Mental Health reflective journal

Theory Reflection #3: Behavioral Health Journal


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Remember that this journal uses the theoretical concepts you have learned and applies them to clinical practice:


1.) Discuss your feelings regarding your first clinical day. How did it compare with your expectations?

NOTE: Go ahead and make up answer to this question

2.) Discuss the milieu on the unit, is it a therapeutic milieu? Give examples of how it is or is not. Does it provide a safe “holding environment”?

Some insight notes for Question #2 : It is a locked mental unit, scroungy looking, very outdated, upkeep is not very well , many holes patched on walls but never painted over, very beige color all around with white patched holes, not much to do for the patients activity wise (perhaps because of covid), patients just wandering up and down the hallway, strongly smells of urine. You can add more as you please, but this is my experience with the unit.

3.)Describe an interaction between nursing staff and a patient that demonstrated empathy, advocacy, or a therapeutic alliance.

Insight note for Q #3: Didn’t really see any, go ahead and make up an instance.

4.) Discuss a legal or ethical issue you have encountered during this clinical? Consider the ethical principles that were evident in the situation and how these principles were adhered to or violated. What did you learn from this experience & how will it impact your practice?

Insight note for Q #4: two different patients refused their medications and the nurse threatened to take away smoking privilege’s if they didn’t take their medication. Patients have the right to refuse medications.

5.) Discuss the role of the nurse in maintaining safety on the unit. What assessments are made by the nurse? What interventions support patient safety?

Note for Q #5: Go ahead and research and make up answer. Include covid interventions for patient safety. Masks were provided to patients.


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