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Module 8 Case Study Anxiety 11-28-21

Case study for anxiety in Mental and Behavioral Health.
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Mental and Behavioral Health Nursing (2459)

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Academic year: 2020/2021
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Wendy Fife Rasmussen University

11/28/

NUR2459 Section 01 Mental and Behavioral Health Nursing

Module 08 Case Study - Anxiety Disorder/Obsessive Compulsive Disorder

Describe at least three clinical signs of Anxiety observed in the videos.

Lauren was looking down at her hands and biting her nails during most of the video. She was also moved around a lot, like she couldn’t keep still and was playing with her hair.

She worries about her grandpa every 5 minutes, even though he isn’t sick or old. She has to make breakfast every morning before 9am or she is uncomfortable for the rest of the day. Her body shakes and she can’t stop tapping her hands.

Describe at least three Obsessive-Compulsive behaviors observed in the videos.

Lauren has to fold the laundry a certain way, and if her mom tries to help she must refold it all again.

When she was younger she would count the cars on the street to see if both sides had the same number. If the number was uneven, she would have her parents drive down the street again so she could recount the cars. They needed to be equal.

She would count the number of students in her Spanish class each day, and there had to be 17 students including herself, no more or less.

Explain at least three therapeutic communication techniques used by the nurse in the videos.

Active Listening- The nurse would stay silent, so that Lauren could take her time and decide what she wanted to say or how she wanted to say it.

Clarify/Explore – By asking questions and repeating things Lauren would said, she was showing Lauren that she was interested in helping her and making sure that she understood what was being said.

Questions/Summarizing – Using open ended questions allowed Lauren to tell the nurse how she felt about her behaviors and rituals. Summarizing parts of the interview helped the nurse to confirm she understood what Lauren was trying to say.

Discuss at least two nursing interventions appropriate for Lauren. Support your choices with rationales.

The nurse should have good eye contact when needed, always face the client, and be an active listener. The client should feel like the nurse is really listening to them, so they can build trust in the relationship.

The nurse should also be accepting with a nonjudgmental attitude. Most OCD clients are private about their behaviors because it’s not normal behaviors. We should never show any shock, disappointment or amusement towards their rituals.

Support your ideas with at least two credible resources.

ATI E-Book: RN Mental Health Nursing Edition 11, Chapter 1 & 4

Morgan, Karyn I. Davis Advantage for Psychiatric Mental Health Nursing. Available from: Bookshelf Ambassador ed, (10th Edition). F. A. Davis Company, 2020.

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Module 8 Case Study Anxiety 11-28-21

Course: Mental and Behavioral Health Nursing (2459)

151 Documents
Students shared 151 documents in this course
Was this document helpful?
Wendy Fife
Rasmussen University
11/28/2021
NUR2459 Section 01 Mental and Behavioral Health Nursing
Module 08 Case Study - Anxiety Disorder/Obsessive Compulsive Disorder
Describe at least three clinical signs of Anxiety observed in the videos.
Lauren was looking down at her hands and biting her nails during most of the video. She was also
moved around a lot, like she couldn’t keep still and was playing with her hair.
She worries about her grandpa every 5 minutes, even though he isn’t sick or old. She has to make
breakfast every morning before 9am or she is uncomfortable for the rest of the day. Her body
shakes and she can’t stop tapping her hands.
Describe at least three Obsessive-Compulsive behaviors observed in the videos.
Lauren has to fold the laundry a certain way, and if her mom tries to help she must refold it all
again.
When she was younger she would count the cars on the street to see if both sides had the same
number. If the number was uneven, she would have her parents drive down the street again so she
could recount the cars. They needed to be equal.
She would count the number of students in her Spanish class each day, and there had to be 17
students including herself, no more or less.
Explain at least three therapeutic communication techniques used by the nurse in the
videos.
Active Listening- The nurse would stay silent, so that Lauren could take her time and decide what
she wanted to say or how she wanted to say it.
Clarify/Explore – By asking questions and repeating things Lauren would said, she was showing
Lauren that she was interested in helping her and making sure that she understood what was being
said.
Questions/Summarizing – Using open ended questions allowed Lauren to tell the nurse how she
felt about her behaviors and rituals. Summarizing parts of the interview helped the nurse to confirm
she understood what Lauren was trying to say.