Mental Health Nursing - Desklib

Running head: MENTAL HEALTH NURSING
MENTAL HEALTH NURSING
Name of the Student:
Name of the University:
Author Note:

1MENTAL HEALTH NURSING
Answer 1:
Relating MSE with the client in the case-study:
According to the case-study, 35 year old Chung is a struggling medicine practitioner
who is striving hard to become an emergency medicine consultant, however has been
subjected to a number of events that has led to the occurrence of mental and emotional
turmoil in him, leading to the manifestation of the initial symptoms of mental unrest (Admon
et al.,2013). In compliance with the standards of the mental state examination, a number of
factors can be held accountable that depict the degrading mental stability of Chung. Typically
it can be said that the thought content and the behaviour of the subject significantly points out
to the development of depression and anxiety. The case study clearly states Chung to be
feeling low most of the times and preoccupied with disturbing thoughts. On proceeding with
the interview, the midwife could perceive suicidal thoughts and continuous frustration.
Chung also explains himself as a worthless father that proves that he feels incapable and
possesses a pessimistic attitude. In context to his behaviour, Chung is seen to be extremely
fatigued and tired and in dire need of sleep. He is also seen to be resting with rounded
shoulders and is seen to be detached from the interview. He finds it difficult to focus on the
questions and is found to struggle with his responses. These features can be linked to the
thought content and the general behaviour category of the MSE guidelines and it can hence
be inferred that Chung is at a high risk of developing a mental disorder.
Relating DSM-V with the client in the case study:
According to the American Psychiatric Association, in the year 2013, the diagnostic
and statistical manual of mental disorder that has been updated pertaining to the current
trends prevalent in the critical diagnosis of the psychological disorders, it can be commented
that Chung is on the verge of steeping into depressive disorder that would ultimately lead to
the development of the initial phase of neurodegenerative disorder such as communication
disorders (Von Gontard,2013). This is evident from Chung’s inability to perceive and quickly

2MENTAL HEALTH NURSING
respond to the questions asked by the midwife and the midwife having to repeat her questions
in order to derive a ‘one-word’ substantial answer from Chung. In addition to the above
stated fact, Chung’s persistent feelings of anxiety, stress and concomitant sadness pertaining
to the fact that he is not being able to devote ample amount of time to his dear wife and his
new born baby Juliette and his absence due to the bizarre long hours is ultimately leading to
an emotional turmoil. These factors can hence be correlated to the guidelines of mental
disorders as highlighted by the DSM V and can be tagged as the precursor symptoms that
would lead to the development of bipolar disorder. This would involve episodes of intense
depression and feelings of hopelessness and irritation over every minute instance (Briere &
Scott, 2014). It is important to identify the initial symptoms as early as possible and seek
counselling interventions so as to combat with the ongoing emotional trauma (Regier et al.,
2013).
Answer 2:
Applying the stress vulnerability model:
The stress vulnerability model has been conceptually designed in order to provide a
framework to the patients and their family members to understand the underlying reason
behind the occurrence of various mental disorders and the associated complications and also
the exposed vulnerability in these conditions that lead to taking up substance-abuse (Simon et
al.,2013). It is critical to note here that the vulnerability factor differs from individual to
individual and it can be said to be dependent on two factors broadly, mainly the genetic
susceptibility to develop a mental disorder and the physiological stress exerted by the familial
environment or the work environment (Slade et al.,2013).
Contributing factors eliciting mental stress:
Many factors can be co-related with the generation of the effect of stress in Chung. As
identified by the case study, it can be inferred that prolong work hours, insufficient sleep and
unable to cope with the change in the familial environment can be said to directly affect the