HLT54115 Diploma of Nursing: Mental Health Care Assessment 1 & 2

This document presents a comprehensive solution to a Diploma of Nursing assignment (HLTENN009) focusing on implementing and monitoring care for individuals with mental health conditions. The assignment is divided into two assessments, exploring various aspects of mental health care. Assessment 1 covers key theories like King's Theory of Goal Attainment, social, psychological, and physical factors associated with mental health, and the importance of consumer participation. It defines mood disorders, personality disorders, and anxiety disorders, along with clinical symptoms and treatment options. The assignment delves into the impact of stigma, discrimination, culture, and belief systems on individuals with mental health conditions. It also outlines common behaviors in mental health, the importance of active listening, effective communication, and seeking expert assistance. Furthermore, it details principles of recovery in mental health, recovery-oriented practices, and the Mental Health Act, including key features, objectives, and patient rights. Strategies to prevent oral diseases in mental health patients are also discussed. Assessment 2 analyzes a patient case, including signs, symptoms, and appropriate responses from an Enrolled Nurse (EN). It explores biophysical effects, negotiation strategies, and the importance of a calm demeanor. The document also references relevant literature to support the analysis and recommendations.

Diploma of nursing
Student name:
Student ID:
Author’s note:

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ASSESSMENT 1:
1) King's Theory of Goal Attainment has sustained basic alteration and even time and is based on
the central tenet of interaction and even communication. The value of the theory relies on this
fact that nurses work with patients in order to achieve health goal that has been mutually agreed
upon. In addition to that the philosophy of the mentioned theory describes the dynamic
interpersonal relationship within which the well-being of a patient is seen to develop. The theory
is based on the philosophy of open systems and human beings, a modern approach to better care
provision
2) Social factors associated with mental health: Poor mental health is often triggered due to
certain social factors such as gender, social class and even ethnicity. The disparity in regards to
social class is often a subject that causes stigma leading to poor mental health outcomes
Psychological factors associated with mental health: Excessive worry in relation to the future can
result in anxiety related mental health, often leading to depression
Cognitive factors associated with mental health problems, especially among older adults.
Turning the behavioural response to stress, cognitive factor is seen to play a prominent role in
post-traumatic stress disorder
Physical factors associated with mental health conditions is often an outcome of big trauma or
even due to birth injury that leads to impaired mental function
3) The purpose of carer and consumer participation is often termed as involvement of carers and
consumers in decision about individual’s health care prospects as well as the involvement of both
about the provision in regards to health care services. As pointed out by Katsikitis, Lane, Ozol &
Statham (2017), consumer and carers are often seen to put forward their demands on how to

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change the mode of service delivery in regards to mental health care. The implication derived
state the fact both desire partnership on their way to recovery. The communication plays an
important role that can work on answering the practical needs
4) 2 impacts of each of the following on person with mental health condition
Stigma: Fewer employment opportunities and limited social interaction. Stigma related to mental
health often makes the person feel hopeless and reluctant to seek medical help (Rikkers et al.
2016)
Discrimination: Discrimination of people with poor mental health condition often forces them to
commit suicide. In case of students, discrimination due to poor mental health condition is often
seen to engender initiation of poor academic performance (Gunn et al. 2019)
Culture: In certain Asian countries, mental health degradation is often perceived as an outcome
of bad karma making it difficult to seek medical assistance (McKetin et al. 2018). Some cultures
additionally take pride and feel ashamed to address the person with poor mental health condition
making it difficult to recover
Belief system: Belief system often made the indigenous individuals think that poor mental health
condition is an outcome of family conflict (Choudhry et al. 2016). On being diagnosed with the
same, the person is subjected to isolation, often aggravating the situation
5) Define each of the following with clinical symptoms and treatment
Mood disorders: Is often an event arising due to disturbance of a person’s mood leading to
general disturbance in emotional stability. The continuous feeling of sadness or loss of interest
can lead to depression and a range of behavioural symptoms including change in sleeping or

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eating patterns, low self-esteem and thoughts of suicide (Mulders-Jones et al. 2017). The
mainstay of treatment is medication, or even talk therapy that can normalise the neurological
changes in brain
Personality disorder: The mentioned term is often used to define ingrained pattern of behaviour
that is seen to suffer a marked deviation from generally accepted norm of behaviour causing long
term difficulty in relationship and society (Gulliver et al. 2015). Symptoms include feeling of
worthlessness, insecurity, impaired social relationship with extreme mood swings. The
mentioned disorder can be treated with talk therapy
Anxiety disorder: Is used to define the condition when an individual exhibits extreme tension
that interferes with their daily life. Following are the symptoms of anxiety disorder
hypervigilance, restlessness and lack of concentration. The mentioned condition can be treated
by use of anti-depressants coupled with counselling (Mulders-Jones et al. 2017)
6) a. Statement A is correct & statement B is incorrect
7) Common behaviours in mental health conditions are as follows:
Thoughts of committing suicide coupled with low self esteem
Exhibiting immense levels of anxiety leading to depression
8) Importance of following:
Active listening and observation skills: The mentioned attribute can work on building therapeutic
relationship with the patient. As stated by Jorm, Patten, Brugha & Mojtabai (2017), it can
additionally work on providing better scope of care by initiating a sense of trust among the
patients

