Nursing Western Sydney Assignment 2022

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT’
Name of the Student:
Name of the University:
Author Note:

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Introduction:
The case study deals with a 45 year old Cambodian man, Munny who lives in
Western Sydney with his family. Munny is married to Ary and has three children, a ten year
old daughter Chan and two six year old twins. Munny had been working at a large bakery for
the past five years but recently had been called upon by the owner who complained about his
performance efficiency at work. He had been warned and asked to adapt measures to improve
his performance and had been warned about the consequences which could lead to
termination. Post the interview with the employer, Munny has increasingly restricted himself
from any familial or social interaction and for the past few days has called increasingly sick
at work. He is devoid of energy and is low in mood as reported by the wife. Ary assumes that
professional stress and the death of his mother 6 months ago, who was battling cancer had
taken a toll on his mental wellness. This paper intends to discuss in detail the mental health
status of the client and evaluate the factors that has triggered the mental health issue based on
the stress vulnerability model and evaluate the factors that could be used to devise patient
recovery.
Response 1:
According to Srinivasan and Sembian (2019), the mental state examination can be
defined as a structured assessment that tests the behaviour and cognitive functioning of an
individual. The evaluation is primarily based upon factors that include, assessing appearance
and general behaviour, level of consciousness, mood and affect, motor and speech activity,
attitude and insight, thought and perception, level of cognitive functioning and reaction time.
Research studies in this regard mention that the most important cognitive elements that are
clinically relevant include, memory, language, abstract reasoning, constructional liability and

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alertness (Chennapan et al., 2018). On the basis of the evaluation of case study, the mental
state assessment for the client can be discussed as follows:
Appearance and behaviour:
Munny is presented at the community care clinic in proper attire but his clothes are
loose fitting. He avoided eye contact with the nurse and was observed to maintain a slumped
posture while being seated on the chair. Further, he was seen to stare at the floor.
Speech:
Munny responded to the questions asked by the mental health nurse in monosyllables.
He was not involved in the conversation and after a brief interval demanded to be left alone.
Mood:
The client appears to be low in mood and dysphoric for over two weeks. He has
exceedingly confined himself and is avoiding social interaction.
Affect:
The current emotional state is observed to be depressed and constricted. The reactivity
appears to be blunted.
Thought:
The thought stream can be mentioned as poverty of thought. The thought content can
be described as poverty of content. No thought pertaining to self-harm or suicidal intent
could be detected.
Perception:
The perception appears to be normal without any altered bodily experience.
Cognition: