Mental Health Assessment Report for Patient Harry

This assessment report details patient Harry and the contents pertaining to mental care for the patient. Mental health care provider is critical in nursing practice for enhanced quality and care. The report includes a mental screening assessment tool, patient assessment, nursing interventions, and a nursing report.

Running head: Mental Health Assessment report
Mental Health Report
Student Name
University
Author note

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Mental Health Assessment Report
Introduction
This assessment report details patient Harry and the contents pertaining to mental care for
the patient. Mental health care provider is critical in nursing practice for enhanced quality and
care. Patient assessment in mental health focuses on further treatment protocol which involves
patient data collection process, care process, and nursing approach intervention.
Mental Screening Assessment Tool

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Mental Health Assessment Report
Patient name
Gender
Mental health examination
Presence of health directive
Harry
Male
Examination assessment
No presence
Suicide
Static factors
Previous attempt N0
Previous self harm N0
Suicide exposure N0
Stressful events occurrence N0
Dynamic factors
Suicidal thoughts N0
Plan N0
Hope lost N0
Loss of social support N0
The patient is devoid of any suicidal attempts
and any associated behavior hence being
focused.
Aggression to violence behavior
Static factors
Violence history N0
Domestic violence presence N0
Sexually inappropriate behavior N0
Criminal misbehavior N0
Substance abuse N0
Mental state illness and any personality occurrence N0
Dynamic state factors
Anger and impulsive behavior Present
Presence of substance abuse Present
Treatment compliance Present
Violent behavior Present
Psychotic symptoms display Present
Possession of weapons N0
Exhibits bullying behavior N0
Patient assessment reveals that the patient
exhibits a high prevalence of violent behavior
with no justifiable reason for the

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Mental Health Assessment Report
As part of collecting primary information, the table above shows various screening tool
used for the patient. Further, this report will highlight intervention strategies for patient harry and
nursing summary report for patient Harry management process.
Patient parental status
- The patient doesn’t have any responsibility for any person aged 17 years or less.
- The patient has access to children content and contact residence
- The patient does not care for an infant, however, he lives with his younger brother
Overall risks Assesment for patient Harry
- The overall changes assessment for the patient appears to be changeable.
- There are the presence of factors regarding screen uncertainty
- From this overview, the elaborate screening process is needed.

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Mental Health Assessment Report
Mental State Assesment tool for the patient
General patient appearance The patient is calm and silent and appears to be
submissive to the occurrence of the events.
Behavioral observance Patient exhibits certain characteristics behaviors of
being silent and then at the same time being violent
and aggressive.
Speech Normal speech is observed from the patient
Mood and effects behavior Presence of moods and violent behavior signs.
Thought process The patient is grappling with delusionary behavior
pattern and paranoia exhibition through believing that
his brother is a threat to him
The content of the thought process The patient is psychotic and displays delusion. This is
seen as he was found wandering in the streets before
being brought for treatment.
Patient perception There is the presence of a distorted perception of the
patient. This is observed through his invisible thinking
behavior.
Self-cognition There is lowered level of cognition and the declining
school performance.
Judgmental aspects The patient exhibits a distorted judgment process.
Patient insight The patient portrays faulty insight based on reports
from the mother. There is an impaired sense of
judgment from the patient and his thoughts of being
invisible.
Patient Symptoms and intervention management
Symptoms displayed Nursing interventions
Drug abuse suspicion - The is a need for conducting group based
discussions so as to solicit factors which
might be affecting the patient, (Gonçalves

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Mental Health Assessment Report
et al., 2015).
- Enhancing patient education is key for the
patient on drug usage consequences,
(Brady, McCauley & Back 2015).
Delusionary - Drug administration for antipsychotic
drugs treatment, (So et al., 2015).
- Enhancing and supporting patient
interaction process for reduced social
behavior, (Crespi, 2016).
Aggressive behavior - Enhancing engagement and reflection for
self-care, (Heckemann et al., 2015).
- Enhancing the development of empathic
care and building effective relationships
for the patient, (Price et al., 2018).

