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you start with the quiz, crazy assignment, concept map, group observation and I attach example for what to do on group observation assignment, then you do prep sheet. For prep sheet we do it lastly so i can provide you information. And please ask if you don’t understand any part so i can make it clear for you!
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Questions related to the book Crazy: A Father’s Search Through America’s Mental Health Madness by
Pete Earley
1. What do you suppose the author is referring to by using the word “crazy” in the title of the book?
2. Are the chronically mentally ill any better off since the deinstitutionalization of the mentally ill?
Why or why not? Please be specific and use specific examples from the book.
3. How does a person with a chronic mental illness affect the family? What are the fears of families?
4. Name some “system problems” that are discussed in the book.
5. Have we gone too far to protect “civil rights”? Are we hurting the chronically mentally ill by giving
them these “rights”?
6. What is “imminent danger” in reference to the mentally ill and what are the risks of waiting until
one does display this level of “danger”?
7. Have we “freed” the chronically mentally ill? Abandoned them? Imprisoned them?
8. What was the intended effect of “the right to refuse treatment”?
9. In the book, it talks about “Passageways” treatment center who treat what we call the “mad and
the bad” but why are they the successful?
10. Discuss some of the symptoms of mental illness that are described in the book. Be specific.
11. Why does the staff really fear “the 9th floor”?
12. Did this book do anything to change your perception of the mentally ill or the treatment of the
mentally ill? What are your feelings after reading this book? Your personal opinion?
Risk Factors
Signs & Symptoms
Potential
Complications
Medical Diagnosis
Medications/Class/use
Nursing Diagnosis
Pt education
Evaluation
Nursing Interventions
N316 – Mental Health Nursing
Group Observation Assignment
Directions: The student is to complete the assignment on one group session the student attends.
Using Table 34-3 of you textbook, draw a diagram of the group using the legend provided below.
Next to each individual, including the leader, indicate the task, maintenance, and/or individual
roles the person took on during the group session. Below the diagram provide a summary of 1)
the purpose of the group session, 2) the explicit rules/boundaries set for the group, and 3) an
observational analysis of the effectiveness of the group process.
Legend: – Male
О – Female
Δ – Group Leader
“Quiz”
View the movie “A Beautiful Mind” or “Canvas” and answer the following questions.
All answers must be typed.
Answers are one point each unless otherwise specified.
Due by noon 10/9 (Monday) submitted to Canvas Drop.
Questions for A Beautiful Mind: (You may rent this movie on your own, borrow a copy from
me to watch on campus and return immediately. This movie is also available on Amazon)
1. What Is Paranoid Schizophrenia (1 point)? What evidence of this disorder is depicted
by John Nash? Provide specific examples of Mr. Nash’s behavior that shows he meets
the DSM-V criteria (DSM criteria is in your text p. 191- speak to each point A-F) (3
points).
2. What is the impact of severe mental illness upon healthy family members in the film?
3. What clues are given in the first half of the film that indicated John Nash is in the early
stages of schizophrenia? (what are his first symptoms)
4. How does this film show the fears of the public or stigma about schizophrenia?
5. Give three nursing diagnosis for Mr. Nash include related to and as evidenced by in
the dx. (3 points)
OR
Questions for Canvas: You may use the following link to watch this
https://www.youtube.com/watch?v=V0B6sXUXtNA
1. What is paranoid Schizophrenia (1 point)? What evidence of this disorder is depicted by
the Mom in this movie? Provide specific examples of her behavior meeting the DSM
criteria in your text p. 191- Speak to each point (A-F). (3 Points)
2. What is the impact of severe mental illness upon health family members in the film?
3. How does this film show stigma about mental illness?
4. Name 2 nursing dx for the child in this film include related to and as evidenced by in the
nursing Dx. (2 points)
5. Name 2 nursing dx for the mom in this film. Include related to and as evidenced by in
the nursing Dx. (2 points)
Student Name _____XX________________________________
Client’s Initials: XX
Age:
Room Number:
Ethnicity: C
Facility:
Legal
Status:
416
Date _____3/20/09_____________
27
sweds
Gender
M
F
Admission Date: _3/10/09_________
Unit: Adult
Minor X
Vol.
Invol.
Checks/Precautions:
Close observation Level 2
DSM V: Bipolar II, Problems with Primary Support
MEDICATIONS (Include generic/trade name, classification/use, dose, schedule, common side effects)
Generic Name Trade Name Classification/Use Dose Schedule Side Effects
valproic acid
Depakote
Mood stabilizer
1500 QHS
Liver toxicity, weight gain
aripiprazole
Abilify
antipsychotic
25mg QHS
Sedation, EPS
LABS/DIAGNOSTIC TESTS: (Only those not WNL, Tox Screen, and medication lab levels)
Pregnancy negative.
Refuses vital signs X 3 days.
