatment and management of depression, it is necessary to address the root causes.

Justin is separated from his friends and is not socially active.

He needs to be encouraged socially and made new friends.

His depression is caused by unemployed.

It is possible to offer assistance in finding him a job.

If his problems can be resolved, he’ll be able to lead a happy and healthy life without depression.9.

I would like to think back on my time with Justin, and the lessons I took from them.

I learned how to communicate and deal with people who come from different cultural backgrounds.

Healthcare professionals must deal with patients with different conditions and their beliefs.

I learned that healthcare can be complex, especially if there is a mental issue.

Further complicating the situation are language and cultural barriers.

Before planning any care, health professionals need to pay more attention to the cultural background and culture of patients.

My experience has taught me that communication is key to patient care.

He will soon be able to heal if he is comfortable and safe with his doctor.

I will be remembering this and will incorporate it into my future practice.

Another important fact I discovered was that different ethnic groups have their own principles regarding health care.

Their traditional healers are also important to their wellbeing.

The patient must not suffer any harm on this basis and the patient’s dignity and rights must be respected.

I will use all the lessons that Justin taught me to help me in the future.10.

In order to be able to offer culturally safe healthcare, you will need to learn additional skills.

Culturally sensitive individuals needing health services must be seen earlier.

They must feel at ease and be empowered.

It is important to share information about healthcare with them.

It is important to understand that cultural safety is an essential component of ensuring the health and well-being of patients.

Cultural safety would be possible if you are able to learn about the cultures and peoples of other countries.

This requires that you have the necessary knowledge.

For the patient to adhere to the intervention plan, methods must be used. It will only occur if the patient is able to live in a culturally safe environment.

One of the most important aspects of culturally safe healthcare is the removal of recipients’ cultural beliefs.

Meaningful paths should be made available for patients’ self-determination (Richardson und Williams, 2007).

All of these points must be learned to ensure a culturally safe environment in the future for patients.References:

American Diabetes Association, (2015).

Mental Health. [online] Available at: [Accessed 2 Sep. 2015].

Baker, A. & Giles, A. (2012).

Main content area Cultural Security: A Framework for Interactions Between Aboriginal Patients & Canadian Family Medicine Practitioners.

Journal of Aboriginal Health, 9, pp.15-22.

Baunach E., Lines D., Pedwel B., Lange F., Cooney R. & Taylor H. (2015).

Aboriginal and Islander Health Worker Journal. The development and use of culturally sensitive and relevant resources to promote effective trachoma elimination within remote aboriginal communities (Indigenous Collection). Informit.

Aboriginal and Islander Health Worker Journal. [online] 36(2). Available at:;dn=851236900698958;res=IELIND [Accessed 3 Sep. 2015].Denham, C. (2015).

Partnership with Patients. [online] Available at: [Accessed 3 Sep. 2015].

Douglas, M. Rosenkoetter M. Pacquiao D. Callister L. Purnell L. (2014)

Guidelines for Culturally Competent Nursing care. [online] Available at: [Accessed 3 Sep. 2015].

Elwyn G. Dehlendorf C. Epstein R. Marrin K. White J. and Frosch D. (2014).

Partially-Directed Decision Making and Motivational interviewing: How to achieve patient-centered care across a range of health care problems.

Annals of Family Medicine 12, 3: pp., (2015).

The family can form a partnership. [online] Available at: [Accessed 3 Sep. 2015], (2015).

Department of Health, Part 2: Values & Attitudes.

Hermann R. and Palmer H.

Common Ground. A Framework for Selecting Core Quality Metrics for Mental Health, Substance Abuse Care: Psychiatric Services. Vol 53.No 3.Psychiatric Services. [online] 53(3). pp.281-287. Available at: [Accessed 3 Sep. 2015].Leggatt, M. (2002).

Partnership is essential for families and mental health workers.

World Psychiatry 1, pp.52-54.Mezey, M. (2002).

Ethical patient treatment.

Baltimore: Johns Hopkins University Press.Parker, R. (2015). [online] Available at:,%20Robert%20Parker,%20Top%20End%20Mental%20Health,%20Part%202,%2029%20Sept%202011.pdf [Accessed 3 Sep. 2015].

Richardson S. and Williams T. (2007).

Why is cultural safety important in health care services?

Med Law 24(6), pp.699-707.Skellett, L. (2015).

Cultural awareness and cultural security. [online] Available at: [Accessed 3 Sep. 2015].

Thapar A. Collishaw S. Pine D. Thapar A. (2012).

Depression during adolescence.

The Lancet. 379(9820),, (2015). [online] Available at: [Accessed 2 Sep. 2015].