NUR2107 Person Centered Mental Health Care


Use of sources related to Mental Health Nursing

Angelina will be able to discuss how the MHN might use therapeutic engagement skills.

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Discuss which therapeutic treatments Angelina could receive on the ward.

Answer to Question: NUR2107 Person Centered Mental Health Care


The MHN reported that depression is the main cause of most chronic mental illness in Australia (Reich, 2015).

In addition, schizophrenia and bipolar disorders are on the rise since the early 2000s. Following which, the federal government is liaising to the MHN. State governments intervened through regulation and Medicare Levy and Medicare Safety Net (Dzipora & Ahern 2013).

The WHO reported that many native Australians were more likely to have mental disorders than the foreigners. This is an indication of the colonial rule that oppressed them (World Health Organization Dept.

2014 Report on Mental Health and Substance Abuse.

Angelina Parker is an 18-year old nursing student at Melbourne University.

Angelina, who was in good mental condition at the beginning, was a top performer student. But, later, her roommates learn that she has depression symptoms and thoughts of suicide.

Angelina’s parents were contacted and Angelina is admitted to an acute hospital ward.

These ideas are intended to show Angelina’s MHN therapeutic engagement skills and treatment modalities.

It will contain two main sections, which will analyze the engagement expertise as well as the treatment modalities.

The article will conclude with the thesis statement.

Integration Of Therapeutic Engagement Skills

This section will discuss therapeutic communication in mental illness.

It also gives a definition and treatment for engagement.

Additionally, this section will describe and explain the different types engagement skills such as building rapport and cross-cultural communication.

Therapeutic communication in mental Health is the procedure through which health professionals offer a holistic treatment to patients, with both patient consent and the participation of their family (Fartinash-Worret, 2014).

On the other side, engagement in treatment refers to the integration and maintenance of values, beliefs, attitudes, and care provision (Videbeck (2013)).

Angelina should be aware of the skills needed to engage.

First, building a relationship.

Angelina needs to feel understood and cared for by you.

First, introduce yourself to Angelina. Make sure to include details about your name, profession, as well as how much time you will use.

Next, make sure Angelina is part of the conversation by asking her what she would prefer to be addressed.

Angelina’s family members should also be included in decision-making to establish a trusting relationship.

To capture the finer details, care providers must be active listeners (Townsend (2014)).

For the conversation to be meaningful, care providers should refrain from using mental health jargon. They should instead use simple language.

To avoid offending Angelina or her family, the care giver should be proficient at asking questions.

Robson, 2013, stated that proper questioning techniques should set the stage for assertiveness in a setting where verbal and unverbal communication cues coexist.

Angelina had reduced concentration and thought of suicide. There were increased chances for disagreement and stressful conversations.

The difficulty of assessing the situation or providing solutions may be due to Angelina’s angry nature.

Angelina’s condition can be managed if Angelina’s care provider is keen to understand her physiological responses and allows her to calm down before asking any questions.

Thirdly, confrontations that occur during Angelina’s interactions with her are an important tool in therapeutic communication. Angelina might shout or throw objects around the ward.

Angelina might lose her cool and begin to confront the nurse in command. It will be crucial for the nurse that she maintains silence and points out the relationship between Angelina’s behavior and what she said.

Rosenhan 2016 stated that when people are able to see the differences in interpersonal communication, it is possible to change their behavior.

Angelina will always confront the care provider to defend herself.

As such, Angelina will confront the care provider to get the medical solution. The nurse in charge should not be concerned about her personality but her behavior.

A nurse must communicate information to ensure that patients are satisfied.

Angelina seeks to find out why her school is not working. For this reason, it is important for Angelina’s doctor to provide a guideline and manual that will help her to feel satisfied.

It also helps to shift her awareness and perspective about school.

Angelina will be able to maintain the conversation if there is humor.

Recent research shows that humor causes people to laugh. This strategy is intended to ease muscle tension and stress (Mohr (2013)).

Malchiodi, 2013, states that laughter stimulates body processes such as respiration which strengthens the heart rate. It also plays a role in activating endorphins to improve mood.

Angelina’s care provider must be able to establish a relationship and recognize humor as a means of communicating with her.

The nurse should withdraw if it causes Angelina to react in a strange way.

The paper then focuses its attention on Angelina’s therapeutic treatment methods as shown below.

Therapeutic Treatment Modalities

The MHN recognizes the significant role that individualized treatment plays in Australia and encourages people to use different treatment modalities.

The WHO also reported that different treatment modalities work better depending on the severity and type of mental disorder.

Angelina’s treatment options include:

Cognitive Behavioral Treatment

The model utilizes an engaging framework to try and understand Angelina’s behavior, thoughts, emotions, and thinking.

Additionally, cognitive behavioral therapy, or CBT as it is commonly known, allows the nurse (Stuart, 2014) to identify negative thoughts and patterns in Angelina’s interactions.

CBT also gives the care provider a deep understanding of Angelina’s positive behaviors.

Angelina is able to recognize the difference between the positive and the negative emotions, thoughts, or behaviors after the therapy ends.

Dialectical behavior therapy

DBT therapy is often abbreviated to this. It is a skill-oriented, skill-oriented model that focuses attention on emotion regulation and ensuring effective interpersonal communication between patients/care providers.

Barker (2013) found that the model was effective in the treatment and rehabilitation of patients with borderline personality disorders.

Angelina’s case shows that DBT can be integrated with stress management skills, which helps her to manage her emotions.

DBT allows the nurse to listen actively.

Motivational Interviewing

Motivational Interviewing is a method of treating patients that focuses on strengthening their will to change (Galanter, et. al., 2014).

