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2809NRS Mental Health Nursing Practice

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This assignment aims to help you to begin to use your professional and clinical judgement and to think like nurses working in a mental health settings and/or in relation to the mental health needs of people regardless of the setting. Go through the case scenario below of a person who is experiencing difficulties related to a mental health disorder.

Case scenario: Jayan-Risk of suicide


Related to the person in your case scenario your assignment will demonstrate your understanding of the following:

  • Mental Status Examination (MSE)

  • A clinical formulation including biopsyhosocial history and your own MSE observations leading to the clinical formulation

  • A nursing orientated handover

  • Recognising and responding to the mental health needs of the identified person by identifying best practice nursing interventions

  • How to engage a person in a therapeutic relationship

  • The application of cultural safety

  • The application of the recovery model/philosophy You will need to justify your assignment points with reference to relevant literature. Students, who plan to do well in this assignment, will read and use the unit readings as well as additional relevant evidence based practice resources.

Please follow the steps outlined below to answer this assignment question.

PART 1: Holistic assessment and planning:

This part does not always require full paragraphs. Use appropriate templates/tables to set out the MSE and 5Ps. For Part 1 there is no need for an introduction or conclusion sections.

The Mental Status Examination

  • Using the MSE format from your weekly tutorial guide, provide a complete Mental Status Examination (MSE) of the person.

  • Use specific examples from the case study materials to illustrate each part of the MSE .

  • You must use health terms accurately (e.g. Instead of ‘talks fast’, use the correct term ‘pressure of speech’ and cite your sources)

Clinical Formulation Table

Use information gathered from the MSE and the biopsychosocial assessment (history of presenting complaint, family and social history, current living situation, the person’s strengths and coping strategies, medical history) to complete a table under the headings of presenting, precipitating, predisposing, perpetuating and protective factors (5Ps) relevant to the clinical presentation of the person described in your case study.

Plan for Nursing Care

  • Identify two (2) high priority problems /issues for the person and briefly justify why each is a high priority

  • Outline one (1) nursing intervention for each of the identified problems/issues and briefly explain how each is likely to positively contribute to care of the person with reference to relevant literature. Interventions must be nursing related, detailed, practical and within your scope of practice.

Clinical handover

  • Synthesise the results of your MSE and clinical formulation to construct a paragraph describing the person and their main concerns that you could present at a clinical handover.

Part 2: Therapeutic engagement and clinical interpretation:

Part 2 builds on your work in Part 1. Use academic writing style for this section. Sub-heading is permitted.

The Therapeutic Relationship

  • Explain how and why a therapeutic relationship will be established with the person in your care. This must not be a general description of therapeutic relationships but demonstrate that you are applying therapeutic skills to this selected case and person. Then describe at least one (1) specific strategy appropriate for the development of a therapeutic relationship with this specific person and how it was applied in the nursing care interventions you described in Part 1

Cultural Safety

  • Describe the first step you would take to ensure that you deliver culturally safe care to this person. Then identify and describe one (1) issue that working with this person might present for you. Describe which of the principles of cultural safety you used in applying cultural safety in the nursing care interventions you described in Part1.

Recovery-oriented Nursing Care

  • Consider the nursing interventions you developed in Step 1. Describe how these nursing interventions take the principles of the Recovery Model/Philosophy into account and relate these to your specific person’s recovery process.
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