Mental Health Nursing Case Study 2022

Running head: MENTAL HEALTH-NURSING
Mental Health-Nursing
Student Name
Institute Name

MENTAL HEALTH-NURSING
Mental Health-Nursing
Q. No. 1.
The Mental State Examination (MSE) is an organized way used in clinical psychology
to judge out the social, internal and mental states of the client who is going through some
issues. It can include the appearances, behaviors, cognition, vision, attention and many
similar factors which can indicate his mental and cognitive states. A combination of all these
factors is used to indicate the mental condition of the client (Renn & John, 2019). The Mental
Health State of the client, Munny according to the case is depressive and his tidy appearance
shows that he is not mentally sick but there might be some factors which may be disturbing
and depressing him. His loose fitted clothes show that his eating habits are disturbed because
the usual size of his clothes is no more fitted. His cognitive behavior shows that he is
depressed and does not want to talk to anyone because he answers all the questions in one
single answer. His vision is also not focused and eye contact is absent because he is staring at
the floor. It shows that he is mentally scattered and cannot develop his focus on anything.
The personality diagnosis disorders are discussed and published in manuals like ICD
and DSM. These diagnoses help the professionals and the diagnostic manuals are a great help
to them (Morey & Hopwood, 2019). The behavior and personality of the patient show that he
has recently gone into depression and wants to cut off from the external environment. DSM
(The Diagnostic and Statistical Manual of Mental Disorders) aims at identifying whether the
DSM-V has categorized the people in actual categories according to their mental health or not
(Cooper, 2018). According to the section-II of the DSM, depression, anxiety, trauma and
personality disorder are seen in Munny and he is affecting all of them.
Dealing with people who show challenging behaviors and are suffering from stressful
situations, they should be highly cared and if the treatment is done according to their cultural
needs, they will be engaged with the clinical help and the treatment will become easy

MENTAL HEALTH-NURSING
(Hungerford, et al., 2017). Munny also had stressed on his job but he was satisfied with the
job until his boss told him that he was not happy with the work of Munny. This depressed
Munny because he already had death trauma of his mother, childhood memories of leaving
Cambodia and death shot of his father. The loss of loved ones, failure in academia and now
the failure in current profession accumulated and his anxiety, stress, and trauma multiplied.
Emotional disturbance is mostly caused by trauma and DSM highlights that diagnosis
can be done if one has emotional trauma due to a certain event. This can result in the form of
isolation and mind does not accept the others in life because the mind always keeps thinking
about the trauma (Stolorow, 2018). The death trauma of the parents of Munny has affected
his life a lot. At a young age, when he lost his father, he had his mother with him but now
when his mother has also gone, he is depressed with life.
Q. No. 2.
The Stress Vulnerability Model indicates that there are certain elements which may
affect a person from within or outside the environment and they can cause stress. These
elements may include substance use, stress, stamina, productive activities and social setup
(Behavioral Health Evolution, 2019). Trauma-informed care is a term which is used for the
treatment of those who are involved in traumatic situations and they need effective and
special care by their physicians and psychological experts in which empathy and care must be
highly focused (Raja, Memoona, Michelle, Stephanie, & Chelsea, 2015).
The first factor is the stress in the life of Munny because he has lost his parents, he
had failures in life and he is also declared by his boss that he is ineffective. This made him
mentally ill. He is not looking at the positive things in life, instead, he is obsessed with the
negative thoughts of employment, death trauma, failure in academia and loss of homeland.
His family was made homeless in 1975. Khmer Rouge, during his period, killed and sent
many people out of Cambodia and his chief ideologist has also died during the prison and he

MENTAL HEALTH-NURSING
was guilty of killing so many people (Shelton, 2019). Stress affects the lives of people in
multiple ways but during stress, a person starts thinking about the negative thoughts all the
times and this damages his nerves and he loses hopes (Woo & Keatinge, 2016). Munny’s
wife indicates that he is more stressed since the last six weeks when his employer
discouraged him. This was one such thing which disturbed him badly because he was
thinking it his success that doing a stressful job was even an enjoyable task because he
thought he was perfect in his work. But the demotivating words broke him badly and he
started taking it a professional and life disturbing event which provoked him to think that he
was a total failure and his mental illness became worse.
Another stress factor is the trauma exposure and post-traumatic stress disorder is seen
in people when during a live event, they pass with their active nerves but the event leaves a
negative and stressful impression. This gives rise to mental illness and mental disorders. The
treatment cannot be started unless the reasons for the post-traumatic stress and trauma are
known (Lewis, Raisanen, Bisson, Jones, & Zammit, 2018). The trauma in the life of Munny
is the death of his parents. The childhood memories are still imprinted on his mind but they
vanished with time when he got married and made his family. But at the death of her mother,
he again has gone to nostalgia where he remembers the dead bodies and death shots for the
killing of humans in Cambodia. Now the death of his mother and the loss of a loved one
makes him remind of the losses that he faced in his childhood. Now, when he is facing
demotivation from the current job role, he feels dissatisfied and depressive thoughts have
pushed him to the past unhappy events which are making him isolated and irritated.
Q. No. 3.
Mental health Recovery Model suggests that a patient suffering from mental illness
can be recovered if he is taken care of and if he is provided special care by the experts. This
model aims at the better mental and physical health of the patient with the support of his

