Selected Issues in Mental Health Nursing.ppt

* Rape trauma syndrome – The first phase Acute phase of disorganization – days or weeks Response to rape, fear, anxiety, disbelief, anger, shock Physical signs- Sleep disturbance, nightmare, pains, body aches, fatigue, loss of appetite Ritual behaviors associate with ensuring safety Hyperalertness to potential danger Open response Vs. stoic response Irritability, difficulty concentrating, obsessive thought, tearfulness, anger, humiliation, guilt, shame * Rape trauma syndrome – The second phase A long-term reorganization phase – integration and resolution of the experience Goal – regaining empowerment and reconnecting with others; learning new ways to feel safe again and to manage disturbing symptoms PTSD others ie depression, anxiety disorders, substance abuse, sexual dysfunction disorders, dissociative identity disorder, borderline personality disorder * Treatment for rape victims Psychopharmacologic interventions Antidepressant Antianxiety med Atypical antipsychotics Psychological interventions Behavioral therapy Cognitive therapy Individual therapy Group therapy, family therapy Biofeedback, relaxation training, assertiveness, hypnosis, body work (dance, massage, yoga… * Ethical theories Utilitarianism Deontology Autonomy Beneficence Non malificence Fidelity Veracity Paternalism Justice * Everyday ethics Interpersonal relationship - respect, caring Unconditional positive regard Request the search for human dignity * * Nursing knowledge, technology advancement, work of professional organization - expanding scope Psy Tx tends to be more coercive, less voluntary, less open to public awareness, pt’s level of competence, use of restraints, seclusion * Protect N from liability for malpractice * Emergency admission: A 25-year-old man is seen standing on a rooftop. His employer calls the police and tells them the man had been behaving strangely. When the police arrive, the man states that he has special healing powers and no harm will come to him. The man believ