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Johns [ edit ] Adaptation of the Johns reflective model Professor of nursing Christopher Johns designed a structured mode of reflection that provides a practitioner with a guide to gain greater understanding of his or her practice. Reflection occurs though "looking in" on one's thoughts and emotions and "looking out" at the situation experienced. Johns draws on the work of Barbara Carper to expand on the notion of "looking out" at a situation. Johns' model is comprehensive and allows for reflection that touches on many important elements. It also helps us detect hegemonic assumptions—assumptions that we think are in our own best interests, but actually work against us in the long run. Lens 1: Our autobiography as a learner. Our autobiography is an important source of insight into practice. As we talk to each other about critical events in our practice, we start to realize that individual crises are usually collectively experienced dilemmas. Analyzing our autobiographies allows us to draw insight and meanings for practice on a deep visceral emotional level. Lens 2: Our learners' eyes. Evidence Based Practice Reflection
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A nurse is assessing a client who is experiencing occasional feelings of sadness because of the recent death Rsflection a beloved pet. The clients appetite, sleep patterns, and daily routine have not changed. How should the nurse interpret the clients behaviors? The clients behaviors demonstrate mental illness in the form of depression.
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The clients behaviors are extensive, which indicates the presence of mental illness. The clients behaviors are not congruent with cultural norms. The clients behaviors demonstrate no functional impairment, indicating no mental illness.
ANS: 4 Rationale: The nurse should assess that the clients daily functioning is not impaired. The client who experiences feelings of sadness after the loss of a pet is responding within normal expectations. Without significant impairment, the clients distress does not indicate a mental illness.
At what point should the nurse determine that a client is at risk for developing a mental illness? When thoughts, feelings, and behaviors are not reflective of the DSM-5 criteria.
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When maladaptive responses to stress are coupled with interference in daily functioning. When a client communicates significant distress. When a client uses defense mechanisms as ego protection.]
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