Sally, a nurse for community mental health is caring for 3 clients today. First, she meets Sam. Sam has been admitted to a psychiatric unit with a diagnosis of psychosis and schizophrenia. Sally provides Sam with appropriate interventions to help stabilize his condition, monitors his compliance with medication and conducts therapy sessions. 1. Sally is using what level of prevention according to the Neuman Systems Model?

According to the Neuman Systems Model, Sally’s actions can be classified as secondary prevention. The Neuman Systems Model is a comprehensive and multidimensional conceptual framework that provides guidance for nursing practice in the mental health setting. It focuses on the interactions between the client and the stressors in the environment, aiming to maintain the client’s stability and well-being.

In this case, Sam has already been diagnosed with psychosis and schizophrenia, indicating the presence of a health deviation or stressor. Sally’s role as a nurse is to intervene and prevent further deterioration of his condition. By providing appropriate interventions to stabilize his condition, monitoring medication compliance, and conducting therapy sessions, Sally is actively working to prevent the exacerbation of Sam’s mental health issues.

Secondary prevention, within the framework of the Neuman Systems Model, refers to interventions aimed at preventing the progression of a health deviation or stressor. It focuses on early detection and timely treatment to minimize the negative consequences of the deviation. Sally’s interventions align with this level of prevention, as she is addressing Sam’s current mental health issues and attempting to prevent any further deterioration.

By regularly monitoring Sam’s medication compliance, Sally ensures that he is receiving the necessary pharmacological treatment. This is crucial in managing symptoms and preventing relapse or worsening of his condition. Additionally, Sally conducts therapy sessions with Sam, which can help him understand and cope with his mental health challenges better.

The therapy sessions may involve various techniques such as cognitive-behavioral therapy (CBT) or psychoeducation, both of which can contribute to Sam’s overall well-being and help him acquire coping skills. Through these interventions, Sally aims to help Sam achieve stability and reduce the negative impact of his mental health issues on his functioning.

It is important to note that primary prevention, the first level of prevention in the Neuman Systems Model, would involve interventions aimed at promoting mental health and preventing the development of mental health issues. This may include activities such as mental health education, stress management training, or promoting healthy lifestyles. However, in this given scenario, Sam has already been diagnosed with psychosis and schizophrenia, indicating the presence of a health deviation. Therefore, Sally’s focus is primarily on preventing further deterioration, fitting it into the secondary prevention level.

In conclusion, according to the Neuman Systems Model, the level of prevention that Sally is using in her care for Sam is secondary prevention. By providing appropriate interventions, monitoring medication compliance, and conducting therapy sessions, Sally aims to stabilize Sam’s condition and prevent further deterioration of his mental health issues. This level of prevention aligns with the framework’s emphasis on early detection and timely treatment to minimize the negative consequences of a health deviation.

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