Tox screen + for
THC and + for
Benzo
Alcohol negative
Depakote level 23
on 3/10
Level 76 on 3/20
Presenting Problem:
Pt went into a gas station and instead of paying she gave the clerk a “high 5” She also
took several items of the shelf of the gas station and attempted to use her Walgreens
card to pay for the items. Police were called and transported her to ER
Physical, sexual abuse history:
Physically abusive ex-husband.
Medical History:
Hx of Asthma
Family History:
Mother with history of Bipolar. Father unknown history. 1 sister suicided 3 years ago. 1
sister lives out of town and client has no contact with them.
Pt 2 kids ages 7 and 3 in DCFS custody.
Substance Abuse History:
Treated times 3 at Rosecrance. DOC is alcohol. Last alcohol use one month ago. Denies
pot use but positive on admission for THC.
Recent Stressors/Losses:
Recently fired from her job. Husband moved out.
Education:
Some college. Wanted to be a nurse.
Legal:
None
Marital History:
Recently separated (3 weeks ago) married for 3 years.
Support Systems (with whom does the client live with):
Pt lives alone. States she has “no family”
Pt view her church as supportive.
Occupational:
Not currently employed. Last employed 4 years ago at a nursing home.
Mental Status Assessment (Include general appearance and behavior,
mood/affect, other):
Appearance:
Physical handicaps ______none______________________________________________
Dress/Grooming: Appropriate X
Inappropriate Sloppy Poor Hygiene
Gait & Motor coordination (awkward, stagers, shuffling, rigid, steady) __Pt in almost constant motion
with tapping feet and fingers _____________________________________________________
Relationship between appearance and age ___Appears older than stated age____________________
Behavior
Agitated
Calm
Lethargic
Restless X
Anxious X
Angry
Tearful
Distractible X Evasive Cooperative x Follows commands X
Negative Fearful
Alert X
Movements: Excessive X Reduced WNL
Peculiar body movements (e.g., scanning of the environment, odd or repetitive gestures, level of
consciousness, balance and gait) __pt constantly tapping fingers and feet____________________
Abnormal movements (e.g., tardive dyskinesia, tics, tremors) __None_________________
Level of eye contact (keep cultural differences in mind) ___poor eye contact______________________
Speech
Rate: Rapid X Slow
Normal
Volume: Loud X Soft
Normal
Clear
Mumbling
Pressured X Slurring Stuttering
Constant X Mute or silent
Disorganized
Tongue-tied speech
Barriers to communication
Specify (e.g., client has delusions or is confused, withdrawn, or verbose) __pt is constantly talking
without taking even a breath, _____________________________________________________
Mood
What mood does the client convey? ___Pt is overly happy and expansive
_______________________________________________________________________
Affect
Is the client’s affect bland, apathetic, flat, dramatic, bizarre, or appropriate? Describe.
_____Affect is inappropriate to situation. Smiles when discussing suicide. __________________
Thought process
1. Characteristics: Flight of ideas X Looseness of association Blocking
Concrete thinking Confabulation Disorganized Neologisms
Circumstantiality Coherent
Describe the characteristics of the client’s responses ___pt difficult to keep “on topic” and constantly
talking about non-relative situations. _________________________________________________
2. Cognitive ability:
Proverbs: Concrete X
Abstract
Serial sevens: How far does the client go? ____93_______________
Can the client do simple math? Yes X No
What seems to be the reason for poor concentration? ___manic behavior________________
Orientation to Time X
Place X
Person X
Situation No
Thought content
1. Central theme: What is important to the client? __”finding a man”_________________
Describe. ___pt hyperfocused on “finding men”_____________________________________
2. Self-concept: How does the client view him/herself? ___”there is nothing wrong with me”_
____________________________________________________________________
What does the client want to change about him/herself? __physical appearance. _______
____________________________________________________________________
3. Insight: Does the client realistically assess his/her symptoms? Yes No X
Describe. ___pt thinks she is “fine” doesn’t see severity of her problems._________________
Realistically appraise his/her situation? Yes No X
Describe. __pt focused on “finding a man” when her husband just left her and her kids are in DCFS
custody, and she is unable to maintain in the community. _____________________________
4. Is the client a Reliable historian? ___Unsure________Describe:__some stories make sense while
others have no basis. Pt states she was “never at that gas station” despite admit note. ________
5. Suicidal or homicidal ideation? Yes
No X Suicide potential? ______________
Family history of suicide or homicide attempt or successful completion? Yes X No
Explain. ___sister suicided__________________________________________________________
6. Preoccupations: Does the client have
Hallucinations Type: Auditory Visual Tactile Olfactory
Delusions X Type: Grandiosity X Jealous Persecutory Somatic
Obsessions
Rituals Phobias Religiosity Worthlessness Illusions
Describe. ____________________________________________________________
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