Challenging Behaviours

Question 1

List the types of challenging behaviour commonly encountered in mental health care settings

Answer 1

• aggression (verbal and physical threats, shouting, conflicts, non-adherence, absconding)
• manipulation (splitting, demanding attention or what special conditions are met)
• self-harming and suicidal behaviours (cutting, ingesting poisons, overdoses)

Question 2

Factors that could contribute to challenging behaviour: staff

Answer 2

challenging behaviour often occurs as a result of what we are nurses do or in some circumstances don’t do.. may not always be conscious of how we are perceived how our behaviour influences consumers behaviour out knowledge and skills and attitudes become important

Question 3

Factors that could contribute to challenging behaviour : consumer

Answer 3

consumers may face challenging behaviour in the context of: psychotic disorder, adjustment disorders mood, anxiety or personality disorders ect.
all can limit a consumer’s ability to engage purposely with health care that nurses provide

Question 4

Factors that could contribute to challenging behaviour: enviornmental

Answer 4

environmental factors become a part of our contextual understanding of challenging behaviour

Question 5

Factors that could contribute to challenging behaviour: cross-cultural

Answer 5

diverse cultures have behavioural and communication that may be interpreted variously by nurses from different cultures. behaviour may be seen by some as no accepted but not accepted by another culture

Question 6

Factors that could contribute to challenging behaviour : social

Answer 6

impact of media, social media and public interpretations this results in the labeling of consumers with mental illnesses as at risk, dangerous, difficult absconding and or frequent fliers

Question 7

The recovery model

Answer 7

Adopts an approach where consumers potential for recovery is paramount and supported by a network of personal and professional relationships. recovery has less of an emphasis on outcomes and instead a focus on the person journey instilling the maintenance of hope, positive sense of self meaning, secure bases, social inclusion and empowerment

Question 8

Solution focused therapy

Answer 8

goal directed psychotherapeutic partnership that focuses on what consumers want to achieve now and in the future while the relevance of past experiences us not ignored it is not the focal point

Question 9

Trauma informed care

Answer 9

principle that only a consumer has experienced trauma can truly understand the journey to recovery