In order to address all the issues that affect the patient, the model calls for a patient-centered program (Barker 2013).

Motival interviewing with Angelina will, for example, allow Angelina the ability to examine her past, ethnic background, level of education and causal agent of her depression by using simple language.

Angelina has the ability to choose between what is right or what isn’t at the end. The form emphasizes behavioral aspects, but it is possible to use the form for other purposes.

Recreation Therapy

Recreation therapy is a type of treatment that works to improve concentration by taking the patient out of their normal day-to-day routines (Australian 2017, 2017).

The majority of treatment is performed by professionals who use natural locations such as mountains, rivers, or game parks to carry out sporting activities.

Because the group is comprised of people from diverse backgrounds and with different perspectives, recreation therapy allows for exchange of ideas.

Angelina will focus her efforts on developing social skills, which is a great asset at the individual level.

Music Therapy

Research has shown that patients treated with music therapy heal quicker than those who receive other treatments.

Cunningham, et al., (2014) found that the brain is comprised of social constructs. When stimulated, they respond to art and relax the patient.

The therapy is performed by licensed professionals with degrees from recognized institutions. The music programs are tailored to the specific needs of patients.

Equine Therapy

Equine therapy is a therapy that involves the association of patients and horses.

Horse interaction allows patients to learn interpersonal communication skills and help them solve problems.

The horse will become submissive to the patients after the therapy. This indicates that the patient is able build trust, is responsible and can control his/her emotions.

There are three stages to change

The model argues that patients change in stages, and not one large change. (Happell und Gaskin 2013, 2013).

The therapy is broken down into several stages, such as pre-contemplation. It is when the patient has not accepted that there is a behavior change that needs to be corrected.

Contemplation: This is when the person is accepting that they have a behavior problem, but not ready to change.

The time when the patient is open to counseling and reform.

Action: The phase in which the patient shows that he or she is following the suggested guidelines.

Maintenance: A period where the patient maintains the behavior change.

Relapse: A phase in which the patient is unable to be monitored properly and falls back to the prior behavior.

Look for Safety

The corrective measure can be used to quickly identify symptoms of trauma or depression, and to provide a guide for rehabilitation (Videbeck (2013)).

The model can also be used individually or in groups.

Notably, this measure is highly recommendable as it emphasizes the need to change an individual’s emotions, increase group participation, and increase safety feelings.

Angelina may need art therapy if she has difficulty speaking.

Art therapy stimulates creativity and allows individuals to express themselves.

It is possible to convey the idea using different materials, such paper or pencil.

If you are in extreme circumstances, sign language can also be used.


The current trends in Australian mental illness indicate that there are real efforts being made to eradicate the condition.

Both the WHO and the MHN have released reports that show how determined the nation is in ensuring that those with mental disabilities and their families receive the best services.

Angelina Parker’s story allows one to examine the possible outcomes of mental healthcare nursing treatment. In this case, family communal psychiatric/mental health nursing is important.

As their current trends are clear, the Australian mental-health nurse is strategically well placed to handle future mental issues. A background analysis also shows how well prepared they are.

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Royal Australian and New Zealand College of Psychiatrists clinical guideline for treatment of schizophrenia and similar disorders.

Australian & New Zealand Journal of Psychiatry. Barker, P. (2013).

The Tidal Method: A person-centered, empowering approach to recovery in psychiatric/mental health nursing.

Journal of mental and psychiatric Nursing, 8(3), 233-240. Cunningham, F., Leveno, K., Bloom, S., Spong, C. Y., & Dashe, J. (2014).

Williams Obstetrics. 24e. McGraw-Hill. Dziopa, F., & Ahern, K. J. (2013).

A review of research to discover what makes a high-quality therapeutic relationship in mental/psychiatric nursing.

Internet Journal of Advanced Nursing Practice, 10, 7-7. Fortinash, K. M., & Worret, P. A. H. (2014).

Psychiatric Mental Health Nursing. Elsevier Health Sciences.Galanter, M., Kleber, H. D., & Brady, K. (Eds.). (2014).

American Psychiatric Publishing textbooks on substance abuse treatment. American Psychiatric Pub. Happell, B., & Gaskin, C. J. (2013).

A systematic review of undergraduate nursing students’ attitudes to mental health nursing.

Journal of Clinical Nursing, 22(1): 148-158. Malchiodi, C. A. (Ed.). (2013).

Expressive therapies.

Guilford Publications. Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., & Klinkman, M. (2013).

Behavioral intervention techniques: evidence review and suggestions for future research in mental healthcare. General hospital psychiatry, 35(4), 332-338. Reich, W. T. (2015).

Encyclopedia of bioethics. In 4 vols. Robson, D., Haddad, M., Gray, R., & Gournay, K. (2013).

Cross-sectional study of mental health nursing practice and attitudes of nurses to provide physical health care for patients with severe mental illness: An investigation of nurses’ attitudes, training, and practices.

International Journal of Mental Health Nursing. 22(5), 409-417. Rosenhan, D. L. (2016). On being sane in insane places. Science, 179(4070), 250-258. Stevens, J., Browne, G., & Graham, I. (2013).

An unlikely career option for nurses is a career in mental care: A longitudinal study.

International Journal of Mental Health Nursing. 22(3): 213-220. Stuart, G. W. (2014).

Principles and practice of mental nursing. Elsevier Health Sciences.Townsend, M. C. (2014).

Psychiatric Mental Health Nursing: Concepts in Evidence-Based Practice.

FA Davis. Videbeck, S. (2013). Psychiatric-mental health nursing. Lippincott Williams & Wilkins.

World Health Organization. Dept.

Dept. (2014).

2005. Mental health Atlas.

World Health Organization.

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