Mental Health Nursing Interventions for Schizophrenia

Mental Health
Nursing

Table of Contents
INTRODUCTION...........................................................................................................................1
PART 1: Holistic Assessment and Planning....................................................................................1
A Mental Statement Examination..........................................................................................1
b Clinical formulation table....................................................................................................2
C Plan for nursing care...........................................................................................................3
D Clinical handover................................................................................................................4
PART B............................................................................................................................................4
2. A identify and discuss about one strategy that can use to develop therapeutic relationship
within Cormac........................................................................................................................4
2. B describe how specific nursing strategy relates to recovery model in mental health.......5
2. C determine one challenge that encounter when working with Cormac............................5
2. D identifying the one strategy that can use to overcome challenge...................................6
REFERENCES................................................................................................................................7

INTRODUCTION
Mental health refers behavioural well being. This present study is based on case in which 24
year old man suffering from mental illness Liu & et.al., (2020). This study is going to show some
mental and other presenting and other factors which can help out in taking better decision about
interventions. It will also discuss effectiveness of therapeutic relationship and others delusion
therapies in reducing negative effects of mental illness.
PART 1: Holistic Assessment and Planning
A Mental Statement Examination
Appearance & behaviour
 Appearance: Thin, long blondegreasy hair, beard, wear crushed and stained clothes.
 Attitude to situation and interviewer: Avoids eye contact, give replies in brief and not
relevant to questions, cooperative, give answers in monotonous tone
Mood and Affect
 Mood: Unable to seat for long term, irritability, lack of trust, hostile and shout when
told by parents to take medicine.
 Affect: Smoking marijuana several times which affects his body and becoming thin?
Form of Thought
 Excess, absence, quality of thought: He thinks that medicines makes him tired and there
is someone who is taking to him and it is hallucinations experience.
 Continuity of ideas: Believes that he can send as well as receive messages from god via
radio. Also believes that some videos contain information related to him.
Content of Thought
 Delusions: Yes there is false belief that he can send messages to god via television,
 Suicidal thoughts: No.
 Other: Feeling of someone around him who is talking to him.
Sensorium and Cognition
 Level of consciousness: Lack of concentration at workplace.
Risk Assessment
 Potential for harm to self: There is no evidence of hurting to self.
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 Potential for harm to others: Cormac only shout and behave in ineffective manner but
never tried to hurt others and self.
 Potential for absconding: It is found that manager of Cormac at workplace found
Cormac that he is committing mistakes and misguiding customers and also dropped out
from studies as he does not believe on his assessor and feedbacks given by them.
b Clinical formulation table
Presenting factors: In the context of Cormac it is found that at the age of 20 he had his first
admission to psychiatric hospital and diagnosed with schizophrenia and now at present after 4 years
again he is facing problems. Some presenting factors include: problems in completing study due
to lack of trust, erratic friendship and relation with parents, physical health complications like
laughing for no reason, becoming thin etc.
Precipitating factors: It includes several factors like legal, financial, occupational and others
and in the case of Cormac it is all related to physical and interpersonal stressors.
Predisposing factors: It includes those factors which lead to the problem and in the context of
Cormac it can be said that environmental factors like socio economic status, lack of friend group
and lack f participation in social activities. Other psychological factors like core belief are some
factors associated with the patient Paul & Kamrul-Hasan, (2019).
Perpetuating factors: It includes those factors which maintain current problems which include:
behaviours in anxiety disorders, withdrawn from friends, parents, and problems in remaining
seated for long.
Protective factors: It includes some strength which can mitigate risks such as social support,
interest. In the context of Cormac it can be said that it may include: positive therapeutic
relationship. So, it can be said that by making use of effective strategies like family involvement,
patient centre care and other medications which can help him out in engaging with people,
making eye contact and preventing him against schizophrenia.
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