2 Assessment name: Case Study Task description: This
assignment aims to help you to begin to use your professional and clinical judgement
to think like nurses working in a mental health setting and/or in relation to
the mental health needs of people regardless of the setting. Relevant to the
person in your selected case scenario, your assignment will demonstrate your
understanding of the following: • Mental Status Examination (MSE) • A clinical
formulation using the biopsychosocial model • 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
NSB204 Assessment Task 2 What you need to do: Choose from one of the two case
studies below. Each case study is a person who is experiencing difficulties
related to a mental health disorder.
2. Case scenario two: Tom Please follow the steps outlined
below to answer this assignment question.
1. The Mental Status
Examination [250 words +/- 10%] Using the mental state examination (MSE) format
from your tutorial guide, complete an MSE of the person from information
provided in your selected case study. Use health terms correctly (for instance,
instead of “talks fast” use the correct term “pressure of speech”) The opening
sentence must clearly state your chosen case study. In text references are not
required for this section
2. Clinical Formulation [250 words +/- 10%] Using
information provided in your selected case study complete a clinical
formulation identifying relevant indicators using the 5Ps framework:
presenting, predisposing, precipitating, perpetuating, and protective factors.
Include biopsychosocial factors relevant to the person in the case study. You
may choose to present the clinical formulation in a table or in paragraph
format, ensure responses remain in sentence form. In text references are not
required for this section
3. The Therapeutic Relationship [300 words +/- 10%] The
therapeutic relationship is an important part of the nurse’s role. Explain why
the provision of a therapeutic relationship would be a priority for the nurse when
working with the person from your selected case study. Select one strategy you
would use to develop the therapeutic relationship and provide a rationale for
use adapted to respond to the specific needs of the client in the case. You may
consider the recovery model, person centred care or cultural safety in
developing your response. Academic paragraphs integrating evidence-based
literature are expected.
4. Nursing care plan
[700 words +/- 10%] Develop a nursing plan of care for the individual in the
case study. Base your plan of care on information identified in your mental
state examination, including your risk assessment and information identified in
your clinical formulation. - List 2 priority problems in your nursing plan of
care - For each priority problem, identify and describe one evidence-based (non[1]pharmacological)
nursing intervention to address them. (Each intervention must identify how it
will address the priority care area within a recovery[1]orientated
framework). - Identify what assessment data would indicate the interventions
are positively impacting the individual in the case study. Academic paragraphs
integrating evidence-based literature are expected. Length: 1500 words +/- 10%
(word length includes in-text referencing and excludes your reference list).
Estimated time to complete task: 40 hours NSB204 Assessment Task 2 Weighting:
40% How will I be assessed: +/- 7 point grading scale using a rubric Due date:
See Blackboard site for details of due date and submission requirements.
Presentation requirements: Your assignment should be written in CiteWrite APA
style and prepared as follows: • Cover sheet with the assessment title, your
name, student number, tutor name (not necessarily the Unit Coordinator) and
word count. • Include a ‘footer’ on each page with your name, student number,
unit code and page number. • 3 cm margins on all sides, double-spaced text •
Use single font, such as Times New Roman, Arial or Calibri; font size 12 •
Referencing o CiteWrite APA7 style referencing. o It is a requirement that you
include page numbers for all in-text references. E.g. (Smith, 2020, p.34). (See
http://www.citewrite.qut.edu.au/) o Note: markers will be checking references
to see that you have accurately represented the source. Inaccurate citations or
falsifying your references is academic misconduct and will be reported. •
Headings can be used to structure your assignment logically e.g. The mental
State Examination • You do not need an introduction or a conclusion • Be
written in academic style using full sentences and paragraphs unless stated
otherwise • References should be no older than 7 years What you need to submit:
Submit one Word document via Turnitin that contains the following items: •
Responses to each question clearly identified • Reference list at the end of
your assignment NSB204 Assessment Task 2 NSB204 ASSESSMENT TASK 2 RUBRIC
Learning Outcomes Assessed: 2, 3, 4, 5 Weighting: 40%
REFERENCES: Minimum 15 references, it should be not
beyond 7 years and should be peer-reviewed articles with the page number
.
Due date : 20 September 2022
case study
Tom, schizophrenia
Tom is 52-year-old Caucasian male who currently
lives in supported accommodation in an inner-city suburb of a metropolitan city
and has a diagnosis of schizophrenia. Tom was diagnosed with schizophrenia in
his mid-twenties following the birth of his daughter and the subsequent
relationship breakdown between him and his daughter’s mother. Tom has a family
history of mental illness – his mother was diagnosed with schizophrenia but
died from a heart attack 15 years ago, and his maternal aunt has bipolar
affective disorder. Tom has never met his father nor knows who his father is.
Tom is supported by the National Disability Insurance Scheme (NDIS) and his
care coordinator Julie from the local community mental health team as Tom is on
a community Treatment Authority under the Mental Health Act 2016 (Qld).
Tom does not have any contact with his daughter,
Amelia, who is now 28-years old, or any other family members. Tom has minimal
social
supports
outside of his care coordinator and
the NDIS, he is unemployed and spends most of his time at home listening to the
radio. Tom has a history of substance use including amphetamines and heroin and
reports his substance use was frequent in his twenties and last used
methamphetamines 2 months ago. He reports sporadic use over the past 20 years.
Tom has a cognitive impairment which is a result of trauma he experienced in
utero, he is unable to read or write and he feels shame regarding this.
Tom was discharged from the mental health unit 2
weeks ago after a 2-month long admission for commencement of clozapine on the
background of increasing auditory hallucinations which were commanding in
nature. Tom commenced a new medication during this admission, clozapine,
however he self-ceased five days ago as he reported it was giving him
constipation and he was not sure why he was taking it.
Tom’s care coordinator Julie is a mental health
nurse, and on her last home visit to Tom one day ago, she observed a
deterioration in his mental health. Tom was wearing a stained black shirt and
pants, Julie noted that Tom was wearing the same clothes as when she visited
the week before and he appeared disheveled and
has
tattoos on his arms. Tom did not have eye contact with Julie and was sitting
facing away from Julie during
conversation. Julie
noted Tom had a blunted and reduced range of emotions, it was difficult to have
a conversation with Tom as he appeared distracted, often pausing mid-sentence,
and requiring questions to be repeated on multiple occasions. Tom’s responses
were monotone and often brief in conversation and did not directly relate to
the question asked. Tom disclosed he was hearing voices that were commanding
him to stay home and to not trust other people. Tom reported the voices were
derogatory towards him, telling him he is “worthless” and “not good enough for
other people”. Tom became increasingly withdrawn as he was asked more about his
experience of hearing voices. Tom reported his mood to be low and that he was
experiencing thoughts of wanting to end his life if he had access to the means
to do this.
Julie discussed Tom’s deterioration in his mental
state with the mental health team and Tom agreed to present to hospital for
admission to stabilise mental state and review medication regime.