Mental Status Assessment & Recovery Focused Care Plan for Martin

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Practical Assignment
AI Summary
This assignment presents a detailed recovery-focused care plan for a consumer named Martin, addressing issues of low mood, speech affectedness, and self-harm. It begins with an introduction outlining the context of the assessment, which includes a mental status examination and a strengths-based approach. The care plan identifies Martin's strengths and weaknesses, setting goals to address addiction, self-harm, and self-care deficits. Nursing interventions include establishing a therapeutic alliance, positive reinforcement, motivational strategies, and community engagement. The plan emphasizes a recovery-oriented approach, encouraging Martin to take an active role in setting goals, managing activities, and building self-esteem. The assignment also includes references to support the evidence-based practice of the care plan.
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Running Head: Recovery Focus Nursing 1
Recovery Focus Nursing Care Plan for Martin
Student’s Name
Institutional Affiliation
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Running Head: Recovery Focus Nursing 2
Recovery Focus Nursing Care Plan for Martin
Priorities of
Consumers
Identifying
issues/Goals
Strength of Consumers
to Solve the Issue
Nursing and Consumer
Interventions
Responsibilities
of Parents
Time frame
#1 Martin
mood is low.
She reported it
as 5/10 and it
is continuous
from about 3-4
weeks. She
had flat effect
due to drug.
She have to
leave usage of
drugs.
Goal/issue 1
Goals for
identified issues
She had flat effect
that is due to drug
usage. She have to
read the literature
about the drugs so
she will be to think
about the side
effects of the
drugs.
Strength 1
Client show high
intellectual performance
in her education.
She did a certificated III
in customer services.
She is loyal with her
friends, friend and has
helping behavior.
She is well aware of her
problems and wanted to
get help from the
professionals.
Determining the stage of
addiction. Assessment will
be done on the basis on
behavior because client
show the low mood and
speech affectedness.
Rationale-for the purpose
of effective care plan for
low mood and speech
problems of the client,
accurate assessment of
baseline data is important.
(Townsend and Morgan,
2017).
Developing a trustworthy
relationship between a
therapist and a client
After martin’s
approval for
sessions,
Recovery oriented
mental health
professionals and
nurse will be
responsible to
arrange the
suitable place and
time for
motivational
interview with
Martin.
Martin need to
come in time and
the choice of the
place and time is
Interview will be
carried out after
passing the three
sessions over the period
of two weeks.
The set goals are
expected to be achieved
when the client is able
to discuss her problems
freely and give
acceptance to her
problems and facts and
ready to work over her
goals.
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Running Head: Recovery Focus Nursing 3
through therapeutic
alliance. The main focus of
the interview is person
focused and intervention.
Rationale-Therapeutic
alliance is important for
the therapeutic relationship
and recovery (Orthwein,
2017).
Allow the client to feel
free to show her feelings
by telling her
confidentiality and
therapist must have an
acceptable attitude towards
Martin.
Rationale- Displaying
confidentiality to the client
ensure the client feels
fully depended on
the Martin.
Professional nurse
must discuss with
Martin about her
choice of the
place and
Martin’s
comfortable area
for interview.
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Running Head: Recovery Focus Nursing 4
worthy and open up with
more confidence to show
her problems and discuss
their issues that are related
to her problems and
unresolved issues. This
kind of environment feel
the client secured, free to
expressed her feelings in
front of therapist (Cusack,
Killoury, Nugent, 2017).
Give the positive
recognition and
reinforcement for not
taking drugs. For example
positive reinforce the
Martin if she is not taking
drug during the day before
or after coming in session.
Rationale- Positive
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Running Head: Recovery Focus Nursing 5
reinforcement facilitate to
boost up the self-esteem
and increase the change to
occur the same behavior
(Deane et al., 2018).
Motivate the client when
she uses strategies for
coping with drug cravings
as it is more difficult to
cope the cravings when
you are alone.
Rationale- motivation help
the person to encourage the
specific behavior again and
again (Brook et al., 2010)
#2 Martin
She would
have to reduce
Nursing issues
Identified.
Self-harm leads to
Strength 2
She is well aware of her
Planning activities for
living life positively and
happily for example, going
Coronation in
work is beneficial
not only for the
To establish and bring
the Martin to an
acceptable rang of
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Running Head: Recovery Focus Nursing 6
the self-harm
and suicidal
ideas for her
secure future.
self-care deficit
Change nutritional
patterns.
She will have to
indulge herself in
positive and
meaningful
activities to control
over her thoughts.
Pessimistic
attitude
Extremely low self
esteem
She should
schedule her
routine plan
meaningful
activities in day
routine to reduce
problems and wanted to
come out from all this.
She is well dressed and
well oriented about
time, place and things.
She have healthy
relationship with her
family.
out for self-pleasure and
giving reward for her
positive activity.
Rationale- completing the
daily positive and
successful activities give
her a new strength and
encouraging her more
towards life (Antai-otong,
2016).
Encourage her towards a
bright carrier as giving her
strength and highlighted
her successful past as she
is well educated and show
high intelligence.
Rationale- approaching
recovery approach give the
encouragement and realize
client but also for
the mental health
professionals.
Mental health
professionals
should arrange
group activities
with others-
especially with
the Martin’s
colleagues. It will
help to enhance
the confidence in
client.
Martin should be
active and prefer
to speak about her
needs and barriers
that affects her
daily activities.
activity to low down
the self-harm behavior.
