#some of the sources I cited intext in the below reference list

[yaekiss]

oh my god fuck my stupid baka life

[freewhispersmaker]

NURSING (MENTAL HEALTH NURSING)

  Mental Status Examination (MSE) Assignment Instructions

Rationale:

Any nursing assessment requires a detailed history of the client’s life using a holistic approach that covers the lifespan of the person. Nursing assessments performed in the mental health setting include the mental status examination as well as a number of risk assessments, which may be client centred or health service centred (Edward, Munro, et al. 2011, p. 347).

It is important that the nurse include a lifestyle assessment and an assessment of the client’s physical health. Some lifestyle choices, such as substance use or poor dietary intake can produce disease that may manifest as disorders of mental status. This origin of disease needs to be exposed through questioning so that other causes and influencing factors of mental health can be investigated and eliminated.

Learning outcome:

It is expected that you will develop a sense of your ability to observe client behaviour and accurately document those observations as findings on the Mental Status examination form in the correct assessment category and using the correct terminology.

It is also expected that you will be able to identify symptoms pertaining to that client, gained from your findings and be able to develop mental health nursing specific interventions to assist the client.

Instructions:

  Access the MSE form from study desk. “MSE Form”. You need to submit this assignment via EASE so there is no need to print the form. If you open it, then you can record your observations directly into it. Insert your name and student number in the space provided.

Watch the Interview with Harry that is loaded on the study desk, and or on the link below. Record your observations from the interview / assessment between Harry & the mental health nurse, on the MSE form. You can minimise the MSE form while watching the clip and pause the clip while documenting.

Once your MSE is completed, identify and record relevant symptoms that Harry displayed during the interview and find evidenced based nursing mental health interventions.

Complete the symptom and intervention page.

The symptoms that you identify and write your corresponding interventions for must be found from documented evidence in your MSE report.

Support your interventions from current evidenced based nursing literature / journal articles and texts and accurately cite the references – minimum of 5 scholarly references.

Refer to your text and the glossary of terms on the study desk for assistance ensuring that you use the appropriate mental health terms to communicate your findings.

You may record your findings in dot point form, however, you must specify the evidence that substantiates your observation

Save your file as a Word Document ( No PDF’s as they cannot have feedback comments added) and Submit the assignment via the Moodle Assessment Submission by the due date.

Marking guide is recorded on the MSE form and record your observations directly into it.

Insert your name and student number in the space provided.

      Notes:

The client in the video clip is an actor. His stage name has been documented on the MSE for you. Harry may not demonstrate behaviours or generate data for all categories of the MSE. Therefore, you may not be able to identify data to document for every category of the MSE. Harry’s background details provided on the following page offer collateral information from the police and his mother which is appropriate to document on the MSE form and the source of this information should be identified e.g. collateral from police.

Be sure to use the appropriate mental health terms to communicate your findings.

You may record your findings in dot point form. However, you must specify the evidence that substantiates your observations.

  BACKGROUND INFORMATION ON HARRY

Harry is an 18 year old high school student who was brought to the Emergency

Department on Friday 12th June, for an assessment. This occurred after police received a phone call from a concerned bystander who had observed Harry running repeatedly into the path of traffic on a busy inner city street. Police reported that on their arrival, Harry was standing on the road semi naked, gesturing wildly, laughing and shouting loudly at the cars driving by.

On approach, Harry did not acknowledge the police and refused to return to the footpath. He shouted out that “nobody can hurt me because I am invisible!” To ensure that Harry remained safe, the police decided to escort him from the road. Harry was uncooperative and physically aggressive and during the struggle to get him to safety, Harry dropped a small plastic bag of white powder. The police decided to take Harry to the nearest hospital under the Mental Health Act – Emergency Examination Order (EEO) for a mental health assessment.

At the hospital, Harry refused to enter into any discussion with staff. Emergency staff located Harry’s wallet in his clothing and contacted his mother who promptly arrived. She gave a recent history of Harry’s behaviour at home and described a significant decline in his academic and social functioning over the past month. She reported that his sleep has been disturbed, and that he is often awake all night. She noted that he appears to fluctuate between being subdued and sad to angry and then violent with no apparent cause. Despite Harry’s denials, she stated that she has suspected drug use and even found some injecting paraphernalia in his bedroom. She also mentioned that earlier in the day, he had been acting strangely at home, and expressed fears that his younger brother was making him ill. He had left home abruptly without stating his intentions

You can access the link to Harry’s interview and assessment by clicking on the link below.