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Mental Health Assessment Report
Nursing report
The above screening process for the patient highlights the major nursing issues facing
patient Harry. Focus on the treatment management plan is essential for the patient. The patient is
displaying psychotic and delusionary behavior thought processes. The behavior is evident from
how the patient is acting and behaving. The patient sees himself as invisible and having certain
traits which other people don’t have. With regard to this considerations and factors, patient Harry
is highly susceptible for potential self-harm which might be fatal for self and portends a risk for
his future. The patient further displays an absence of lack of suicide thoughts and self-destructive
behaviors. He has feelings of self-distract from the people around him. He doesn’t feel safe with
his brother and sees him as a disturbance and thinks of eliminating him. His family is concerned
about patient Harry status and her mother seems to be very much concerned with regard to the
patent status. The mother is much concerned due to the effects the mental behavior is taking a
tall order on patient Harry. Patients Harry displays flaunting behaviors as seen from how he has
been admitted to the facility. He portrays unique behaviors by being silent and exhibiting signs
of aggressive behavior especially when being probed. This symptoms and habits depict drug
abuse effects, which might have affected the patient. Undertaking detailing screening process for
the patient is critical and enhances assessment of external environment which might be affecting
the patient and offering management plans to cater for. These will uncover the causative triggers
of the patient symptoms in relation to drug abuse and violent behaviors.
Nursing intervention for patient entails utilizing three prong nursing strategies. Providing
an elaborate patient treatment plan is key towards improving the overall status of the patient.
Developing an appropriate psychotic drug management plan is key for the patient. This is key for

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Mental Health Assessment Report
the reduction of the patient symptoms with respect to delusion. Further the patient is exhibiting
social seclusion, enhancing and encouraging the patient to participate in social interaction is key
for the patient. This will enhance the patient to express his thoughts and hidden insecurities
which in this way facilitates healing process. Nursing intervention will be directed towards drug
abuse and offering empathic behaviors for the patient. In this way, the patient feels encouraged
the patient to open and on the type of friends and company he has an underlying reason for drugs
intake. Harry's social participation will also be in gradual process. In this way it will facilitate the
patient towards the feelings of social isolation and to allow the patient to express his thoughts
and feelings.
Further offering education approach to the patient will be key as a nurse, so as to enhance
educating the patient on the harmful effect of the drugs he might be taking. Harry’s aggressive
behavior needs to be enhanced by engaging empathy conversation and further allowing the
patient to participate in self-care process initiatives. In this way, the patient will see the sense of
being responsible and be able to adapt to behavior change and have a positive attitude towards is
behavior. For an elaborate nursing management for patient Harry, the comprehensive screening
process is critical for the patient is paramount. This is key so as to identify the underlying causes
of the patient drug abuse and the subsequent patient aggressive behavior patterns. Thus
developing an effective nursing protocol is essential for the patient so as to manage the mental
status of the patient t and to facilitate the recovery process.
Conclusion

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Mental Health Assessment Report
Enhancing nursing intervention is essential for the management of the mental state of
patient Harry. Identifying the nursing interventions and strategies for the patient is key to
enhance proper care process. Hence focusing on aggressive behavior management, delusions and
underlying drug abuse for the patient is critical for patient recovery process and to enhance the
healing process.

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Mental Health Assessment Report
References
Brady, K. T., McCauley, J. L., & Back, S. E. (2015). Prescription opioid misuse, abuse, and
treatment in the United States: an update. American Journal of Psychiatry, 173(1), 18-26.
Crespi, B. J. (2016). Oxytocin, testosterone, and human social cognition. Biological
Reviews, 91(2), 390-408.
Gonçalves, J. P., Lucchetti, G., Menezes, P. R., & Vallada, H. (2015). Religious and spiritual
interventions in mental health care: a systematic review and meta-analysis of randomized
controlled clinical trials. Psychological medicine, 45(14), 2937-2949.
Heckemann, B., Zeller, A., Hahn, S., Dassen, T., Schols, J. M. G. A., & Halfens, R. J. G. (2015).
The effect of aggression management training programmes for nursing staff and students
working in an acute hospital setting. A narrative review of current literature. Nurse
education today, 35(1), 212-219.
Price, O., Baker, J., Bee, P., Grundy, A., Scott, A., Butler, D., ... & Lovell, K. (2018). Patient
perspectives on barriers and enablers to the use and effectiveness of de‐escalation
techniques for the management of violence and aggression in mental health
settings. Journal of advanced nursing, 74(3), 614-625.
So, S. H., Peters, E. R., Kapur, S., & Garety, P. A. (2015). Changes in delusional dimensions and
emotions over eight weeks of antipsychotic treatment in acute patients. Psychiatry
research, 228(3), 393-398.