Legal Issues and Social Concerns in Mental Healthcare

Describe the foundations of mental health nursing.

This competency mainly covered the biology of the mind/brain, drugs, and legal-ethical issues in mental healthcare. One major concept I learned that even people that are involuntarily admitted, have the right to refuse ordered medication unless their safety or the safety of other’s is compromised, or it is court ordered (Morgan, 2021).

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Explain current legal issues and social concerns in mental healthcare.

Some legal issues in mental healthcare are elder abuse, the use of restrains and seclusion, and privacy or protected information “HIPPA” laws. The elderly, demented individuals are at high risk of abuse by staff. Restraints must be used only when safety is compromised or when consent has been signed for use during a procedure. Informed consent must be achieved in order to do any surgery. Social issues revolve around the fact that many mentally ill people struggle finding/keeping steady jobs. They are often homeless and continue in a downward spiral with crime and drugs (Morgan, 2021).


Select appropriate nursing interventions for clients with certain cognitive, addictive and psychotic conditions.

When caring for cognitively ill clients, the goal is to maintain safety and dignity, and decelerate the process. When working with intoxicated or psychotic clients, protect your own safety first by assuring that you have the appropriate security in place. Keep sentences short and simple. Set boundaries. Observe signs of withdrawal and alert provider immediately for medication to relieve symptoms. Encourage expression of feelings and thoughts by MH clients. Provide emotional support and encourage activities to maintain/regain independence (Morgan, 2021).

Evaluate nursing care strategies for clients with certain mental health/mood/personality and eating disorders.

You must set boundaries on behavior and ensure clients feel safe. Manic clients must be provided frequent rest periods, finger foods, and a physical outlet. Depressive clients always must be monitored for self-harm. For anorexic/bulimic clients, stay with them for an hour after eating to ensure they do not vomit. Start with small meals at first to avoid overwhelming these clients (Morgan, 2021).

Assemble nursing care interventions for clients with mental health/stress related disorders.

It is important to encourage expression of anger or grief for stress related issues. Help client gain independency and identify resources for support (Morgan, 2021).

Identify factors that impact mental health in special populations.

A history of abuse (violent, sexual, psychological) can severely affect the mental health of the victim. Age is a factor here. Children are vulnerable and often abused by family especially low-income and intoxicated parents. The elderly are vulnerable and often abused or neglected. Being female also increased risk for sexual abuse. Being disabled also makes you more vulnerable. Being poor or homeless also increases risk of abuse (Morgan, 2021).

Describe how you achieved the transferable skill, Communication, including at least one example of new knowledge gained related to the transferable skill

I achieved the skill of communication by studying the therapeutic vs non-therapeutic methods of interviewing. For example, restating helps the client feel understood and heard while asking why provokes defensiveness (Morgan, 2021).

Describe how this new knowledge will impact your nursing practice.

This new knowledge will help me be a better nurse. I will know the signs of mental health illness and how to properly care for these individuals.

Morgan, K. (2021). Davis Advantage for Psychiatric Mental Health Nursing (10th ed.). F. A. Davis Company.