skills you will use to engage with Andrew â€Myassignmenthelp.Com

Question: Discuss About The Skills You Will Use To Engage With Andrew? Answer: Introducation In mental health nursing, communication is an essential component for all therapeutic interventions. The knowledge of interpersonal skills while communicating with the client is necessary and develops positive nurse-client relationship. In the given case study, key interpersonal skills are important while communicating with Andrew as he is greatly overwhelmed by the external environment. Skillful communication is required that can make a difference in the ability of Andrew to be engaged in the interview. Interpersonal communication is the building block for the so that Andrew engages properly in the interview. This communication includes a variety of skills that are client-centred communication like listening, paraphrasing, summarizing, questioning and using non-verbal communication (Stein-Parbury, 2013). Listening is the most challenging and essential component that allows the client to talk. While conversing with Andrew, the nurse needs to listen to him and this acts as a therapeutic effect. By employing this, she would be able to give opportunity to Andrew to tell about him when he will feel that he is being heard. In the given case scenario, Andrew spoke in a low monotone voice and listening would make him feel that his feelings are being cared and accepted. It helps to establish a trust worthy relationship when the nurse hear and understand him. It would help Andrew to feel less isolated and loosely connected with the present. Therefore, the nurse should provide time to Andrew to tell his story or experiences, with a purpose of understanding his concerns and paying full attention to what he says and tuning of the internal and external distractions (Bramhall, 2014). Paraphrasing is also a way of interpersonal communication where it helps to express the core message of the client in own words. The nurse should be careful during paraphrasing as the words should be different and does not change the meaning. It would help to demonstrate that the nurse heard whatever Andrew has said and feel supportive about it. It would also help to check clarity and understand rather than questioning (Morgan Yoder, 2012). Summarizing would help Andrew to assess and reassure that the nurse heard him correctly and provide chance for clearing the misunderstandings. In addition, questioning would also help Andrew to be engaged in the conversation Questioning is associated with probing skills with open-ended questions that gives a full descriptive picture (Lin et al., 2013). As Andrew mentioned that he experience hearing voices, then when, how, what" type of questions involving the hearing of voices would help focus on his cognition, behaviour, beliefs and thoughts. Non-verbal skills are important called SOLER methods that involves S; sitting facing Andrew, O: open posture, L: leaning towards him, E: maintaining eye contact and R: relaxed posture (Perry et al., 2013). The above mentioned interpersonal skills would help to engage with Andrew. The doctor stated that Andrew has symptoms of a psychosis. Using correct clinical terms and the clinical cues in the scenario, discuss three important signs and symptoms that support the doctors opinion There are certain clues in the scenario that are significant and indicate psychosis in Andrew. Psychosis is a condition where a person has impaired relationship with the reality. They experience either delusions or hallucinations that are the recognising symptoms for psychosis. In the given case scenario, Andrew experiences auditory hallucinations where he mentioned that he could hear people talking about him. However, there was no person in the room and no external distractions. He even stated that he could clearly hear voices talking about him. Hallucination is sensory perception in the absence of external stimuli. This means that the person sees, hears, feels or smells that is not present. Andrew experience auditory hallucinations where he can hear voices and communicate with them. He could experience false perceptions of sound that have no real origin and connection with the outer world. It seems real to Andrew and these experiences are frightening characterized by emotions and thinking that are impaired (Oorschot et al., 2012). The person who experiences psychotic symptoms has thoughts that are contradictory to the real situation. They even face social withdrawal and loss of motivation. These are called delusions where a person holds false beliefs and impression that are contradicted by the reality. In this given case scenario, Andrew spoke of evidence that people are conspiring against him and electrical items kept outside his unit that are being operated to interfere with his thoughts and claimed that other people are discussing to conspire and trying to put him into trouble. He has false belief and convinced that real people does not know who they are (Vorontsova, Garety Freeman, 2013). Andrew also illustrated disorganized speech and switched topics erratically. During the interview, he suddenly started saying that people in his university are ASIO spies who conspire against him. They have fitted a transmitter chip in his brain that can monitor his thoughts. These thoughts are highly loose and implausible that has no connection with the reality. A person experiencing psychosis shows the symptoms of erratic and disorganized speech in the later stages. The speech is incoherent in nature and hard to follow (Brenner et al., 2016). These above three signs and symptoms clearly explain that Andrew