      STUDENT NAME & NUMBER:

             Adult Mental Health Services

CONSUMER ASSESSMENT

Date:                                       Time: 1500

    URN: U223344

  Family name: Slater

  Given names: Harry John

  Date of birth: 03/02/ 1998     Sex: Male

  MENTAL STATE EXAMINATION

1 Mark for each component – to obtain full marks, documentation of examples in each section must be related to the case presented – refer to the areas needing to be addressed in text pp141-142

  General appearance

            Behaviour

            Speech

            Mood and

Affect

            Thought process

                        Thought content

        Perception

          Cognition

          Judgment

          Insight

                            After completion of the Mental State Examination, identify three (3) different symptoms that Harry is exhibiting and that you have recorded in your MSE report.

   DO NOT include the example below provided.  Marks will be deducted if you copy the example.

  For each of the three (3) symptoms identified, write two (2) mental health nursing interventions and reference the evidenced based source of your intervention against each individual intervention.

                        Decline in level of daily activities

Assist Harry to maintain self care with engaging with him re his needs and maintaining a level of responsibility and dignity.

Callaghan, et al, 2009,  pp177

Assist Harry with achieving and completing goals that may include doing personal laundry and tidying his room.

Callaghan,et al, 2009  pp177

SYMPTOM

1mark for each appropriate symptom recorded from your MSE report

                                                     INTERVENTION

2 interventions for each symptom identified

0.75 mark for each intervention and 0.25 for intext reference

                          Reference List (1 mark).

      MSE :                                                                                                                              /10

Interventions:                                                                                                                 /9

Referencing:                                                                                                                  /1  

  TOTAL MARK                                                                                                                  /20

  Comments:

  Marker:

                           Adult Mental Health Services

CONSUMER ASSESSMENT

Date:                                  Time:

        MENTAL STATE EXAMINATION

  General appearance

        Lisa is a 26 year old caucasian female of stated age. Slim build and average height. She was dressed in crumpled jeans which appeared unwashed, a t-shirt and wearing thongs. There were numerous facial piercings and evidence of old scarring on her arms from self harm activity. Poor level of personal hygiene and grooming. Long straight brown hair which was not brushed.  

Behaviour

        Lisa was restless, moving around the room and unable to sit still  for any  length of time. She constantly played with her hair and mobile phone. Eye contact was intermittent, although she was co-operative with the assessment. Rapport was superficially established. She appeared distracted and seemed to be responding to unseen stimuli .  

Speech

        Lisa’s speech was of normal tone, rate and pitch.  

Mood and

Affect

      Lisa indicated that she did not feel depressed, but  her mood appeared anxious with her affect being agitated. Her mood and affect were congruent.  

Thought process

        Lisa appeared to be experiencing thought blocking as at times during mid sentence she appeared to be distracted, noted to talk to herself, and then found it hard to refocus on the conversation.  

Thought content

      Lisa showed signs of paranoia and delusional thinking.

She believed people were spying on her with er camera’s  and microphones in her unit. She stated that she had been sleeping in her garden, too scared to be in her unit. Her paranoid thoughts extended to her belief that her boyfriend had inserted a transmitter  into food that she had eaten so he could monitor her thoughts.

Lisa had voiced that she is sleeping with a knife but denied that she has any suicidal ideation or homicidal ideation.

Perception

        Lisa voiced that she is experiencing auditory hallucinations , reporting that the voices are saying “horrible” things about her including that she is a bad person, that she is ugly and they are advising  her to protect herself from her boyfriend. Cognition

        Orientated to time, place and person.

Recent memory intact. Remote memory vague.

She found it difficult to concentrate during the assessment.

IQ – average as had completed grade 12 and gained entry to University which she has since disengaged from any study.

Judgment

        Impaired as has been non-compliant with medications placing her at risk of  decompensating with her mental illness. Insight

        Impaired as Lisa failed to acknowledge that not being compliant with her antipsychpotic medications may have resulted in a decline in her mental health.

      Source: © AcademicWritersBay.com

>> CLICK HERE TO ORDER 100% ORIGINAL PAPERS FROM AcademicWritersBay.com <<<</strong>

The post NURSING (MENTAL HEALTH NURSING) appeared first on Academic Writers BAy.

