Nursing Mental Health Homework 7

Read the case study about Borderline Personality Disorder and answer the following questions in your initial posting:

• How would you use therapeutic communication and principles of cognitive behavioral therapy with the client?
• Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention.

Borderline Personality Disorder Case Study

S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part-time in a nursing home and works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years to a new job. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that she liked her supervisor at; first; she says, “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get full-time jobs five times in the last four years was hired for three but only lasted one or two weeks at each one.

S. reports that she is currently not talking to her daughter because “she is mean to me and she needs to apologize, or I won’t talk to her again.” She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that say “I still love you! Grandma” but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her.

S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband and had a pattern of meeting and dating men who eventually abused her. She states that her last relationship was very good; the man was not abusive, and “I loved him very much.” The relationship ended for reasons that S. doesn’t understand. However, she does report many arguments that ended in “scenes,” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more, and I showed it.” She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong regularly. When the boyfriend asked to break up, S. reported sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about four months ago.

S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her psychotherapy three months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments.

Nursing Critical Research Appraisal Assignment

You will select one research report with a qualitative design and one with quantitative design and answer the following questions regarding the following categories:

1. Discuss what is meant by the term Qualitative Research
   • Briefly, describe the characteristics of qualitative research and identify nursing issues/phenomena that lend themselves to a qualitative research approach.
   • Compare and contrast three different qualitative research methodologies.
   • Briefly, discuss the strengths and weaknesses of qualitative research evidence for informing nursing practice.
   • Communicate how this research design used in research.
2. The study, sampling, data collection, analysis, rigor, findings and limitations
   • Identify the purpose of the study.
   • Briefly, describe the design of the study and explain why you think it is either appropriate or inappropriate to meet the purpose.
   • Identify ethical issues related to the study and how they were/were not addressed.
   • Identify the sampling method and recruitment strategy that was used.
   • Discuss whether sampling and recruitment were appropriate to the aims of the research.
   • Identify the data collection method(s) and discuss whether the method(s) is/are appropriate to the aims of the study.
   • Identify how the data was analyzed and discuss whether the method(s) of analysis is/are appropriate to the aims of the study.
   • Identify four (4) criteria by which the rigor of a qualitative project can be judged.
   • Discuss the rigor of this study using the four criteria.
   • Briefly, describe the findings of the study and identify any limitations.
   • Use the information that you have gained from your critique of the study to discuss the trustworthiness and applicability of the study. Include in your discussion any implications for the discipline of nursing.
3. Discuss what you understand by the term Quantitative Research – Use the following dot points to guide your discussion (give reasons for your argument and support with references):
   • Describe the characteristics of quantitative research.
   • Identify nursing issues/phenomena that lend themselves to a quantitative research approach
   • Differentiate between observational and interventional research designs and also between experimental and quasi-experimental designs.
   • Briefly, outline the difference between inferential and descriptive statistics and their relationship to levels of measurement.
   • Communicate how this research design used in research.
4. Critique the Quantitative Research Report – Use the following headings to guide your critique (in all discussions and explanations give reasons for your argument and support with references):
   • The study
     • Identify the purpose and design of the study.
     • Explain what is meant by ‘blinding’ and ‘randomization’ and discuss how these were addressed in the design of the study.
     • Identify ethical issues related to the study and how they were/were not addressed.
   •  Sampling
     • Explain the sampling method and recruitment strategy that was used.
     • Discuss how the sample size was determined – include in your discussion an explanation of terms used.
   • Data collection
     • Briefly, outline how the data was collected and identify any data collection instrument(s).
     • Define the terms validity and reliability and discuss how the validity & reliability of the instruments were/were not addressed in this study and why this is important.
   • Data analysis
     • Outline how the data were analyzed.
     • Identify the statistics used and the level of measurement of the data described by each statistical test – include in your discussion an explanation of terms used.
   • Findings and limitations
     • Briefly, outline the findings and identify any limitations of the study
     • Use the information that you have gained from your critique of the study to briefly discuss the trustworthiness and applicability of the study. Include in your discussion an explanation of the term statistical significance and name the tests of statistical significance used in this study.

• What are some of the advantages and disadvantages of policies that encourage work-life balance? Is it realistic for a highly competitive workplace to uphold such policies? Why or why not?
• What is the relationship between happiness and success? Is it counterintuitive to you? Explain your rationale.
• How can the principles behind the science of happiness be leveraged to improve work performance?
• How might an organization create an environment that is rich in optimism, social support, and the ability to see stress as a challenge instead of as a threat?

Select and complete two online intelligence tests. Please include a link to the tests you have taken.

Here are a few examples of links to online intelligence tests:

Classical IQ Test

Free IQ Test

Highly Accurate Free IQ Test

What was your experience with the  tests? What are your impressions of the tests? Were the tests easy to  use? How many items were on the test? Did you have any questions about  the items? Did the items appear to be testing what they said they were  testing? On which theory of intelligence does the test appear to be  based? What are the benefits and limitations of online intelligence  tests versus traditional intelligence tests?