Mental Health Nursing: Analysis, Diagnosis, Factors, Recovery and Plan of Care

Running head: MENTAL HEALTH NURSING
MENTAL HEALTH NURSING
Name of the student:
Name of the University:
Author note:

1MENTAL HEALTH NURSING
Analysis of the case study:
Question 1: The mental health status of the client is as follows-
The mental state examination or MSE has indicated that, excessive work pressure, less
time for family due to long hour work shift, past circumstances such as mistake in the workplace,
inquiry and poor health status has affected the mental health status such as mood and affect of
the client to an extent (Fernando & Henskens, 2014). In the session of MSE tearful eyes and flat
mood has been detected. Sad and restrictive affect was also identified in the session. He has been
feeling anxious due to long hour of working shift and excessive pressure from the accident and
emergency department of the hospital. He was tensed due to the severe health status of his wife,
but he was unable to provide adequate time to her, thus was regretting. Due to such situation his
speech has become slow and purposeful as well and he has lacked eye contact. He has been
suffering from palpation, chest pain and breathlessness that has created a fear of heart attack
within him. Such health concern has led to sleeplessness or insomnia. It has been identified in the
MSE that the increase in depression and anxiety has affected the thought process of Chung as
well (Cameron et al., 2013). However, there is no direct process to measure the thought process,
but according to his description his changed thought process has forced him to think himself as a
failure in the workplace. Even after knowing about the high lethality of medication he has
thought about overdose of medicines. He has been suffering from helpless and hopeless situation
that has led to the suicidal thought at the end.
The criteria of diagnosis mental disorder provided by the Diagnostic and Statistical
Manual for mental disorder or DSM 5 has indicated that the patient has been suffering from
depressed mood, thus he has lacked eye contact and found to be least interested in
communicating with others (Regier et al., 2013). He has been experiencing guilt due to his

2MENTAL HEALTH NURSING
mistake in the workplace that has created a feeling of failure. In addition the increased work
pressure has forced him to spend less time with family. The level of depression has affected his
physical health condition as well. The symptoms such as chest pain, breathlessness, loss of
appetite, palpitation, weight loss and stress has led to the risk of heart attack. The DSM 5
assessment has identified that due to the tension of his own health and the severe health
condition of his wife Chung has been significant mental distress. The DSM 5 criteria has
indicated that such mental condition cannot be explained and psychotic disorder and such
symptoms are not attributed to medical conditions (American Psychiatric Association, 2013). In
addition t has been found that the patient has been suffering from severe anxiety, thus has been
facing sleeplessness. Thus, the DSM 5 has suggested that Chung has been suffering from severe
depression and anxiety disorder and the level of such mental health issue is so high that it has led
to the suicidal thought as well (Regier et al., 2013).
Question 2: The factors contributing to the development of the client’s health is discussed
below-
Stress vulnerability model is a useful tool that helps to identify the potential factors that
contributes to the development of severe mental health issue. The model helps to understand the
contribution of stress to the development of signs and symptoms of mental distress. The model
mainly describe the potential factors through vulnerability factor, protective factor and
environmental factor. Utilizing the stress vulnerability model it has been recognized that stress
and having new baby have been contributed as the vulnerability factor to the development of
mental illness of the client (McEwen & Morrison, 2013).
Stress is one of the main vulnerability factors that has contributed to the poor mental
health of Chung. It is the potential factor that could influence the symptoms of mental distress

3MENTAL HEALTH NURSING
(Thoits, 2013). Stress is defined as the thought that occur as the response of critical situations
and individual should have the ability to cope up with the stress in order to avoid the occurrence
of mental distress due to stress (Olff et al., 2013). In this case the stress has arisen due to the
excessive pressure in the workplace. After the birth of Chung’s daughter. His wife has been
suffering from severe health condition and in this situation he has failed to support her due to
long hour shift in workplace. Such situation has created guilt within the client and has
contributed to the development of stress. On the other hand, the pressure of investigation by the
human resource department of the hospital regarding the drug error has also responsible for the
increasing stress within the client. Furthermore, poor health condition of Chung such as chest
pain, breathlessness, palpitation and weight loss has also leads to the development of psychotic
symptoms within the patient. Such increased stressful situation has identified as the potential
factor that has led to the suicidal thought as well (Thoits, 2013).
Having a new baby has been contributed as another vulnerability factor to the
development of the poor mental health of Chung. It is an important factor that leads to the
changes in the mental condition. Such change in life creates changes in the lifestyle of individual
as its effect brings changes in the relationship, hobbies, management of time and self-sense. Such
changes could lead to the anxious mood (Caplan, 2013). In this case it has been found that
Harriet, the wife of Chung has been suffering from severe infection and pain due to the operation
during the birth of the child. In this situation she need the support and care of Chung, however,
due to excessive work pressure and long hour shift he has failed to spend adequate time with his
wife and new born daughter. Such condition has led to restrictive and sad affect. Due to such
situation he has been suffering from anxiety and flat mood. It has affected his speech and has