How would you make him feel comfortable and encourage him to talk about his issues? How would you build rapport with Janna?

SUMMATIVE ASSESSMENT

Module 4: Assessment Submission Date & Summary

The assessment for Module 4 is a 3000-word essay.

ESSAY SSUBMISSION DETAIL: (the following detail must be applied)

SID number: header or footer of the essay (no names)
Insert Page Numbers – header or footer of the essay.
Essay Line Spacing – 1.15 or 1.5
Essay Font Size – 11 or 12
References (ARU Harvard – Use the Guide)
Appendices (place Janna scenario and questions as an appendix)

ESSAY LAYOUT: (the following layout must be applied)

Contents Page
Introduction
Part 1 – Therapeutic Relationships in Mental Health Nursing
Part 2 – Janna Scenario
Therapeutic Approach (CBT)
Engaging with Janna
Conclusions/Reflections
Word Count
References
Appendix

ESSAY STRUCTURE

INTRODUCTION

Your introduction needs to demonstrate understanding of the essay guidelines by telling the reader/marker what you are going to do (focus) and how the essay will be constructed. Ensure that you acknowledge that both parts of the essay will be informed by your engagement with relevant literature, and wider evidence base.
Given the word count there is no need to offer an extended introduction, keep it clear and simple.

MAIN BODY
Part 1: Therapeutic Relationships in Mental Health Nursing

Discuss how you create positive therapeutic relationships with service users. This discussion and analysis need to consider the meaning of what therapeutic relationships are. You need to consider the challenges of the different environments that mental health nurses work in when developing therapeutic relationships (e.g., working in in-patient hospital settings, and working in people’s homes); and the challenges of developing therapeutic relationships based on different presentations (e.g., illness, or difficulties a person is experiencing.

It needs to explore how verbal and non-verbal communication skills are used and applied to develop the relationship.
Contemporary mental health literature needs to be used to support the discussion and analysis.

Part 2: Engaging with Janna (responding to questions)

Identify a specific therapeutic approach that you are going to apply the principles of, when working with Janna e.g., CBT, SFBT, MI, C/PCT etc… You are required to introduce the approach and give a clear rationale for choosing this way of working. What are the key ideas and the overarching philosophy of the approach? Who developed the approach and what evidence base is there for its application in mental health settings?

Remember to keep this discussion simple, clear, and focused. If you over-complicate things, you run the risk of being too broad in your discussion and end up trying to cover too much.

Following this discussion, you need to respond to the statements/questions as they relate to your approach to working with Janna (see scenario below). Some of the questions you are asked to address are broad issues, while some of the questions you asked to respond to are very specific. For each question you need to offer an answer/response, a rationale, and consider what you would hope to be the outcome of you approach/response. You should include relevant supporting references for your rationale.

CONCLUSION

Reflect on what you have learned and what you will take with you into clinical practice when sitting down to help a person begin to explore their experiences. What are the challenges for you as a mental health nurse in developing your enhanced communication skills e.g., what do you need to do to develop your skills?

WORD COUNT

Insert the final word count for the essay after the conclusion (3000 words).
Exceeding word limits will be reflected in the academic judgement of the marker and will affect your grade (Page.101, ARU Academic Regulations, 3rd ed, 2020).

________________________________________________________________________

SCENARIO: Janna Timera

Janna Timera is a 45-year-old gentleman admitted to your assessment unit after he presented at A&E with cuts to his wrists and neck.
He had cut himself with a kitchen knife following what he described as a “panic attack” where he “lost the plot”. He is settled, his wounds have been dressed and overall were not life threatening.

He describes feeling depressed for some months after he was told there may be redundancies at work. He works in the office of a delivery company and says that there has been more and more work recently as people have left or retired from their posts and he has not been coping well.

Janna is married with two small children 10 and 5 years old. He describes his wife as loving and supportive and is worried that he “has put her through hell” and that he has “behaved stupidly”. He feels he has let his children down even though they did not see him harm himself or witness any of his distress and worry.

He reflected on feeling increasingly anxious on heading out to work, worrying about his job security, so much so that he has not been sleeping well. Janna said that he feels he has been depressed for a short while but felt unable to talk to anyone about this. His wife is very worried about him, and he stated that she has told him many times that, “we can cope Janna, your job is not as important as your health”.

This is Janna’s first 1-1 with you since his admission and he is happy to talk to you. During the session he states that he has been “stupid” and that he has “ruined everything”. He wishes he could turn the clock back to a time when he was “on top of things at work”. He worries that he might panic again and self- harm, although he does say that he would not do this to the family again.

QUESTIONS

How would you begin to engage with Janna and build his trust in you as a health professional?

How would you make him feel comfortable and encourage him to talk about his issues? How would you build rapport with Janna?

If Janna says, “I am a useless Father, I just panicked, how could I put my family through this?” How would you respond? What would you say and how does this fit with your therapeutic approach?

If Janna says “I can’t cope at work, I’m failing everyone “. How would you respond? What would you say and how does this fit with your therapeutic approach?

If Janna says, “I used to be such a strong person now I am the opposite”. How would you respond? What would you say and how does this fit with your therapeutic approach?

Suggest a way to close or finish the session using appropriate homework tasks, statements or questions based on the Janna’s statements in the scenario.

FURTHER INFORMATION

WORD COUNT (3000 WORDS)

According to ARU Academic Regulations the following items are excluded from the essay word count (Page.101, ARU Academic Regulations, 3rd ed, 2020):
Abstracts
Data
Tables
Figures
Diagrams
In-text references e.g. (Baxter, 2020)
Footnotes/endnotes used for reference purposes and kept within reasonable limits
List of references and/or bibliography
Appendices

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