Module 3 Active Reading Guide: Chapter 7 - Client's Response to Illness

Instructions: This guide will help you actively engage with your reading by capturing key information, completing concept maps, and applying knowledge to real-world scenarios. Complete each section as you read Chapters 6 and 7 in Videbeck.

Chapter 7: Client's Response to Illness

Pre-Reading Reflection

Before reading, reflect on the following:

1. What personal, cultural, or spiritual values shape how you respond to stress or illness?
2. How do you think social support systems impact someone's recovery from mental illness?
3. Why is it important for nurses to understand the client's cultural background when planning care?
4. How might stigma affect how a client engages with mental health services?

Fill-in-the-Blank Notes & Key Definitions

Complete the following using your reading:

1. Self-Efficacy: A person's belief that they can influence events and ________ outcomes in their life.
2. Hardiness: A personality trait characterized by commitment, control, and viewing stress as a ________.
3. Spirituality: A sense of connectedness to something larger than oneself, which can influence ________ and coping.
4. Cultural Competence: The ability to understand, appreciate, and work with people from ________ backgrounds.
5. Social Support: Emotional, informational, or practical assistance received from others, promoting ________.
6. Stigma: A negative perception that leads to ________ and social exclusion.
7. Resilience: The ability to recover from ________, adapt, and grow stronger.
8. Resourcefulness: The ability to solve problems and manage challenges using available ________.
9. Sense of Belonging: A feeling of being connected and valued in a ________.
10. Cultural Humility: A respectful approach to care that involves lifelong self-reflection and openness to the client's ________.
11. Social Determinants of Health: Economic, environmental, and social conditions that affect a person's ________ and access to care.

Guided Reading Questions

Use these questions to support your reading:

1. What individual characteristics influence a client's response to illness?
2. How do spiritual beliefs and practices affect mental health and recovery?
3. What is the difference between cultural competence and cultural humility?
4. How can nurses assess and support social support systems in clients with mental illness?
5. What are the implications of stigma and social isolation for treatment engagement and recovery?
6. How does resilience develop, and how can nurses foster it in their clients?
7. How do social determinants of health impact a client's ability to access and engage with mental health services?

Concept Mapping Activity Factors That Influence Client Response to Illness

Instructions: Complete the table below to organize how each factor contributes to or hinders recovery.

Factor	Example or Definition	Influence on Mental Health Outcome
Self-Efficacy	____________________________________	___________________________________
Social Support	____________________________________	___________________________________
Spirituality	____________________________________	___________________________________
Culture	____________________________________	___________________________________
Resilience	____________________________________	___________________________________
Stigma	_____________________________________	___________________________________

Self-Assessment & Reflection

Reflect on what you've learned from this chapter:

1. Which personal or cultural factors do you think most strongly influence a client's response to illness?
2. What can nurses do to reduce stigma and build a sense of belonging for clients?
3. How can you apply the concepts of resilience and cultural humility in your nursing care?
4. What steps can the nurse take to strengthen cultural competence?
5. What are the risks of not addressing cultural factors in mental health care?

Chapter 9: Legal and Ethical Issues

Pre-Reading Reflection

Before reading, reflect on the following:

1. What legal or ethical concerns do you think are most common in mental health care?
2. How should nurses respond when a client's wishes conflict with what the care team believes is best?
3. What do you already know about client rights in psychiatric care?
4. What are your thoughts on the use of seclusion or restraints in mental health settings?

Fill-in-the-Blank Notes & Key Definitions

Complete the following using your reading:

1. Autonomy: The right of individuals to make decisions about their own ________.
2. Beneficence: The ethical principle of doing ________ for others.
3. Nonmaleficence: The duty to do no ________.
4. Fidelity: Being faithful to one's ________ and obligations.
5. Veracity: The ethical obligation to tell the ________.
6. Confidentiality: The obligation to respect and protect a client's private ________.
7. Duty to Warn: The legal requirement to breach confidentiality to protect a potential ________.
8. Least Restrictive Environment: The legal mandate that clients receive care in the ________ setting possible.
9. Involuntary Commitment: Hospitalization without consent when a client is a danger to self or ________.
10. Malpractice: Professional negligence that results in client ________.
11. Insanity Defense: A legal argument stating that a person should not be held responsible for a crime due to ________ at the time of the offense.
12. Beneficence: The ethical principle of doing ________ for others.
13. Nonmaleficence: The duty to do no ________.
14. Fidelity: Being faithful to one's ________ and obligations.
15. Veracity: The ethical obligation to tell the ________.
16. Confidentiality: The obligation to respect and protect a client's private ________.
17. Duty to Warn: The legal requirement to breach confidentiality to protect a potential ________.
18. Least Restrictive Environment: The legal mandate that clients receive care in the ________ setting possible.
19. Involuntary Commitment: Hospitalization without consent when a client is a danger to self or ________.
20. Malpractice: Professional negligence that results in client ________.

Guided Reading Questions

Use these questions to support your reading:

1. What are the main ethical principles guiding mental health nursing practice?
2. How do client rights influence nursing decisions in psychiatric settings?
3. Under what circumstances can confidentiality be breached legally?
4. What are the legal and ethical implications of using seclusion or restraints?
5. How can nurses reduce liability and avoid malpractice claims in psychiatric care?
6. What's the difference between voluntary and involuntary hospitalization?
7. How should nurses handle ethical dilemmas involving conflicting values or treatment plans?
8. What is the nurse's role in cases involving the insanity defense or court-mandated psychiatric care?

Concept Mapping Activity Legal and Ethical Issues in Mental Health Nursing

Instructions: Complete the chart below using key concepts from the chapter.

Legal/Ethical Concept	Definition or Description	Nursing Application Example
Autonomy	___________________________________	__________________________________
Confidentiality	___________________________________	__________________________________
Involuntary Commitment	___________________________________	___________________________________
Seclusion and Restraints	___________________________________	___________________________________
Duty to Warn	___________________________________	__________________________________
Malpractice	________________________________	__________________________________

Self-Assessment & Reflection

Reflect on what you've learned from this chapter:

1. Which ethical principle do you think is the most difficult to apply in real-life situations, and why?
2. What steps can nurses take to advocate for client rights while protecting safety?
3. How can you prepare to manage legal and ethical dilemmas in future clinical practice?

Application: Real-World Case-Based Scenarios

Case 1: Balancing Safety and Autonomy A client who is involuntarily committed expresses a desire to leave treatment and refuses prescribed medication. The care team believes medication is essential, and the client also shares intentions to harm a specific person.

• What are the nurse's responsibilities regarding confidentiality and safety?
• Which legal and ethical principles are involved in this situation?
• How can the nurse maintain a therapeutic relationship while supporting the treatment plan?

Case 2: Managing Risk and Legal Accountability A client becomes aggressive and is placed in restraints. Later, the client claims their rights were violated.

• What documentation is required to reduce legal risk and support patient safety?
• Which ethical principles are at stake in this scenario?
• How can nurses reduce the likelihood of malpractice claims in high-risk situations?