The case study is about a man named Munny, who is of Cambodian origin

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

NURSING ASSIGNMENT
Question 1
The case study is about a man named Munny, who is of Cambodian origin. He live in Western
Sydney with his wife Ary and had three children. The person had been working in a large baker
and is happy with his work. Munny has visited a mental care setting, where his the perceptions
and behaviors has been determined by using two components of the Mental State examination
(MSE).
General appearance and behavior
Munny was well dressed when he was being presented in the mental health center. The
clothes were loosely fitted, which indicated towards the fact, that he had lost a considerable
amount of weight due to his lack of appetite and skipped meals. Weight loss can be an important
symptom for depression. Stress and depression can have a direct impact on the weight. Feelings
of worthlessness can cause a patient to lack appetite causing weightlessness in the patient
(Simmons et al., 2016).
Affect and mood
As understood from the mental state examination. He was reluctant to answer any
questions asked by the nurse. He did not even greet the nurse while visiting and avoided eye
contact during the entire session. He answered some of the questions in “monosyllables”. He
used words like “ No problem” or “fine”. He also did not respond when he was asked whether he
was having a suicidal ideation. He also shrugged and gave an indifferent look when he was
asked, as whether he cared for what would happen to his family, id he commits suicides. Gaze
conveys much information about emotions and humans presents sensitivity to the direction from

NURSING ASSIGNMENT
the earliest days of life (Berchio et al., 2017). There are neuropsychological evidences that have
proved that people suffering from depression or other disorders like bipolar disorders suffers
from problems in the gaze processing (Shapero et al., 2016). According to the Diagnostic and
Statistical Manual of Mental Disorders (DSM), clinical symptoms manifested by Munny
indicates towards depressive disorders. Depressive disorders might include the disruptive mood
dysregulation disorder, major depressive disorder, and persistent depressive disorder (American
Psychiatric Association, 2013). Depressive disorder not only affects the behavior of a person, but
are also likely to affect the mood, eating behavior, lack of sleep and appetite, lack of motivation
in work or other activities. The can also feel lack the motivation to live and can also attempt for
self-destruction and can also lead a reckless life (Simmons et al., 2017). Apathy can be common
condition in depressive disorders where a person lacks feelings, interest or concerns about
something. Apathy in depression is very uncomfortable and disappointing as it makes things
unimportant, which were considered to be important previously (Simmons et al., 2017). It has
been reported by Munny’s wife that, Munny has lost his interests in food and often skips meals.
For which he had also lost some weight. As per the Diagnostic and Statistical Manual of Mental
Disorders (DSM), changes in the eating habits may be related to the symptoms of depression like
fatigue and lack of the pleasure form the activities. Depression related decrease in the appetite is
caused by the hyperactivation within a region of midinsula implicated in the interception.
Individuals suffering from depressive disorder might avoid eye contact as often feels unsecured
as the people might understand what is going on inside their mind.