Anthony, 29, is under the jurisdiction of
Anthony, 29, is under the jurisdiction of your local provincial Mental Health Review Board on your acute care ward. He’s in breach of a disposition because of repeated alcohol and marijuana use; Anthony is also diagnosed with bipolar disorder and is currently prescribed olanzapine 10 mg and lithium 800 mg daily. He experiences mania when he uses substances, and the incident that led to his review occurred when he was under the influence (he racked up over $100 000 in property damages). He uses substances and alcohol due to the negative side effects (weight gain) from his prescribed medications. Anthony is divorced and recently obtained regular visits with his kids. He holds down a steady job in construction, but he’s worried about losing his employment because he sometimes misses shifts. Questions 1/ What is the relationship between addiction and mental illness? 2/ What is the relationship between the drug and alcohol use and Anthony’s diagnosis? 3/ What assessments would be completed? 4/ What medications and lab work should be done (e.g., Lithium levels)? 5/ In terms of Anthony’s stay on the unit, what are some safety precautions? 6/ Based on your reading and what you learn so far What are the criteria for involuntary admission? 7/ How do you evaluate Anthony’s capacity? 8/ What is the role of the nurse in Anthony’s case? 9/ Examine your values and beliefs: How do you balance issues of transference and countertransference? 10/ If you don’t support Anthony’s release, how will you maintain a therapeutic relationship or respond to him when he expresses a sense of betrayal during your day. to-day care? 11/ What are your ethical responsibilities to the Anthony and the public?
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