Unit of competency Outline

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Deliver nursing care to consumers with mental health conditions

Deliver nursing care to consumers with mental health conditions

Unit of competency
National Code
HLTEN410B
State Code
D8203
TGA Status
Replaced
DTWD Status
Deleted
Current Release Number
1.00
Current Release Date
25/03/2011
State Implementation and Classification
Approved Date
03/08/2011
Original Release Date
25/03/2011
Nominal Hours
40
Field of Education
060305 - Mental Health Nursing
Description
DescriptorThis competency unit describes the skills and knowledge required to contribute to the nursing care and management of consumers with mental health conditionsIt focuses on the roles and responsibilities of the Enrolled/Division 2 Nurse within the mental health team, and on the nursing management of the consumer with a mental illness
General notes
N/A
Elements and Performance Criteria
1. Address requirements of the state/territory Mental Health Act
  • 1.1 Explain the concept of mental illness
  • 1.2 Apply an understanding of the history, social, political and economic context of mental health in Australia
  • 1.3 Support the rights of the consumer with mental health conditions
  • 1.4 Apply an understanding of national and state/ territory mental health policies and strategies
  • 1.5 Work in a manner that reflects an understanding of the underpinning values and philosophies of mental health care and is consistent with legal obligations
2. Respond appropriately to signs of mental illness
  • 2.1 Identify conditions relating to the mental state and behaviour of consumers using broad classifications of mental illness and terms commonly associated with mental health conditions
  • 2.2 Recognise the signs and symptoms of mental health disorders and respond within the role of an Enrolled/Division 2 nurse
  • 2.3 Recognise biopsychosocial effects of mental health disorders
  • 2.4 Recognise stereotyping and stigma associated with mental illness and practice in a manner which minimises the effects of negative behaviours and discrimination
  • 2.5 Recognise the impact of stigma and discrimination on consumers with mental health conditions, and reflect on own attitudes and values
  • 2.6 Apply feedback from consumers and carers in adjusting own practice
3. Contribute to planning care for consumers with mental health conditions
  • 3.1 Participate as a member of the health care team in the treatment of consumers with mental health conditions within the role of Enrolled/Division 2 nurse
  • 3.2 Gather, record and document data according to health care environment policy
  • 3.3 Participate in multidisciplinary team meetings
  • 3.4 Observe signs and symptoms of changing behaviours and report to registered nurse
  • 3.5 Participate as a member of the health care team to plan the treatment of consumers with mental health conditions within the role of Enrolled/Division 2 nurse
  • 3.6 Demonstrate understanding of the consumer's right to contribute to their own care planning
4. Contribute to the care of a consumer with a mental health disorder
  • 4.1 Implement nursing interventions of a mental health consumer
  • 4.2 Plan, prioritise and implement nursing interventions for a mental health consumer based on the individual care plan in conjunction with treating team
  • 4.3 Reflect the individuality and needs of each consumer when undertaking nursing interventions to assist the consumer to meet their holistic needs
  • 4.4 Document behaviour patterns or characteristics in the client's care plan
  • 4.5 Work in a manner that aims to provide respect and dignity to consumers
  • 4.6 Assist the consumer and significant others to participate in therapeutic nursing interventions
  • 4.7 Perform nursing interventions in accordance with professional, legal and organisation requirements reflecting non-discriminatory practice as delegated by registered nurse
  • 4.8 Recognise emergency situations, act upon, document and report according to organisation policy and procedures
5. Assist evaluation of outcomes of planned nursing actions
  • 5.1 Document consumer response to nursing interventions and report to the registered nurse or other appropriate mental health care team member
  • 5.2 Comply with the legal responsibilities and duty of care in all nursing interventions
  • 5.3 Apply ethical and moral concepts to all clinical interventions
6. Apply self protection strategies
  • 6.1 Identify triggers of problem behaviours and within the scope of Enrolled/Division 2 nursing practice, initiate prevention strategies
  • 6.2 Maintain safety of self and others
RANGE STATEMENT

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.