[freewhispersmaker]

  Mental Status Examination (MSE) Assignment Instructions

Rationale:

Any nursing assessment requires a detailed history of the client’s life using a holistic approach that covers the lifespan of the person. Nursing assessments performed in the mental health setting include the mental status examination as well as a number of risk assessments, which may be client centred or health service centred (Edward, Munro, et al. 2011, p. 347).

It is important that the nurse include a lifestyle assessment and an assessment of the client’s physical health. Some lifestyle choices, such as substance use or poor dietary intake can produce disease that may manifest as disorders of mental status. This origin of disease needs to be exposed through questioning so that other causes and influencing factors of mental health can be investigated and eliminated.

Learning outcome:

It is expected that you will develop a sense of your ability to observe client behaviour and accurately document those observations as findings on the Mental Status examination form in the correct assessment category and using the correct terminology.

It is also expected that you will be able to identify symptoms pertaining to that client, gained from your findings and be able to develop mental health nursing specific interventions to assist the client.

Instructions:

  Access the MSE form from study desk. “MSE Form”. You need to submit this assignment via EASE so there is no need to print the form. If you open it, then you can record your observations directly into it. Insert your name and student number in the space provided.

Watch the Interview with Harry that is loaded on the study desk, and or on the link below. Record your observations from the interview / assessment between Harry & the mental health nurse, on the MSE form. You can minimise the MSE form while watching the clip and pause the clip while documenting.

Once your MSE is completed, identify and record relevant symptoms that Harry displayed during the interview and find evidenced based nursing mental health interventions.

Complete the symptom and intervention page.

The symptoms that you identify and write your corresponding interventions for must be found from documented evidence in your MSE report.

Support your interventions from current evidenced based nursing literature / journal articles and texts and accurately cite the references – minimum of 5 scholarly references.

Refer to your text and the glossary of terms on the study desk for assistance ensuring that you use the appropriate mental health terms to communicate your findings.

You may record your findings in dot point form, however, you must specify the evidence that substantiates your observation

Save your file as a Word Document ( No PDF’s as they cannot have feedback comments added) and Submit the assignment via the Moodle Assessment Submission by the due date.

Marking guide is recorded on the MSE form and record your observations directly into it.

Insert your name and student number in the space provided.

      Notes:

The client in the video clip is an actor. His stage name has been documented on the MSE for you. Harry may not demonstrate behaviours or generate data for all categories of the MSE. Therefore, you may not be able to identify data to document for every category of the MSE. Harry’s background details provided on the following page offer collateral information from the police and his mother which is appropriate to document on the MSE form and the source of this information should be identified e.g. collateral from police.

Be sure to use the appropriate mental health terms to communicate your findings.

You may record your findings in dot point form. However, you must specify the evidence that substantiates your observations.

  BACKGROUND INFORMATION ON HARRY

Harry is an 18 year old high school student who was brought to the Emergency

Department on Friday 12th June, for an assessment. This occurred after police received a phone call from a concerned bystander who had observed Harry running repeatedly into the path of traffic on a busy inner city street. Police reported that on their arrival, Harry was standing on the road semi naked, gesturing wildly, laughing and shouting loudly at the cars driving by.

On approach, Harry did not acknowledge the police and refused to return to the footpath. He shouted out that “nobody can hurt me because I am invisible!” To ensure that Harry remained safe, the police decided to escort him from the road. Harry was uncooperative and physically aggressive and during the struggle to get him to safety, Harry dropped a small plastic bag of white powder. The police decided to take Harry to the nearest hospital under the Mental Health Act – Emergency Examination Order (EEO) for a mental health assessment.

At the hospital, Harry refused to enter into any discussion with staff. Emergency staff located Harry’s wallet in his clothing and contacted his mother who promptly arrived. She gave a recent history of Harry’s behaviour at home and described a significant decline in his academic and social functioning over the past month. She reported that his sleep has been disturbed, and that he is often awake all night. She noted that he appears to fluctuate between being subdued and sad to angry and then violent with no apparent cause. Despite Harry’s denials, she stated that she has suspected drug use and even found some injecting paraphernalia in his bedroom. She also mentioned that earlier in the day, he had been acting strangely at home, and expressed fears that his younger brother was making him ill. He had left home abruptly without stating his intentions

You can access the link to Harry’s interview and assessment by clicking on the link below.

