Case Study Cambodian Man Assignment

Running head: NURSING
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Name of the Student
Name of the university
Author’s note

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Question 1
The case study is based on a Cambodian man named Munny, who lived in Western Sydney with
his wife Ary and his three children. Munny works in a large bakery that supplies bread for large
supermarket chains. Munny had been presented in a mental care setting, where his behavioural
patterns would be measured by using two components of the several components used in a
Mental State Examination (MSE).
General appearance and behaviour
While Munny was being presented in the centre and he was well dressed. His clothes se loose
fitting, which states that he had lost a considerate amount of weight. Noticeable weight loss can
occur due to stressful condition or depression. It is evident from the case study, that Munny had
lost appetite to eat anything. Depression has been found to be affecting appetite. Feelings of
sadness and worthlessness can make some individuals to lose appetite to eat. Simmons et al.,
(2016) have suggested that patients with major depressive disorders are responsible had
exhibited marked reduction in the appetite.
Affect and mood
Munny articulated himself clearly. He did not greet the nurse, or did not maintain any eye
contact with the nurse. He only gave answers in the form of monosyllables. He is just answering
by ‘fine” or “no problems”. Munny does not respond to the nurse when he was asked whether he
was having suicidal feelings. Munny has also shown indifferences for children and his family,
when he was asked about how his family would feel if anything happens to him. According to
Shapero et al., (2014), depressive disorder is a common medical illness and negatively affects the
mood of a person. Depression is caused mainly due to the exposure to stress and several ups and
down of life. Depression has been attributed too dysfunctional negative thoughts of defeat,

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rejection and fear. Munny was very close to his mother. Hence, the demise of his mother might
have affected him so badly, that he had lost all the desired to live. The case scenario again stated
that Munny was not performing well in the bakery and which might have impacted on his
behaviour. He might be feeling insecured for his employment insecurity. It has been proved that
people with depression suffers from mood instability. A Diagnostic and Statistical Manual of
Mental Disorders (DSM) can also be used to measure the intensity of mental health disorders.
The symptoms manifested by Munny indicates towards depressive disorders (Regier, Kuhl &
Kupfer, 2013). Depressive disorder not only affects the mood, but also affects various physical
functions like appetite and sleep. They are likely to lose interest in activities, which they found to
be interesting. In severe cases they can also feel that their life is not worth living and hence they
attempt suicides or lead a reckless life.
Question 2
There are several predisposing factor behind the formation of depression and anxiety in patients.
As per the stress vulnerability model, there are several elements that causes individuals to
develop mental health problems. According to the theory of biological vulnerability, early
experiences of violence and loss in childhood has been identified as an important risk factor.
Two main events that might be the reasons is that that Munny’s father was shot dead by Khmer
Rouge after which Munny and his mother escaped and had to spend few days in Thailand. This
historical context might have scarred his childhood memories. In some studies colonization may
be considered as a social determinant of health. This history of colonization can lead to
widespread loss and grief. This grief should also include the sadness, lack of the culture and
communication (Drake & Whitley, 2014). Trauma can be a huge loss. It is evident that the
unresolved trauma, can debilitate a person. Exposure to violence can affect the emotional and the