Comprehensive Analysis of Mental Health and Nursing Care: A Case Study

This report presents a detailed case study centered on an individual diagnosed with schizophrenia, exploring various aspects of mental health and nursing care. The introduction defines mental health and its disorders, highlighting the importance of understanding these concepts in a nursing context. The main body delves into the application of the Mental Health Act, addressing legal and ethical issues such as confidentiality and conflicts of interest. It analyzes the patient's condition, including symptoms like auditory hallucinations, and examines the role of a registered nurse in patient care, rights advocacy, and medication management. The report also identifies schizophrenia symptoms, discusses appropriate interventions, and emphasizes techniques for building trust and therapeutic relationships, such as effective communication and empathy. Safety protocols, including risk assessment and teamwork, are also covered. The conclusion summarizes key findings, reinforcing the importance of practical knowledge in mental health nursing and the application of ethical guidelines.

Understanding mental
health

Table of Contents
INTRODUCTION...........................................................................................................................3
Main body........................................................................................................................................3
CONCLUSION................................................................................................................................8
REFERENCES................................................................................................................................9

INTRODUCTION
Mental health is the wellbeing of cognitive behavior and emotional wellbeing. Through
which individual can cope up from there stress. Mental health illness and disorder situation when
cognitive, behavior and emotional health of the people is abnormal which cannot be managed by
themselves. In the nursing understanding mental health is the brief analysis and is study of
individuals mental health that how it could be and how it is (Holmberg, C., Caro, J., & Sobis, I.
(2018) . By making the difference between mental health wellbeing and mental illness symptoms
of the individuals nurses can make effective decisions for their care. In nursing study of the
complex mental health case is important skill by which nurses can understand the common
requirement of mental health patient and use appropriate technique for or their cure. One of the
common mental health disorders is schizophrenia under this individual thinking, feeling and
behavior ability get affected. In this report the complex case study of patient mental health
situation is going to be assess along with the consideration of different important it concepts and
techniques of mental health management. Such as mental health act and registered nurses’
responsibility in context to complex mental health situation is going to be analyses and evaluate
for effective care of individual (Strassnig, M., (2018).
MAIN BODY
Mental health act in context to case study
According to the mental health legislation and human rights in Australia, is involving
different rules and regulations along with the code of conduct for nurses related to the acute
mental health illness. This act enables the effective involuntary commitment and treatment of
people who are suffering with acute mental health issues. This use to balance the civil liberties in
order to prevent harm and provide effective care. John mental health situation is acute due to the
adverse symptoms of acute mental illness such as auditory hallucination and medical history of
schizophrenia. So, in order to provide effective care that is important to apply the mental health
act because that is involving all important regulations and guidelines related to the mental health
care of individuals. Objective of the mental health act is to provide effective mental health care
treatment and support. According to this treatment and care practices have to be discussed with
the patient and they should be supported to make their own decisions related to the treatment it
and other medical care practices of their situation (Burton, C. W., Nolasco, K., & Holmes, D.

(2021). Mental health act is applicable in every aspects of patient care because his symptoms is
acute mental health illness in context to which psychiatrist and professionals have to follow the
guidelines of mental health act.
Legal and ethical issues in relation to patient right
Confidentiality- According to the mental health act of Australia confidentiality is the
ethical or legal standard of care which should we follow within the organization. That is patient
right to protect their information from other by making it confidential. That is complex issue for
the nursing staff to follow and manage this patient right. In order to protect the patient right
nurses, have to make ethical and legal data production practices (Almulla, A. F.,. (2021).
Conflict of interest- as that is the right of patient to make their own choice related to the
treatment and care support but sometime this week company legal or ethical issue for nurses to
support their choice due to the importance of indicating some medication for which patient are
not getting agree. In this situation professionals and nurses have to take effective decision against
the will of patient it due to the importance and urgency of medication implementation
(Courtenay, K. (2021) .
Analysis of mental health and mental health disorder concept in order to determine patient
situation
Mental health Mental disorder Mental illness
Mental health is wellness of
the mind
Mental disorder is the
specific type of mental health
issue under which individual
shows some common mental
disorders symptoms.
Mental illness is name two
the situation of mental health
when it suffers from any
disorder.
Emotional wellbeing
Social well being
Mental health disorders can
be divided into different
category on the basis of
symptoms and impact.
Mental health issues and
challenges, emotional and
mentally ill. This can be
caused by the group of

