Mental Health Examination and Screening for Nursing: A Case Study of Harry
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This article discusses the importance of mental health examination and screening in nursing, with a case study of Harry. It highlights the key factors pertaining to Harry’s screening, symptoms, and intervention strategies.
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Running head: MENTAL HEALTH EXAMINATION AND SCREENING MENTAL HEALTH EXAMINATION AND SCREENING Name of the Student: Name of the University: Author note:
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1MENTAL HEALTH EXAMINATION AND SCREENING Introduction Concerning the field of nursing, the activities pertaining to the treatment of a mental health patient, is imperative for the provision of betterment in the quality of life, for which, the conductance of sound assessment is of utmost importance. The assessment of a concerned patient comprises of the primary step in future treatment procedures and involves the methods of collecting sufficient evidence concerning the persisting symptoms. The following paragraphs of the nursing mental health examination and screening sheds light on the case study of Harry, his required screening and examination of the current symptoms along with the necessary intervention strategies, followed by a nursing report summarizing salient features of the same. Mental Health Services Screening Tool The following sections highlight the key factors pertaining to Harry’s screening: Name of the patient: Harry Sex: Male Mental Health Act status: Examination authority Does the consumer have an Advance Health Directive: No Suicide Static factors Previous attempt: No Previous self-harm: No
2MENTAL HEALTH EXAMINATION AND SCREENING Exposure to suicide: No Stressful life events: No Dynamic factors: Suicidal thoughts: No Plan: No Loss of hope: No Lack of social support: No Comments: As per the above screening section, it is evident that Harry, and eighteen year old adolescent studying in high school, is devoid of suicidal thoughts or performance of such activities. Violence/Aggression Static factors: History of violent/aggressive behavior: Yes History of domestic/family violence: No History of sexually inappropriate behavior: No Criminal history: No History of substance abuse: No Major mental illness/personality disorder: No Dynamic factors: Anger/impulsivity: Yes Current substance use: yes Non-compliant with treatment: Yes
3MENTAL HEALTH EXAMINATION AND SCREENING Violent ideation/attitudes: Yes Psychotic symptoms: Yes Carries weapons/access to firearms: No Exhibits bullying behavior: No Comments: Upon analyzing the above screening, it is evident that Harry exhibits considerable violent behavior, without any particularly seriously reason. He is also afflicted with delusionary symptoms of considering himself to be invisible, as well as believing that his younger brother was necessary for his illness. He also refused to come to terms with treatment even after admission. With examination of his family background, it seems that Harry’s delusionary psychotic behavior is due to substance abuse of paraphernalia. Vulnerability Static factors: History of trauma/abuse: No History of domestic/family violence: No History of financial vulnerability: No Cognitive impairment/disability: No Lack of family support: No Dynamic factors: Impaired decision-making: Yes Sexually disinhibited: No Self-neglect: Yes At risk of victimization: No
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4MENTAL HEALTH EXAMINATION AND SCREENING Comments: As per the above screening, it is evident that Harry is not devoid of social or familiar support, since upon admission his mother displayed considerable concern and awareness regarding the prolonged persistence of his symptoms. However, his physical health seems to be at risk due to the presence of self-neglecting delusionary behaviors where he was found standing in a busy street, which may cause physical harm. Absent without approval Static factors: History of absconding: No History of breaching MHA: No Dynamic factors: Treatment refusal: Yes Desire/intent to leave hospital: UK Comments: Harry seems to have not received previous mental health treatment plans, or exhibited past activities of absconding. However, he refused to acknowledge any further treatment plan with the hospital officials. Parental status and /or other carer responsilbities: Does the person have responsibility for children aged 17 years or less? No Does the person have any contact with children through access visits or shared residence? Yes Does the person have other carer responsibilities? No
5MENTAL HEALTH EXAMINATION AND SCREENING Protective factors: Harry does not own the responsibility of any minor. However, he lives in contact with his younger brother, with whom he seems to be skeptical. Overall assessment of risk and plans to mitigate risk: Overview/Impression: Person’s level of risk appears to be highly changeable: Yes There are factors that contribute to uncertainty regarding screen: Yes A more comprehensive risk assessment is required; Yes Mental State Examination Tool General appearanceThe patientappearstooften remain silentand submissive,followedbysuddenonsetsof excitability. BehaviorPatient tends to exhibit fluctuating behaviors, upon being silent and melancholic and then switching to aggressive violent behaviors for no specific reason. SpeechPatientdisplaynormalspeech,withhowever, hysterical modes of screaming and laughing during exhibition of violent, defiant behavior. Mood and effectPatient presents fluctuating moods of violence and submission. Thought processThepatientisafflictedbydelusionaryand behaviors of paranoia where he believes that he is invisible and his younger is the cause behind his suffering. Thought contentThe patients thought process seems to be psychotic and delusional, as he was found in busy street with the confidence that he his invisible. He further engages in thoughts of paranoia where he perceives his younger brother to be the culprit behind his illness. PerceptionThe patient exhibits distorted perception as evident from his conception, concerning his abilities to be invisible. CognitionThepatientexhibitedsignificantdeclinein cognition, as reported by his mother concerning his detrimental performance in academics and social interaction. JudgmentThe patient’s judgment seems to be distorted as