To accomplish this
goals it will take to 2-3
weeks.
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Running Head: Recovery Focus Nursing 7
her depressive
symptoms.
the positive strengths and
potential in clients.
Encourage the client to
take part in community
activities like improving
the environment- example
like planting trees etc. and
give chance to decision by
herself for these kind of
activities.
Rationale- community
activities provide the client
positive feedback from the
peers and friends that will
give her a good feelings
(Moltu et al., 2018).
Martin will be learn by the
problem solving approach
while taking the sessions.
Mental health
professionals/
nurse should
manage the group
activities and have
to indulge family
members in group
activity, as the
central problem at
non-performance
of Martin and
poor commitment
towards family
responsibility.
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Running Head: Recovery Focus Nursing 8
Agenda settings for the
sessions will be done by
herself and asked her
which area she wanted to
improve her first and she
wanted to improve for
improving her lifestyle.
Rationale- Low self-
esteem restrict the self-
help abilities and hinder
the potentials ( Kirk, S., &
Pryjmachuk, 2016).
Acknowledge the clients
behavior and lower down
the negative impact of
client’s situations.
Rationale- when client take
small responsibilities of
her life it will encouraging
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Running Head: Recovery Focus Nursing 9
her for bigger work and
give her confidence.
Give acceptation to client’s
negative and pessimistic
attitude of thoughts about
self-harm.
Rationale- giving
acceptation to someone’s
negative attitude increase
clients feeling of self-
worth in the client (Lorem,
Hem, Molewijk, 2015).
Martin will be motivated to
focus on current
accomplishments and
strengths
Rationale – motivation for
the work accomplishment
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Running Head: Recovery Focus Nursing 10
give positive strength and
minimizing the attention
given towards the past
experiences and then it will
help the client to
channelize the focus on
present events and reduce
negative thoughts (Le
Boutiliier et al., 2015).
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Running Head: Recovery Focus Nursing
11
References
Antai-Otong, D. (2016). Psychosocial recovery and rehabilitation. Nursing Clinics, 51(2), 287-
297.
Avari, J. N., Yuen, G. S., Abdel Malak, B., Mahgoub, N., Kalayam, B., & Alexopoulos, G. S.
(2014). Assessment and management of late-life depression. Psychiatric Annals, 44(3),
131-137.
Caldwell, B. A., Sclafani, M., Swarbrick, M., & Piren, K. (2010). Psychiatric nursing
practice & the recovery model of care. Journal of Psychosocial Nursing & Mental
Health Services, 48(7), 42-48. doi: http://dx.doi.org/10.3928/02793695-20100504-
03.
Cusack, E., Killoury, F., & Nugent, L. E. (2017). The professional psychiatric/mental health
nurse: skills, competencies and supports required to adopt recoveryorientated policy in
practice. Journal of psychiatric and mental health nursing, 24(2-3), 93-104.
Deane, F. P., Goff, R. O., Pullman, J., Sommer, J., & Lim, P. (2018). Changes in Mental Health
Providers’ Recovery Attitudes and Strengths Model Implementation Following Training
and Supervision. International Journal of Mental Health and Addiction, 1-15.
DeVylder, J. E., & Hilimire, M. R. (2015). Suicide Risk, Stress Sensitivity, and Self-Esteem
among Young Adults Reporting Auditory Hallucinations. Health & Social Work, 40(3),
175–181. https://doi-org.ezproxy.lib.rmit.edu.au/hsw/hlv037
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Running Head: Recovery Focus Nursing
12
Daley, S., Newton, D., Slade, M., Murray, J. & Banerjee, S. (2013), Development of
framework for recovery in older people with mental disorder. Int. J. Geriat.
Psychiatry, 28: 522–529. doi: 10.1002/gps.3855
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7176.155605
Kirk, S., & Pryjmachuk, S. (2016). Self-care of young people with long-term physical and
mental health conditions. Nursing children and young people, 28(7).
Lorem, G. F., Hem, M. H., & Molewijk, B. (2015). Good coercion: Patients' moral evaluation of
coercion in mental health care. International journal of mental health nursing, 24(3),
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Le Boutillier, C., Chevalier, A., Lawrence, V., Leamy, M., Bird, V. J., Macpherson, R., ... &
Slade, M. (2015). Staff understanding of recovery-orientated mental health practice: a
systematic review and narrative synthesis. Implementation Science, 10(1), 87.
Moltu, C., Veseth, M., Stefansen, J., Nøtnes, J. C., Skjølberg, Å., Binder, P. E., ... & Nordberg,
S. S. (2018). This is what I need a clinical feedback system to do for me: a qualitative
inquiry into therapists’ and patients’ perspectives. Psychotherapy research, 28(2), 250-
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Orthwein, W. C. (2017). Psychiatric and mental health nursing: The craft of caring. CRC Press.
SCHOFIELD, R. (2016). Comparing Personal Health Practices: Individuals with mental illness
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Running Head: Recovery Focus Nursing
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and the general Canadian population. Canadian Nurse, 112(5), 23–27. Retrieved from
http://search.ebscohost.com.ezproxy.lib.rmit.edu.au/login.aspx?
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Snyderman, D., & Rovner, B. W. (2009). Mental Status Examination in Primary Care: A
Review. American family physician, 80(8). 809-814
Townsend, M. C., & Morgan, K. I. (2017). Psychiatric mental health nursing: Concepts of care
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Thomas, H., & Chan, T. (2012). Assessment and management of depression in primary care
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