disorder (Bergen, S. E.,
(2019).
Jason is 32-year-old male who is having the issues of mental disorder from age of 19
year, at the age of 19 year he was diagnosed with the schizophrenia from the time he started
experiencing the auditory hallucination which is the symptoms of different type of mental
disorder such as post-traumatic stress disorder or schizophrenia, so according to the medical
history and current situation or hallucination symptoms it is clear that Jason is considered in the
category of mental disorder. Because the main symptom of schizophrenia which is illustrated in
case study is auditory hallucination (Thomas, A., & Forrester-Jones, R. (2019).
Registered nurse role in patient care and rights
As a registered nurse it is the responsibility to provide effective care to the patient and
support according to the guidelines and regulation standards of mental health act. This act is
involving patient rights related to their care practices and decision. As duty and responsibility of
registered nurse to advocate patient rights within their mental health procedure, nurse can help
Jason advocate he is right in his mental healthcare provision. Such as patient can be supported to
use their right of informed decision related to their health. By the help of nurse patient can
navigate the complex medical system (Lee, Y. C., (2017). Because nurses are closer to the
patient then professionals, that's why nurses are ideally good for advocating patient rights. It’s a
nurse responsibility to teach patient that how they can advocate themselves. Facilitate the
medical summary to make them understand complex terms of health care by the help which they
can make their own decisions (Karimovna, M. G. (2019).
Identification of schizophrenia symptoms
Positive symptoms Negative symptoms
Hallucination Audibly Extreme isolation
Abnormal thoughts
Extreme hallucination with
more strong sound
Frustration
Tiredness

Paranoid- Jason symptoms get adverse within the time from the beginning of
schizophrenia diagnosed. His started feeling afraid of his roommate, due to the louder auditory
hallucination and abnormal thoughts of Which make him paranoid.
Frustration- within the acute symptoms is stress management capability reduced due to which he
behaves very frustrated that time.
Medication whish should be clinically indicating for patient along with its rational
Antipsychotic medication is very important to control the mental health condition of
patient who is facing the auditory hallucination. This can have to control the abnormal behavior
of individual in order to prevent the harm of patient and others. Jason’s refused to take his
medication. According to the situation and mental health condition of patient doctor have
prescribed intramuscular depot antipsychotic medication. This medication has been indicated to
the patient; Jason is posing lower adherence due to mental disorder schizophrenia for which the
standard medication is depot antipsychotic because it promotes adherence in patients (Zanelli, J.,
(2019).
Interventions and techniques of nurses to develop report, trust and therapeutic relationship
Communicate often- This is the most important tool or skills of nursing which helps
nurses to effectively build trust and therapeutic relationship with patient. Nurses to make often
communication with patient to engage them in their care process and encourage them to support
in their care process.
Express empathy- As a nurse that is also important to have empathy and use that as the
tool of therapeutic relationship development and trust development. Because with the help of this
nurse’s skin understand the feelings of patient and encourage them to be open and trust there care
taker. With the help of this nurses can easily get the important information of diagnosis and
outcomes to make effective report (Ma, Y., Liu,. (2017).
.
Agreement on goal of treatment task and development-There are the various skills
and tools which should be used to achieve agreement of the patient in context to their treatment,
task and development. Such as communication, awareness, empathy.

How to explain the specific medication need of the patient
As a registered nurse that is responsibility to conduct regular test of the patient along with
the analysis of treatment and medication impact and evaluation of patient outcomes. Changing
symptoms and mental health condition report is managed by the nurse which is the best way of
explaining the patient medication need. As a nurse I can represent the report of patient lower
adherence and suggest the professional to indicate depot anti-psychotic medication.
Identification of the techniques which should be used by the nurse to ensure their safety
Risk assessment- One of the most important tool for the safety of patient along with the
nurses is risk assessment through which nurse can analyze the risk of different hazard by looking
at the environment of patient care place binder protecting that which substance and how this can
be harmful for patient and nurses. Such as the presence of sharp instruments is can be risky for
both patient and nurses. Because in acute mental health condition patient kin take any step, they
can harm them self and others nearby them. So that is important to remove all those risky
substance from place. Team work - is there nurse’s important skills which helps to share the
information and make clear awareness of every care practices timing, role and practices in order
to be aware of any risk (Sawyer, M. G.,. (2018).
.

CONCLUSION
From the above study it has been concluded that case study of the complex mental health
situation is important to review in order to develop the practical nursing care management
knowledge. This helps to develop the knowledge of legal and ethical aspects of mental health
patient treatment and care along with the understanding of code of conduct. Mental health act is
involving different rules and regulations along with the guidelines of treatment and patient right
which has to be follow within the care process and intervention implementation. There are the
various legal and ethical issues arise during the patient care such as confidentiality, conflict of
interest. Mental health is the emotional and mental wellbeing of the individual and mental illness
is related to the group of different mental health issues and complications. Mental disorder is the
particular kind of mental problem such as schizophrenia is the mental disorder during which
individual feelings, thinking and behaviour become abnormal and the common symptoms of that
is auditory hallucination. Standard medication is intramuscular depot antipsychotic medication.
The most appropriate techniques and intervention of therapeutic relationship management is
communication and empathy. For managing the safety of patient and nurses that is important to
implement risk assessment technique.

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