mental_health_game_report
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School
York University *
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Course
601
Subject
Communications
Date
Feb 20, 2024
Type
Pages
7
Uploaded by SuperMosquitoMaster269
Congratulations, you've completed the game!
You have shown a strong ability to use your communication and assessment skills to address Irina’s needs. Review your feedback below.
Your Results:
(first attempts)
Here is you summary report with an assessment of your first response in the form of Correct, Correctable or Incorrect response. Beside
the response is links to the suggested module readings related to the topic. Below your first response is your subsequent responses, if you
click on them you will also receive information and links to the module readings related to the topic.
If you replay the game, make sure you save this report before playing a new game, as the results will be reset each time.
Your Summary Report
Scenario 1: How do you introduce yourself to the client?
You have introduced yourself and provided the client with information about your role. This is appropriate for the Orientation Phase of
the therapeutic nurse-client relationship, as you are meeting Irina for the first time.
Additional reading:
Module 1: Three Phases of the Therapeutic Relationship Attempt 1: Refer to arranged appointment - Correct Response 6
Correct 3
Not the Best 4
Incorrect
Scenario 2: Where do you choose to sit?
Reflective Question:
What seating arrangement will promote active listening as well as maintain your safety? Additional reading:
Module 1: Strategies to support therapeutic communication Module 3: Communication strategies when screening for abuse Reflective Question:
If you needed to make a quick exit to maintain your safety, what barriers would you encounter between the couch and the door? How
could you avoid these barriers?
Additional reading:
Module 3: Communication strategies when screening for abuse You need to ensure your personal safety when visiting a client at home, particularly when you suspect the presence of another person
(as suggested here by the work boots in the hall). The table provides you with an accessible route to the exit, should you need it.
Additional reading:
Module 3: Communication strategies when screening for abuse Scenario 3: How do you respond to an unexpected person?
Your personal safety is important in a threatening situation. If you leave, you will be able to get help for Irina as well as maintain your
own safety.
Attempt 1: Remain standing - Not the Best Response Attempt 2: Offer to sit down on the couch - Incorrect Response Attempt 3: Offer to sit down at the table - Correct Response Attempt 1: Introduce yourself and move to the exit - Correct Response
Additional reading:
Module 3: Communication strategies when screening for abuse Scenario 4: You noticed bruises, how do you bring this up with the client?
Reflective Question:
How could you respond to develop trust and encourage Irina to share information? Additional reading:
Module 1: Strategies to support therapeutic communication Module 3: Nursing Role in Assessing an Adult for Abuse Reflective Question:
What question(s) should you ask your client when you suspect abuse? Additional reading:
Module 3: Nursing Role in Assessing an Adult for Abuse The nurse’s role includes asking questions when abuse is suspected. An open-ended question encourages the client to share her story,
while asking for permission to examine the bruises conveys respect for the client. Additional reading:
Module 1: Strategies to support therapeutic communication Module 3: Nursing Role in Assessing an Adult for Abuse Scenario 5: Do you accept a cup of tea?
Attempt 1: Express concern for Irina - Incorrect Response Attempt 2: Ask if Irina received treatment for bruises - Not the Best Response Attempt 3: Ask about the bruises - Correct Response Attempt 1: No - Correct Response
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As you are still in the orientation phase of the relationship, it is better to fully assess the situation before accepting tea from Irina. At a
later point you may accept a cup of tea from her or you may offer to make the tea with Irina. Sharing a cup of tea has the potential to
build the therapeutic relationship but it is not the best action at this time.
Additional reading:
Module 1, Three Phases of the Therapeutic Relationship Scenario 6: How can you support Irina now?
Reflective Question:
What do you need to do before you can direct Irina to community resources? Additional reading:
Module 3: Nursing Role in Assessing an Adult for Abuse Acknowledging the abuse and offering assistance opens up the possibility of working with the client to address the situation in a way that
makes her feel comfortable. Additional reading:
Module 3: Nursing Role in Assessing an Adult for Abuse Scenario 7: Which response will help with your assessment of Irina?