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Ensuring effective communication: Communication is the key to better healthcare provision
(Moore et al. 2015). A two-way communication can help EN to understand the problems faced
by the patient, proposing better care prospects
Seeking expert assistance: It would be fair enough to note that every individual with mental
health condition is different to one another. Thus, Jorm and Mulder (2018) stated the fact that it
becomes important to seek expert assistance while dealing with a patient with complex needs
9) 2 principles of recovery in the mental health context.
Recovery oriented mental health practise demands being courteous, honest and respectful at all
levels of interactions. As stated by Kinchin and Doran (2017), nurses need to exhibit cultural
sensitivity while treating patients within mental health context. Following are the principles of
recovery in mental health:
Recovery is often self-directed
Recovery is often based on the personal needs, experiences and choices
10) 3 principles of recovery-oriented practice in mental health
Unique of an individual: It concentrates over obtaining a satisfying the actual meaning of life.
Accepts that recovery outcomes are personal and different for everyone. Empowers the patient
making them responsible for their provision of care
Dignity and respect: Involves being kind to the patient without being judgemental. Challenging
of existing discrimination and respect the cultural values and beliefs of the patient
Partnership and communication: Communication with patient involves them in their care plan in
positive and realistic ways (Jorm, 2015)

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11) Mental Health Act
Key features and objectives of the mentioned act are as follows: The act aims to care for
individuals with poor mental health condition and aims to improve the condition of mental health
for people who no longer exhibit the capacity to consent treatment. Following are the prospects
of the mentioned act
No Involuntary admission events carried out and the consumer rights are respected. The practise
of seclusion and restraint is not followed except in certain cases. In addition to that admission
procedures are carried out as per the medical situation. Community treatment orders are
available. Role of the mental health practitioner is to improve mental health irrespective of socio-
economic conditions. Most importantly, consent is obtained and if the patient fails to give
consent then the family members are considered for help. Additionally, the aspect of mental
health is often related to stigma, thus the mentioned act works on respecting the values of
confidentiality
12) Strategies to prevent oral disease in mental health patients
 Stop smoking as people with depression are often seen to smoke to relieve anxiety
 Increase the level of nutrition such as calcium intake to prevent tooth decay
 Reduce the amount of stress to prevent tooth decay
 Make frequent visits to dentist
 Reduce the rates of oral infection
13) Rights of the Mentally ill in Australia
Mentally ill individuals must be respected and there should be no scope of discrimination. The
mentioned intervention can be addressed through patient advocacy

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Enhancing the quality of care, irrespective of socio-economic background. The right can be
safeguarded by providing the best quality of care
Providing equal employment opportunities
14) 5 impacts of discrimination, negative stereotyping and stigma
Physical violence
Negligence to obtain required medical help
Poor performance at work or academics
Feeling of isolation and unsupported
Leading to depression, making it harder to recover
2 strategies to ensure that interaction is positive
 Use of empathetic tone to gain trust of the patient
 Two-way communication to encourage and empower the patient to speak
ASSESMENT 2:
1) The patient is seen to exhibit behaviour of depression coupled with low self-esteem that often
leads to suicide. It becomes important to note the fact that suicide is not in itself a mental illness,
rather constitutes treatable medical conditions, inclusive of bipolar disorder, substance use
disorder. The marks from assault dictates the fact that the patient may be subjected to post
traumatic disorder.
2) Signs and symptoms
Excessive aggressive behaviours

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Too much of mood swings
Self-harm
Explosive behaviour
3) Response of EN
Talk therapy did not provide the expected results. It is for the same reason, referring to a
psychotherapist is important who can prescribe medication for better health outcomes (Jones &
Ciprian, 2016)
4) 2 Biophysical effects of patient history
The increasing consumption of alcohol can relate to depression in patient, hinting towards
substance abuse
The patient was diagnosed lymphoma in 2010. The degrading health condition can be termed as
a leading cause of poor mental health. Delayed psychomotor retardation makes the patient
dependent for daily tasks that further lowers his self esteem
5) Negotiate with patient
It is important to deal with sensitivity. Patients like such are often subjected to criticism due to
their behaviour. However, it is important to understand the fact that the patient is already in
distressing state therefore, it is important to use a calm demeanour to ensure that the environment
is safe for them
6) all of the above
7) c. Both are correct

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Reference list
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