MENTAL HEALTH-NURSING
family and the support from the community. So many recovery principals are involved in the
treatment of the patients suffering from mental illness and the most common among them are
the empowerment, respect, and hope (Lyon, 2019).
Munny can be recovered soon if he is given respect, empowerment, and hope during
his treatment. Respect can be given to him by the expert treating him and the treatment
should be in ethical and legal ways which will make Munny feel that he is a special human
being and someone is attending him with due care and giving him respect. The client must be
briefed in a common language what the expert wants to ask from the client and to inquire
from him according to the rules and legal ways (Mental Health Inquiry, 2015). The family of
the Munny can also give him respect when he irritates them, they must not get angry at him
and listen to him with love even if he gives mono word answers. His family can also seek the
help of his employer who can speak words of appreciation and motivation to bring Munny
back to life. Health professional must also speak to him with respect and in the respectable
and personalized tone to make him feel that is being given respect. This can rise his self-
esteem to come out of the stress.
Empowering Munny with the positive words and an attitude of respect, he will be
closer to the success path of coming out the stress. His family can empower him by seeking
certain permissions which will make him aware that he is empowered and his family is
dependent on him. His doctor can ask him questions and can encourage him by giving
feedback that he has achieved a lot in life which others have not. His employer can make him
empowered by assigning and trusting him with a challenging assignment and encouraging
him for his efforts. The community can make him feel good with their positive and kind
words. This support is necessary for him because he is living a life of misery and is offensive.
To make him functional and normal again, the support from all these agents is mandatory.

MENTAL HEALTH-NURSING
Hope is essential for Munny to come out of this stressful situation because, without
hope, he will find no other way to get ahead and be positive about his worst situation in
which he even has forgotten to take good diet and he does not think how abnormal he is
behaving in the social context. His awkward behavior is a problematic thing for his family
and hence, his wife can inject positive and hopeful sayings and examples before him without
having him told for what purpose they are being spoken to him. His employer can observe his
current performance and ask him that he can perform better if he follows a set pattern and this
can also make chances of his promotion and growth. This hope can make him positive
towards life. The community can also make him hopeful with the ethical behavior and the
health experts can also create hopeful content and indulge Munny to get hopes for becoming
successful in the coming life by combating the evils of stress.

MENTAL HEALTH-NURSING
References
Behavioral Health Evolution. (2019, August 17). The Stress-Vulnerability Model. Retrieved
from Behavioral Health Evolution: http://www.bhevolution.org/public/stress-
vulnerability.page#targetText=Download%20the%20Stress%2DVulnerability
%20Model%20handout&targetText=It%20is%20affected%20by%20our,Biological
%20Vulnerability
Cooper, R. (2018). Diagnosing the Diagnostic and Statistical Manual of Mental Disorders-
Fifth Edition. London: Routledge.
Hungerford, C., Hodgson, D., Bostwic, R., Clancy, R., Murphy, G., Jong, G., & Ngune, I.
(2017). Mental Health Care, 3rd Edition. Australia: John Wiley & Sons.
Lewis, C., Raisanen, L., Bisson, J., Jones, I., & Zammit, S. (2018). Trauma exposure and
undetected posttraumatic stress disorder among adults with a mental disorder.
Depression and Anxiety, 178-184.
Lyon, S. (2019, August 06). The Recovery Model. Retrieved from veryWellmind:
https://www.verywellmind.com/what-is-the-recovery-model-2509979
Mental Health Inquiry. (2015). In the Mental Health Act 2007 Guide Book (pp. 54-55). South
Wales: New South Wales Institute of Psychiatry.
Morey, L., & Hopwood, C. (2019). Expert Preferences for Categorical, Dimensional, and
Mixed/Hybrid Approaches to Personality Disorder Diagnosis. Journal of Personality
Disorders.
Raja, S., Memoona, H., Michelle, H., Stephanie, G.-Y., & Chelsea, R. (2015). Trauma-
Informed Care in Medicine. Family and Community Health, 216-226.
Renn, B., & John, S. (2019). Mental Status Examination. Diagnostic Interviewing, 77-102.

MENTAL HEALTH-NURSING
Shelton, T. (2019, August 5). Cambodia's Khmer Rouge chief ideologist Nuon Chea, 'Brother
Number Two', dies aged 93. Retrieved from NEWS:
https://www.abc.net.au/news/2019-08-04/cambodias-khmer-rouge-chief-ideologist-
dies-at-age-of-93/11382390?
utm_source=sfmc&utm_medium=email&utm_content=&utm_campaign=
%5bnews_sfmc_newsmail_am_df_!n1%5d
%3a8935&user_id=1fd55ba4e1bb16118d7dedb90c1090480640e2512
Stolorow, R. (2018). Emotional Disturbance, Trauma, and Authenticity: A
Phenomenological-Contextualist Psychoanalytic Perspective. Existential Medicine:
Essays on Health and Illness, 17-25.
Woo, S., & Keatinge, C. (2016). Diagnosis and Treatment of Mental Disorders Across the
Lifespan. USA: John Wiley & Sons.