Mental Health Nursing: Consumer Scenario, Clinical Formulation, & Care

This assignment requires a comprehensive analysis of a consumer scenario within a mental health nursing context. It involves conducting a Mental Status Examination (MSE), developing a clinical formulation using the 5Ps framework (presenting, precipitating, predisposing, perpetuating, and protective factors), and creating a detailed nursing care plan. The care plan must prioritize consumer needs based on Maslow's Hierarchy, outline nursing interventions with goals, timeframes, and evaluation criteria. Furthermore, the assignment emphasizes the establishment of a therapeutic relationship, the application of cultural safety principles, and integration of the recovery model into the nursing care provided. The report also includes a clinical handover section, explaining the consumer's condition and needs, and a detailed discussion on the therapeutic relationship, cultural safety, and the recovery model in relation to the nursing interventions. All ideas must be supported by relevant literature, and the assignment is divided into two parts, each with specific word count requirements and formatting guidelines.

ASSIGNMENT 2 – CONSUMER SCENARIO
Aim
The aim of this assignment is to help you to begin to use your professional judgement and think like
clinical nurses in mental health settings and/or in relation to the mental health needs of consumers.
In order to achieve this aim, everyone will be assigned a case scenario involving a consumer who is
experiencing issues relating to one of the various disorders commonly encountered in clinical
practice.
Description
This is an individual assignment of 2000 words in two parts each with several steps. Follow the steps
for each part carefully.
The piece will demonstrate a sound grasp of the following as they relate to your consumer and
include:
• a Mental Status Examination(MSE)
• a clinical formulation including biopsychosocial history and your own MSE observations leading to
the clinical formulation
• a nursing orientated handover
• using Maslow’s hierarchy of needs to identity and prioritise consumer needs
• identifying nursing interventions and goals, timeframes and evaluation criteria for their
achievement
• how to engage a consumer in a therapeutic relationship
• the application of cultural safety
• the application of the recovery model
You will need to justify your ideas with reference to relevant literature; students who plan to do
well, read and use the unit’s required readings and additional items drawn from respected academic
sources.
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Presentation and submission
• a proforma cover sheet is on BB>>>assessment. Copy and paste it into the beginning of your
assessment and add your name, student ID number, name of the consumer and name of your tutor
• please upload your assignment to the Turnitin link on blackboard under ‘assessment’. The link will
only be open for 3 days during which time you can submit your assignment. It is VERY important that
you make sure you have submitted the CORRECT assignment to this link before the due date as
whatever paper is in the submissions inbox at the time the link is closed, will be marked – if the
wrong assignment has been submitted, then the teaching staff will not be resubmitting the correct
one on your behalf
• in-text citation of all items used - there is no set number of references required
• full reference list at the end of the assessment of items used within the paper properly formatted
in APA style
• the reference list is NOT included in the word count
• word counts include everything in the body of the assessment (including headings, citations,
quotes)
• include a word count AFTER EACH SCTION
• the paper does not need an introduction or a conclusion and is to be organised into two parts
using the headings and subheadings below
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PART 1 Holistic assessment and planning: 900 words total
This part does not require full paragraphs. Use appropriate templates/ tables to set out each part:
EG: MSE, 5Ps as used in tutorials and the nursing care table as in the example below
Ensure your work includes the name of the consumer and brief demographic data about them [e.g.
Mary Citizen is an university educated 36 year old married woman and mother of a 14 year old girl]
1.1 The Mental Status Examination [350 words]
• using the MSE format in your weekly tutorial guide provide a complete Mental Status Examination
(MSE) of your consumer
• use specific examples from this case study to illustrate each part of the MSE
• you must use and define psychiatric terms accurately (e.g. Instead of “talks fast” use the correct
term “pressure of speech“, define it properly and cite your sources)
1.2 A Clinical Formulation Table [250 words]
• use information gathered from the MSE and the bio-psycho-social assessment (history of
presenting complaint, family and social history, current living situation, the consumer’s strengths
and coping strategies, medical history) to complete a table under the headings of presenting,
precipitating, predisposing, perpetuating and protective factors (5Ps) relevant to your consumer’s
clinical presentation
1.3 Plan for Nursing Care [300 words]
• using Maslow’s Hierarchy of Needs, identify and prioritise the needs of your consumer
• select the two (2) highest priority issues identified and clearly indicate what they are and why they
are highest priority
• outline your nursing care, focusing on one (1) nursing intervention for each of these needs and
your rationale for each i.e. describe how the intervention assists your consumer to address or meet
each need; interventions must be nursing related, detailed, practical and within your scope of
practice
** NOTE: in part two you will be explaining how you would develop and use a therapeutic
relationship with this consumer, and how cultural safety and the recovery model influenced your
nursing care and choice of interventions
• nursing care interventions must have a short term goal (short term = goal setting over a day or
two)
• for each nursing care intervention state how you will evaluate if its goal is being achieved
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EXAMPLE OF NURSING CARE
Issue
constipation
related to
medication side
effects
Intervention
consumer has 1
hour accompanied
walk/day
Goal
regular elimination
established
Evaluation
assess bowel
elimination 1/24
hours
Part 2: Therapeutic engagement and clinical interpretation: 1100 words total
This part of the paper is to be written in properly constructed sentences and paragraphs under each
subheading [not dot points] and is to provide further description and depth to the assessment and
care planning identified in Part 1.
2.1 Clinical handover [200words]
Synthesise (consider together) the results of your MSE and clinical formulation to construct a
paragraph describing the consumer and their main concerns that you could present at a clinical
handover meeting.
Note: This is not merely a repetition of the case study material – it is an analysis and synthesis of the
material and the MSE to produce the clinical formulation that answers why this person, why now,
why with this presenting situation. This is the information your colleagues need to know so they can
continue working with the consumer when you go home. Remember to keep a nursing focus.
2.2 The Therapeutic Relationship [250 words]
Explain how and why a therapeutic relationship will be established with your consumer. This must
not be general description of therapeutic relationships but demonstrate that you are applying it to
this person. Then describe at least one (1) specific strategy appropriate for the development of a
therapeutic relationship with this specific consumer and how it was applied in the nursing care
interventions you described in Step 1.
2.3 Cultural Safety [250 words]
Describe the first step you would take to ensure that you deliver culturally safe care to this
consumer.
Then identify and describe one (1) issue that working with this consumer may present for you.
Describe which of the principles of cultural safety you used in applying cultural safety in the nursing
care interventions you described in Step 1.
2.4 Nursing Care and Recovery Model [400 words]
Consider the nursing interventions you developed in Step 1. Describe how these nursing
interventions take the five (5) principles of the Recovery Model into account and relate these to your
specific consumer’s recovery process.
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