1 What specific psychiatric disorders did you observe in the movie?The patients in

1.) What specific psychiatric disorder(s) did you observe in the movie?The patients in the mental ward are cowed and repressed by the emasculating Nurse Ratched, who represents the oppressive force of modern society. She maintains her power on the ward by manipulating the men’s fears and desires. She uses shame to keep them submissive. She also manipulates her staff through insinuation and by carefully stoking their hatred.All male patients are divided into acute, who can be cured, and chronic, who cannot be cured.Billy is a nervous, shy, and boyish patient with an extreme speech disorder and intellectual disability. He cuts and burns himself and has repeatedly tried to commit suicide. He has a fear of women, especially those with authority such as his mother. Chief Bromden a half-Native American man, who goes into clinical depression and begins hallucinating. He was diagnosed with schizophrenia. George is a man with germaphobia, he spends his days washing his hands in the ward’s drinking fountain. Jim and Bruce are two epileptic patients. Jim refuses to take his anti-seizure medication, as it makes his teeth fall out. Bruce takes Jim’s medication as well as his own because he is terrified of the seizures and loses teeth due to the resulting overdosage.Pete is a patient who suffered brain damage at birth but managed to hold down simple jobs. McMurphy is not, in fact, crazy, but rather that he is trying to manipulate the system to his advantage. 2.) What societal or cultural attitudes are reflected in the depiction of mental illness, its treatment and the role of the nurse?Although initially based on principles of moral treatment, psychiatric hospitals became overstretched, non-therapeutic, isolated in location, and neglectful of patients in 19th – 20th centuries. In” Cuckoo’s Nest”, the head administrative nurse rules the ward with absolute authority and little medical oversight. She took control of every aspect of patients’ lives through a combination of rewards and subtle shame. She admonished one of the patients, Billy, when she found him with prostitute both partially undressed. She calmly threatened to tell his mother what she had seen. Billy got an emotional breakdown and committed suicide by cutting his throat once left alone. By emphasizing the conflict between nurse and free-spirited patient, the movie reinforces idea that people often fall victim to a tug-of-war between societal expectations and personal needs. The nurse Ratched demands an unquestioning acceptance of societal standards, punishing patients who challenge the daily flow of activities on her ward. By contrast, McMurphy reminds his peers that they all have personalities and inner lives, encouraging them to laugh in the face of authority whenever possible.3.) What ethical questions have arisen in the movie?This movie is replete with themes of power, autonomy, and harmony. Lack of patient confidentiality, lack of respect patient needs, lack of concern of patient safety first, use of ECT as a punishment for unruly patients. Thus, it is an ideal film to study with medical and nursing students, as it serves as an accessible template for discussing these important issues.4.) Picking one of the identified disorders, what does the current literature advise to assist you, as the nurse, to best help the client? You must have at least three articles from nursing authors/journals. These must be listed in your references. The research suggests for the best care of mentally ill patients use nurse-client relationship through its essential building blocks of engagement, empathy, communication, and trust. The therapeutic communication is central to the growth of interdependent psychological, emotional, cognitive, social and behavioral skills necessary for an individual’s development (Cristy, Doody, 2015). The research also suggests developing an empathetic attitude (AMN, 2011), continue to provide comprehensive support to manage the complex health needs of individuals with an intellectual disability (Wynne, Healy, 2018). 5.) What is your reaction to the characters in the film and has that changed in any way after your study of psychiatric nursing?30 years ago, when I first watched “One Flew Over the Cuckoo’s Nest” the movie made an indelible impression on me. I was shocked and scared how mentally ill patients were treated in psychiatric hospitals, and how mentally healthy patient underwent a lobotomy and became a vegetable. Today, in the 21st century, I learn and observe how medical staff treat psych patients, I had conversations with some of them, and I can say the way we treat our patients today is far from what we did just a decade ago. We respect patient’s autonomy, confidentiality, and privacy, we treat them as a human being, not as an object for manipulation and control. Using your review of the literature from your paper, consider how you might provide nursing care to one of the characters in the movie you saw (the R in SBAR). Write a nursing care plan for the character (include assessment questions, nursing diagnoses/DSM-V diagnoses, desired outcomes and nursing interventions using the articles you have chosen. Please include 1 nursing dx (mental health related) and 3 nursing interventions.6.) Provide short synopsis of the chosen movie and give report to the team in (SBAR) format.McMurphy shows many signs and symptoms of antisocial personality disorder (DSM-5 Criteria – Revised April 2012, Axis II, Cluster B). The first and most noticeable trait of antisocial personality disorder is a charming and friendly personality (Blair, 1993). But upon delving into the true emotions, a person with antisocial personality disorder suffers from constant internal agitation. One of the dominating social signs of antisocial personality disorder is irritability, often followed by violent behavior (InteliHealth, 2000). Several times throughout One Flew Over the Cuckoo’s Nest, McMurphy showed such characteristics. Antisocial personality disorder patients often worry about being considered weak or victimized. With an additional fear that others will “get the better of them