Mental Health Issues of Nursing Question Answer 2022

Running head: MENTAL HEALTH NURSING
MENTAL HEALTH NURSING
Name of the student:
Name of the university:
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Question 1:
The case study represents mental health issues of a 45-year-old Cambodian man, Munny
Kaew Munny, who lives in Western Sydney with his wife, Ary, and their three children, a girl
Chan aged 10, and twin sons, Prak and Rith, aged 6 years. He was presented in the community
with his wife who stated that he had not been his usual self. His wife also suggested that Munny
has become less and less communicative at home and he was taking frequent sick leaves, spent
times in bed, tend to answer in one word or monosyllables and exhibit loss of interest on his
child and loss of appetite. In this context, mini-mental state examination is the best suitable
evaluation tool for gaining the understanding of the mental health status of the patient. Devenney
and Hodges (2017), highlighted that it is a structured assessment for evaluating behavioral and
cognitive functioning of the patient. It consists of few components such as appearance and
general behavior, level of consciousness and attentiveness, mood and affects, motor and speech
activity, attitude and insight, thought and perception, the reaction evoked in the examiner, and,
finally, higher cognitive abilities. (Sunderland et al., 2017) Taking a deep insight into the
situation, two crucial components such as appearance and General Behavior and thought the
process can be considered to structure the assessment of the mental state of the patient. In
appearance and general behavior, unusual behaviors observed by examiners such as lack of
appearance, lack of eye contact and lack of proper posture are considered as a manifestation of
mental illness. In this case, considering Appearance and General Behavior and thought process,
the patient did not make eye contact while greeted by a nurse and usually answer in
monosyllable such as “yes”, “no problem” and “fine”. While the nurse asked about how his
family might feel if anything happened to him, he simply shrugs his shoulders and he wore a
loosely fitted cloth. His wife even informed that he become less communicative with him,

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indicating he has a poor state of mind. On the other hand, in the thought process, attention
provided to the examiner and in other things reflects the state of wakefulness and lack of
attention indicate poor mental health (Ridley et al., 2016). In this context, the patient was
attentive to the examiner (nurse) while communicating and provide an answer in short syllable.
His wife suggested that he became less attentive to his children where his children were
previously the center of his attention, and no longer does anything around the house (Devenney
& Hodges, 2017),. He took frequent sick leaves and mostly spent time in his bed, indicating he
requires immediate clinical attention. Taking consideration of his clinical manifestation,
according to DSM criteria V, the patient might suffer from depression (Price & van Stolk-Cooke,
2015). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is a
handbook used by health care professionals to diagnosed mental disorders according to criteria
(Crome et al., 2015). DSM V for depression highlighted few criteria such as depressed mood
most of the day, significant weight loss or weight gain inpatient, marked diminished interested in
pleasure in all activities, a slowing down of thoughts, fatigue, and loss of energy and suicidal
ideation (Fried et al., 2016). While the patient did not exhibit the symptoms of suicidal ideation,
he showed a lack of interest in his work and took frequent leaves, stayed the best most of the
days. He exhibited loss of appetite and he felt he might losing weight. These symptoms exhibited
that he might be suffering from depression and require immediate medical assistance.
Question 2:
As discussed in this case study, the patient was experiencing major depressive disorder
where a series of events might facilitate the development of the disease. Considering the case
scenario, the stress vulnerable model can be applied to explain stressors that may contribute to
the development of mental illness. () define stress vulnerability model as a resolving tool or