Dalmas Frenkie is a 32-year-old


An individual with a mental condition might benefit from incorporating culture into their care. Dalmas Frenkie is a 32-year-old Amazulu man from South Africa. Christianism is his faith. Dalmas is wedded to Paula Christine, who he met in 2014 when they were both hitched. Veronica and Christina are his two daughters. Edna Frenkie (28), and Jackson Frenkie (26), are his two siblings. He had disorientation, disorientation, drowsiness, and even obscene speech when he was admitted. There has been a background of drug and alcohol misuse.

He graduated from university in 2013. He resides in Soweto, South Africa’s well-known neighbourhood. The family thought that mental disorder was caused by sorcery or even retribution from their forefathers (Stevens et al., 2006). The mental disease runs throughout the line. At 14, the client was wounded in a severe event that left him with mental injuries. Due to his drinking, he lost his mother and his work, and he became quite miserable.

The patient presented with no allergies to any food or even medication. The patient was once admitted to the hospital because of a traumatic accident at 14 years (Stevens, Hernandez, Johnsen, Dickerson, Raij, Harrison& Jackson, 2016). No history of some conditions, such as diabetes mellitus in the family. Few cases of mental illness were reported in the past among the family members. On admission, the vital signs were normal.


During a full, holistic mental health evaluation, Dalmas’ mental, cognitive, interpersonal, and moral components were all examined. Culture is the best instrument for treating Dalmas’ mental disorder in this case. His cousin, Allardyce, will act as the family’s spokesman, informing relatives of Dalmas’ health and how to participate in home-based care. The individual required a healthy diet as part of his nutritional needs. The client was to be provided by family and friends since he had a cognitive disability. The savage culture of drug use was brought up. The cultural rites influenced this. The method for resolving family disputes was evaluated (Stevens et al., 2006). The family head’s position was also evaluated. The involvement of tribal elders and church figures is also evaluated. The relatives and friends’ perspectives on the genesis of mental disorders were also examined. Face-to-face interaction and surveys were utilized in this case.

Nursing Diagnosis

Many nursing evaluations were established using the NANDA-1 diagnostic handbook to aid in caring for Dalmas’ mental disorder: The patient’s conduct was linked to a lack of social connection, as shown by community individuals’ dread of engaging him. Ethical anguish as demonstrated by the individual’s erratic conduct, a family’s ability to cope with a mental disorder as demonstrated by declining enrollment at family gatherings, and a persistently sad mood, as demonstrated by a decrease of church attendance, spiritual anguish exists. Individual inability to flourish is linked to cultural growth, as demonstrated by poor decision-making, absence of the father position, and impoverishment, as well as a troubled family structure, as demonstrated by static role strain (Zeanah, 2018).


The objective and result, as well as the treatment and justification, are all included in this section (Zeanah, 2018). The primary objective and results are to enhance the client’s intercultural communication with society, enhance decision-making on cultural aspects, reestablish the client’s behaviour to rationality, decrease role strain because the wife serves as the head of the family, and lastly, to alleviate poverty, which may lead to chronic arguments and fights. Providing psychiatric-related medications to treat delirium, sedation and providing individual therapy to cease alcohol and drug misuse are all part of the nursing treatment.

Include religious authorities in resolving this couple’s marriage issues and providing psychological and social assistance. As a result, disputes will be reduced, and individuals will be able to communicate effectively. Arrange family discussions to assist Dalmas’ family in handling stress, and even give food and work prospects for this patient once he has recovered (Morrall, 1998). To usher about civilization and minimize the propensity of further mental disease instances, educating friends and family about specific cultural traditions with the help of a religious figure.


Religious leaders use cultural education to decrease some barbarous behaviours believed to be preconceptions and risk factors for mental disorders. Rehab treatment was also to be completed as quickly as feasible to rectify the client’s conduct. Family members give economic and social assistance by giving food and other supplies for the family. His wife receives marriage therapy for a specified period. Family members are trained how to cope with the stress imposed on by the disease. In religious services and leader’s conferences, members of society were given cultural awareness on how to behave properly with a psychologically ill individual. For two weeks, sevoflurane was inhaled, and 1 gram of chloral hydrate was taken orally.


Couples therapy and the involvement of church authorities were used to minimize family conflicts and disputes. Rehabilitation was used to achieve the objective of ending alcohol or other drug dependence. Treatment and rehabilitation were used to achieve the objective of enhancing the patient’s condition (Morrall, 1998). The objective of lowering stress and strengthening stress coping strategies among relatives was achieved to a large extent. Many members returned to church on a regular basis. Better decision making was achieved; most topics that required family discourse were resolved with consensus. Poverty was lessened, which resulted in fewer family disputes. Because of the client’s recovery, care for psychological illness has seen a milestone.


The objective of any therapy in mental health nursing is to secure a complete recovery or even enhance the patient’s state. Every nursing practice strategy should strive to improve prophylaxis. In this situation, culture plays an essential role in therapy. Culture may readily change a client’s condition by incorporating all of society’s members. Some societal values, which are risk factors for mental disorders, are malleable and may be fine-tuned through time. As a result, a nursing assessment based on ethnicity will aid in selecting the appropriate strategy, implementing it in a way that fulfils the therapeutic objectives, and assessing the results.


Morrall, P. (1998). Mental health nursing and social control. Mental Health Practice, 1(8), 12-13.

Stevens, A., Hernandez, J., Johnsen, K., Dickerson, R., Raij, A., Harrison, C., … & Jackson, J. (2006). The use of virtual patients to teach medical students history taking and communication skills. The American Journal of Surgery, 191(6), 806-811.

Zeanah, C. H. (Ed.). (2018). Handbook of infant mental health.

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