has symptoms of psychosis that clearly supports the doctors opinion. Andrew asks you why he has a prescription for medication. Briefly discuss how you would respond The nurse needs to explain the pharmacology of the medication to Andrew and the psychotic symptoms that he is suffering from. In psychosis, the presentation is not clear to the patient as the patient lacks insight that is distressing for the person and his or her family. Risperidone1 mgnocte was prescribed to Andrew before he left the clinic. As a nurse, she has to explain the pharmacology of the medicine to him. This medicine is used to treat mood disorder that helps one to think clearly and lead a normal life. Risperidone is an anti-psychotic drug that helps to restore the natural substances and its balance in the brain (Prez-Iglesias et al., 2012). Through free speech and lucid language, she needs to explain the mechanism of the prescribed medicine. She needs to explain to him that by taking this medicine, he would feel better and relax his mind. He need to be explained the voices that he hear would decrease if he takes this medicine regularly and greatly improve his mood, thinking and behaviour. The nurse needs to convince him that by taking this medication, nobody would be able to read his thoughts and manipulate those (Meltzer et al., 2014). Apart from this, he also needs to be informed about the side effects of the medicine like dizziness, drowsiness, nausea or tiredness and tell him to inform the doctor when he experiences any of these side effects. He should not panic and lie down and take rest if he experiences any if these side effects. Moreover, he should be explained on how to take the medicine. He should take the tablet in his mouth that would dissolve in few seconds. This drug can be taken with or without food and s hould continue the medicine as directed by saying him that he would feel better and think more clearly. He should be warned not to continue the medicine without the doctors approval and improve his general health (Koivunen et al., 2012). He should also be cautioned not to engage in activities that require alertness like driving or machinery use. He should be warned not to take alcohol while taking this medicine and not to overdose it, without consulting the doctor. The nurse should clearly say him not to share this drug with anyone else and not to skip any dose and need to be taken on a daily basis. She should inform Andrew to take the medicine at the scheduled time and even if he misses, he should not double up the dose. Patient education regarding risperidone would help Andrew comply with the medication and improve his health (Pitknen et al., 2012). The GP has requested Andrew is informed and carefully monitored over the next few weeks. Briefly discuss your plan Before the careful monitoring, Andrew need to be informed about his psychotic condition as he is experiencing delusions, auditory hallucinations and have distorted thoughts. For this, an empathetic communication is required where the nurse would explain the distinguishing psychotic signs and symptoms to the patient in a clear language that avoid confusion regarding medical jargons. Value of truthfulness is given priority in healthcare and treatment and so he should know about his medical condition and clearly monitor his condition until the next appointment (Minzenberg et al., 2014). Before he leaves, he should be informed that would help him to monitor his condition as well as the side effects of the prescribed medication. He should be informed to monitor his weight, pulse and blood pressure over the next two weeks before he comes for the next appointment with the GP. This measure is important, as diabetes, weight gain, breathing problems and increase in heart rate are the common problems associated with psychosis. He should monitor for the side effects of the medicine like less sweating, dizziness, drowsiness and nausea and in case, he is experiencing he should inform the GP. This monitoring is important that help to understand the positive symptoms and degree of psychosis in the patient (Brookwell, Bentall Varese, 2013). He should be provided with every piece of information that he need to know before leaving the clinic that make him well informed about his condition until his next appointment. When he is informed, he can take proper care of himself, become aware of his psychotic condition and enhance compliance. He should monitor his sleep patterns, appetite and any abnormality in his behaviour. Psychotic education is important for him to know the condition of psychosis (Waghorn et al., 2012). He should also be informed about the physical and health assessment tests required and how to access the healthcare services. Accordingly, the nurse should fix the next appointment in two weeks for the physical and mental assessment of Andrew. Apart from monitoring, Andrew should be taught about self-care strategies like getting proper sleep, eating well and seek help and support from friends. Providing information to Andrew would enhance self-advocacy over his health. Through careful monitoring, he would be able to understand his present psychotic episode that would be helpful for the health assessment in the next appointment with the GP. References Bramhall, E. (2014). Effective communication skills in nursing practice.Nursing standard,29(14), 53-59. Brenner, C., Ratzliff, A., Unutzer, J., Katon, W., Stephens, K. A. (2016). Psychotic Disorders.Integrated Care: Creating Effective Mental and Primary Health Care Teams, 101-123. Brookwell, M. L., Bentall, R. P., Varese, F. (2013). 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