Health team may include:
Psychiatrist
Psychologist
Social worker
Welfare officers
Nursing team
Recreation officers
Program officers or activity officers
Occupational therapist
Health workers
Drug and alcohol workers
General practitioner
Consumer advocate
Carer
Residential care worker


Resources and service providers may include:
Government agencies
Non-government agencies
24 hour crisis services
Community mental health centres
Rehabilitation services
Family/carer support services
Consumer services
Outreach services
Psychiatric disability services
School counsellors
Acute Inpatient


Working with individuals and groups to achieve community development outcomes may include:
Engagement with various structures and patterns of work undertaken by practitioners and community members including:
Community service delivery
Community projects
Community development
Community action
Community planning
Consultative and planning committees
Sector development structures


Appropriate course of action include:
A public response/meeting
Group action
Conducting a specific project
Development of a program
Establishment of organisation arrangements


Broad classifications of mental illness must include:
Mood disorders
Personality disorders
Anxiety disorders
Psychoses
Organic disorders
Mental health


Common terms associated with mental health may include:
Psychology/psychiatry
Consumer
Reality testing
Risk assessment
Psychosis
Anorexia nervosa/bulimia nervosa
Functional disorders/organic disorders
Restraint/seclusion
Advocacy
Recovery
Therapeutic relationship
Sexual safety
Dual diagnosis


Common terms associated with anxiety disorders, personality disorders, psychotic disorders and mood disorders may include:
Generalised anxiety disorder
Fear
Panic disorder
Social phobia and specific phobias
Obsessive-compulsive disorder
Post traumatic stress disorder
Antisocial/Avoidant
Borderline personality
Dependent/depressive
Histrionic/narcissistic
Obsessive -compulsive/paranoid
Passive-aggressive
Schizophrenia
Substance abuse
Major depressive episode
Manic episode/hypomanic episode
Dysthymic disorder
Major depressive disorder
Bipolar disorder
Hallucinations
Drug induced psychosis
Eating disorders
Challenging behaviours


Common diagnoses must include:
Schizophrenia
Dementia
Delirium
Anxiety disorder


Consumer mental health needs may include:
Emotional support
Social support
Financial advice
Food and clothing
Transport
Carer support
Respite care
Emergency relief
Legal advice
Accommodation support
Referral to other agencies


Appropriate communication and relationship building processes may include:
Engagement
Empathy
Non judgemental manner
Active listening
Acknowledging the person in a pleasant and accepting manner
Treating the person as an individual with their own life history, skills and interests
Rapport building
Warmth
Genuineness
Respect
Limit setting where appropriate
Identifying strengths
Including consumer and family


Response to consumers in distress and crisis will include:
Enlisting support and/or assistance from colleagues or emergency support as appropriate
Applying organisation policies and procedures
Using calm and calming behaviour
Reporting incidents promptly and accurately


Nursing observations of the mental health consumer may include:
Appearance/behaviour
Speech
Sleep
Appetite
Emotional reactions/mood/ cognition
Form of thought/ perception/insight
Disturbance in language
Risk of harm to self and/or others


Consumer characteristics or behaviour patterns that require documentation may include:
Suicidal tendencies
Mania
Hostile, combative behaviours
Delusions, hallucinations
Confusion
Withdrawn behaviour
Depression
Aggression
Manipulative behaviour
Sexually inappropriate behaviour


Ethical concepts may include:
Integrity
Confidentiality
Advocacy
Accountability
Respect
Safety
Non-judgmental attitudes


Activities to promote consumer dignity may include:
Communicate with consumer - inform, explain
Confidentiality, privacy and respect
Facilitate choice where reasonable
Provide consistency and consideration
Attention to hygiene, grooming and positive self image
Provide encouragement
Safety and security
Inclusion in formal decision-making processes where possible


Therapeutic environment may include:
Non judgmental
Safe
Consistent
Consumer focussed
Promotion of independence
EVIDENCE GUIDE

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:
The individual being assessed must provide evidence of specified essential knowledge as well as skills
Observation of performance in a work context is essential for assessment of this unit
Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse with qualifications in mental health
Observation must include:
Enrolled/Division 2 nurse's role and responsibilities within the mental health environment
rights of the client in a mental health environment
nursing management of common mental health disorders and support strategies within the defined scope of practice
documentation
assessment of risk


Context of and specific resources for assessment:
This unit is most appropriately assessed in the clinical workplace
Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should represent workplace conditions as closely as possible


Method of assessment
Observation in the work place
Written assignments/projects
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
Questioning - verbal and writing
Participation in supervision/reflective practice activities
Role play/simulation
Reflective journal
To ensure consistence of performance evidence should be collected over time and include a range of different clinical situations


Access and equity considerations:
All workers in the health industry should be aware of access and equity issues in relation to their own area of work
All workers should develop their ability to work in a culturally diverse environment
In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people
Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities


Related units:
This unit is recommended to be assessed in conjunction with the following related competency units:
HLTEN402B Communicate effectively in a nursing role
HLTEN509B Apply legal and ethical parameters
Replaces
State Code National Code Title Type
C9209 HLTEN410A Deliver nursing care to consumers with mental health conditions Unit of competency
No information