NSB204 - Mental Health and Illness

Running head: MENTAL HEATH
Mental health nursing
Name of the student:
Name of the University:

1MENTAL HEALTH
Table of Contents
Introduction......................................................................................................................................2
Mental status examination...............................................................................................................2
Clinical Formulation Table..............................................................................................................4
Plan for nursing care........................................................................................................................5
One nursing intervention.................................................................................................................6
Steps in CBT................................................................................................................................6
Therapeutic relationship..................................................................................................................7
Cultural safety..................................................................................................................................7
Recovery oriented nursing care.......................................................................................................8
References........................................................................................................................................9

2MENTAL HEALTH
Introduction
This assignment deals with the mental health study of a person named Samuel. He is 25
years old gay and single man who lived in a shared house. He works at his locality as a barber.
He used to drink frequently at nights and smokes the weed regularly for reducing stress. He also
went to gym at his leisure time for doing some workout.
Samuel is having some mental problems as he reports of feeling guilty of not being a
typical son as everyone as he doesn’t want to marry and have children. His mother had a history
of anxiety and depression. At his school level he became a victim of brutal assault in which he
got a scar beneath the chin and his nose was broken which took 3 days to recover from the
hospital (Akiskal, 2016). During the past eight years he got some thought of self harm and
anxiety and while diagnosis it was found he is suffering from Post Traumatic Stress Disorder.
Before that he does not have any such issues. The doctor had prescribed him a low dose of
antidepressant and had counselling sessions.
Mental status examination
Whenever a patient is admitted to a hospital the first step a nurse used to do is
assessment. It is a process of collecting data, then organizing them for the evaluation and finally
the documentation of the data of the patient. This assessment process is one of the important
tasks for the health care experts as they must know the physical, mental and social status of a
patient (Coombs, Curtis, & Crookes, 2013). An assessment is necessary to do for obtaining the
information for creating the detailed history of the patient and distinguishing the problems so that
a suitable diagnosis plan can be made.

3MENTAL HEALTH
The mental health status examination is a process that provides a structure about the
condition of the mental health of an individual. The MSE deals with some key elements which
are being addressed. They are:
 Appearance
 Behavior
 Mood
 Speech
 Cognition
 Pattern of thought
 Consciousness level
Appearance & behavior
 Appearance Looks similar to his age, is friendly and co-operative,
body is of moderate build as he goes to gym at his free
time for doing work out
 Motor behavior Seems to be sad and have a guilt feeling
 Attitude to situation and
interviewer
Friendly to the interviewer
Speech form
 Rate Speaking very fast
 volume Volume is high
 Quantity While telling his problems his words are repetitive
Mood and affect
 Mood Sad, guilty