6MENTAL HEALTH EXAMINATION AND SCREENING evident from his acts of risking his life by standing in the middle of busy traffic. InsightThe patient was observed to display faulty insight, with further decline, as reported by the patient’s motherconcerninghisdecreasedacademic performance and social interaction. The patient’s sense of judgment seems to be impaired as evident from his engagement in distorted perceptions about being invisible. Symptoms and Intervention SymptomsNursing Intervention AggressionDevelopmentofempatheticand trustworthyrelationshipswiththe patient (Price et al., 2018). Usage of reflection and engagement of patienttoundertakeself-caretasks (Heckemann et al., 2015). Suspected Drug AbuseConductance of group discussions to identify factors triggering patient drug abuse (Gonçalves et al., 2015). Impartingadequateeducation concerning the negative consequences ofdrugusage(Brady,McCauley& Back 2015). DelusionDeliverance of anti-psychotic drugs (So et al., 2015). Encouragement of social interaction to reducesymptomsofsocialisolation (Crespi, 2016). Nursing Report The above paragraphs attempted to shed light on the salient features concerning the examination and screening of the patient Harry. The following report will focus on highlighting the key aspects with regards to his treatment, based on his ongoing symptoms and the resultant attitudes and behaviors.
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7MENTAL HEALTH EXAMINATION AND SCREENING Concerning the situation in which Harry was uncovered, it is evident that he is displaying psychotic, delusionary behaviors, which is evident from his preconceived notion of considering himself to be invisible and a result, free from harm. Due to these considerations, Harry will be susceptible to displaying behaviors pertaining to self-harm, which may prove to be fatal for his optimum health and survival in the near future. Despite the absence of self-destructive suicidal behaviors, Harry also seems to engage in feelings of mistrust and paranoia, as evident from his consideration of his younger sibling as a potential threat to his health and fitness. Ironically, Harry is not devoid of familial support, as observed from the behaviors presented by his mother who not only seemed concerned, but also adequately aware of his detrimental mental health, further suspecting him to engage in drug abuse. As observed upon hospital admission, as well as reported by his mother, Harry presents fluctuating behaviors of being silent and sudden exhibition of violently aggressive behaviors, which may be as a result of his suspected drug abuse. Hence, a further detailed screening, examination and treatment plan is required, in order to identify extensively, the causative triggers pertaining to Harry’s conductance of drug abuse and violent attitudes. The activities and intervention strategies of the nurse are key factors pertaining to the provision of an adequate patient treatment plan. With regards to Harry, the nurse may be required to deliver appropriate anti-psychotic drugs, in order to reduce his symptoms of delusion. Concerning the patient’s tendency to engage in social isolation, there is need for adequate encouragement to partake in social interaction, where Harry will be allowed to express his underlying thoughts and insecurities. The nurse may intervene for mitigation of suspected drug abuse through the usage of empathetic and considerate behaviors with the patient. The nurse may also activate encourage Harry to participate in group activities where the he may gradually
8MENTAL HEALTH EXAMINATION AND SCREENING overcome his feelings of social isolation and express his reasons for such activities, followed by an adequate imparting of education concerning the harmful health consequences of the same. For the intervention strategies of Harry’s aggressive behaviors, the nurse may engage in empathetic conversation following by allowing the patient to undertake in adequate self-care activities. However, a more comprehensive screening and treatment plan may be required in order to identify underlying causes behind Harry’s misconducted drug usage and aggressive behaviors. Conclusion To conclude, the above report aimed to extensively and elaborately examine the case study of Harry, followed by an outlining of the necessary nursing intervention plans.
9MENTAL HEALTH EXAMINATION AND SCREENING 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,andhumansocialcognition.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 techniquesforthemanagementofviolenceandaggressioninmentalhealth 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 emotionsover eight weeks of antipsychotic treatmentin acute patients.Psychiatry research,228(3), 393-398.
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