      STUDENT NAME & NUMBER:

             Adult Mental Health Services

CONSUMER ASSESSMENT

Date:                                       Time: 1500

    URN: U223344

  Family name: Slater

  Given names: Harry John

  Date of birth: 03/02/ 1998     Sex: Male

  MENTAL STATE EXAMINATION

1 Mark for each component – to obtain full marks, documentation of examples in each section must be related to the case presented – refer to the areas needing to be addressed in text pp141-142

  General appearance

            Behaviour

            Speech

            Mood and

Affect

            Thought process

                        Thought content

        Perception

          Cognition

          Judgment

          Insight

                            After completion of the Mental State Examination, identify three (3) different symptoms that Harry is exhibiting and that you have recorded in your MSE report.

   DO NOT include the example below provided.  Marks will be deducted if you copy the example.

  For each of the three (3) symptoms identified, write two (2) mental health nursing interventions and reference the evidenced based source of your intervention against each individual intervention.

                        Decline in level of daily activities

Assist Harry to maintain self care with engaging with him re his needs and maintaining a level of responsibility and dignity.

Callaghan, et al, 2009,  pp177

Assist Harry with achieving and completing goals that may include doing personal laundry and tidying his room.

Callaghan,et al, 2009  pp177

SYMPTOM

1mark for each appropriate symptom recorded from your MSE report

                                                     INTERVENTION

2 interventions for each symptom identified

0.75 mark for each intervention and 0.25 for intext reference

                          Reference List (1 mark).

      MSE :                                                                                                                              /10

Interventions:                                                                                                                 /9

Referencing:                                                                                                                  /1  

  TOTAL MARK                                                                                                                  /20

  Comments:

  Marker:

                           Adult Mental Health Services

CONSUMER ASSESSMENT

Date:                                  Time:

        MENTAL STATE EXAMINATION

  General appearance

        Lisa is a 26 year old caucasian female of stated age. Slim build and average height. She was dressed in crumpled jeans which appeared unwashed, a t-shirt and wearing thongs. There were numerous facial piercings and evidence of old scarring on her arms from self harm activity. Poor level of personal hygiene and grooming. Long straight brown hair which was not brushed.  

Behaviour

        Lisa was restless, moving around the room and unable to sit still  for any  length of time. She constantly played with her hair and mobile phone. Eye contact was intermittent, although she was co-operative with the assessment. Rapport was superficially established. She appeared distracted and seemed to be responding to unseen stimuli .  

Speech

        Lisa’s speech was of normal tone, rate and pitch.  

Mood and

Affect

      Lisa indicated that she did not feel depressed, but  her mood appeared anxious with her affect being agitated. Her mood and affect were congruent.  

Thought process

        Lisa appeared to be experiencing thought blocking as at times during mid sentence she appeared to be distracted, noted to talk to herself, and then found it hard to refocus on the conversation.  

Thought content

      Lisa showed signs of paranoia and delusional thinking.

She believed people were spying on her with er camera’s  and microphones in her unit. She stated that she had been sleeping in her garden, too scared to be in her unit. Her paranoid thoughts extended to her belief that her boyfriend had inserted a transmitter  into food that she had eaten so he could monitor her thoughts.

Lisa had voiced that she is sleeping with a knife but denied that she has any suicidal ideation or homicidal ideation.

Perception

        Lisa voiced that she is experiencing auditory hallucinations , reporting that the voices are saying “horrible” things about her including that she is a bad person, that she is ugly and they are advising  her to protect herself from her boyfriend. Cognition

        Orientated to time, place and person.

Recent memory intact. Remote memory vague.

She found it difficult to concentrate during the assessment.

IQ – average as had completed grade 12 and gained entry to University which she has since disengaged from any study.

Judgment

        Impaired as has been non-compliant with medications placing her at risk of  decompensating with her mental illness. Insight

        Impaired as Lisa failed to acknowledge that not being compliant with her antipsychpotic medications may have resulted in a decline in her mental health.

      Source: © AcademicWritersBay.com

>> CLICK HERE TO ORDER 100% ORIGINAL PAPERS FROM AcademicWritersBay.com <<<</strong>

The post NURSING (MENTAL HEALTH NURSING) appeared first on Academic Writers BAy.