Reflective Question:
Listening is an important therapeutic communication strategy. How can you complete your assessment without the documentation
becoming the focus of the interaction?
Additional reading:
Module 1: Strategies to support therapeutic communication Attempt 1: Inform Irina of available resources - Not the Best Response Attempt 2: Inform Irina of her rights and offer to help - Correct Response Attempt 1: Ask about Joseph and document the answers - Incorrect Response
Beginning with an open-ended question and listening to the client fosters development of a therapeutic nurse-client relationship and
facilitates assessment of a domestic violence situation. Additional reading:
Module 1: Strategies to support therapeutic communication Module 3: Communication Strategies for Screening for Abuse Scenario 8: What do you say to Irina now?
You have asked an open-ended question that will help you determine Irina’s goals for herself and how you can support those goals. Additional reading:
Module 1: Strategies to support therapeutic communication, Three phases of the Therapeutic relationship Module 3: Nursing Role in Assessing an Adult for Abuse Scenario 9: How do you respond to Irina’s disclosure?
Reflective Question:
Providing reassurance can be a barrier to further communication. Based on Irina’s previous statement, what should you assess
regarding her mental health?
Additional reading:
Module 2: Completing a mental status assessment, Depression You have identified that Irina may be at risk for depression and that you need to further assess her mood and mental status.
Additional reading:
Module 2, Completing a mental status assessment, Depression Attempt 2: Ask about Joseph and listen - Correct Response Attempt 1: "What would you want your life to be like?" - Correct Response Attempt 1: Provide reassurance - Incorrect Response Attempt 2: Inquire about mood - Correct Response
Scenario 10: How should you respond to gather further data?
Reflective Question:
You have used a closed-ended question to turn the conversation towards interventions to support sleep. What strategy could help you
collect more detailed assessment data? Additional reading:
Module 1: Strategies to Support Therapeutic Communication Reflective Question:
You have used a closed-ended question to turn the conversation towards interventions to support sleep. What strategy could help you
collect more detailed assessment data? Additional reading:
Module 1: Strategies to Support Therapeutic Communication Summarizing and validating show Irina that you are listening empathetically, and thus contribute to building trust. This helps Irina to feel
comfortable disclosing more information. Asking about how long Irina has been experiencing symptoms is an important part of
assessing for depression. Additional reading:
Module 1: Strategies to Support Therapeutic Communication Module 2: Depression Scenario 11: Which response would be your priority?
Given that Irina may be depressed, it is important to determine if she is at risk for suicide.
Attempt 1: Discuss sleeping habits - Incorrect Response Attempt 2: Discuss sleeping habits - Incorrect Response Attempt 3: Summarize and validate - Correct Response Attempt 1: Assess suicide risk - Correct Response
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Given that Irina may be depressed, it is important to determine if she is at risk for suicide.
Additional reading:
Module 2: Depression, Suicide Risk Assessment Scenario 12: How do you proceed with this conversation?
Based on Irina’s previous statement, what should you assess regarding her mental health?
Additional reading:
Module 2: Suicide Risk Assessment Asking if Irina has a plan to hurt herself is an important part of assessment for risk of suicide. In this case, knowing that her child
depends on her serves as a protective factor for Irina.
Additional reading:
Module 2: Suicide Risk Assessment Scenario 13: How do you bring your visit to an end?
In two days you will meet with Irina again to discuss community resources. Irina will need continuing support, so offering to meet again
conveys commitment to working with her, and helps to build trust. For personal safety, it would be appropriate to meet at a local coffee
shop.
Additional reading:
Module 1: Three Phases of the Therapeutic Relationship Attempt 1: Explore Irina’s perception of her situation - Not the Best Response Attempt 2: Ask if Irina has a plan to hurt herself - Correct Response Attempt 1: Book another appointment to explore resources - Correct Response