Analysis of Mr. Munny's Mental Health Nursing Case Study

This report presents an analysis of a mental health nursing case study involving Mr. Munny, a 45-year-old male experiencing depression. The analysis begins with an assessment using the Mental State Examination (MSE), focusing on language and appearance, and relates these findings to the Diagnostic and Statistical Manual of Mental Disorders V (DSM-5) to diagnose depressive disorder. The report then explores the Stress-Vulnerability Model and trauma-informed care, identifying stress and coping skills as key contributors to Munny's mental health challenges, including work-related stress and past trauma. Finally, the report examines the application of the Recovery Model, highlighting the roles of respect, empowerment, and hope in Munny's potential recovery, emphasizing the support of his family and the importance of positive interventions to improve his mental well-being. The report utilizes academic literature to support the analysis and recommendations.

RUNNING HEAD: MENTAL HEALTH 1
Mental health nursing
Student Details:

MENTAL HEALTH 2

MENTAL HEALTH 3
Question 1
This part demonstrates the two components of MSE associated with Munny’s case and
relation of those two components with DSM V model of mental illness assessment. The two
components taken from MSE model in this study are language and appearance. This case study
is based on Mr. Munny, 45 year old male who is married with three children’s. Munny is
suffering from depression from few last weeks due to ongoing issues in his job at the bakery and
his wife is worried about Munny as he is not attentive at the home and seems worried always.
Therefore, for the seizing of the mental derangement in Munny’s case, initially focusing on
Mental State Examination (MSE) assessment. MSE is a structure assessment of the behavior and
cognitive functioning of the patient. For the enhance assessment of MSE, the clinician needs for
the development of a method wherein status inspection is achieved over comparatively formless
explanations evaluated during the predictable past and physical (DAI Fernando, 2014). Hence,
the method wherein the patient narrates the history of the current disease which reveals more
about overall appearance and performance, attentiveness, language, movement, distress, and
attitude. On the basis of Mental State Examination Assessment, I am selecting language action of
Mr. Munny, because when the nurse entered to the cabin, Munny did not greet the nurse and he
replied to the nurse in a syllabic manner also he was not making eye-contact with the nurse.
Therefore, based on MSE assessment concluded that Munny was not replying on the basis of
component motor and language action. DSM 5 certainly is a guidebook of the state of
information of the mental complaints, by specialists in the arena of mental fitness and associated
occupations (American Psyciatric Association, 2013). Furthermore, on the basis of DSM V
model evaluated that Munny shows symptoms structural language impairment, stress and
depression.
Additionally, Mr. Munny was well-dressed however, however, his clothes appeared little
loose which also shows that Mr. Munny had lost weight due to difficulties at work and stress.
Here, I have used appearance component of Mental State Examination Assessment (SM Woo,
2016). For the advanced evaluation, using the Diagnostic and Statistical Manual of Mental
disorders V (DSM V) which helps physicians in the evaluation of more precise diagnoses and
better recovery of patient results (Briere, 2014). Thus, connecting it with DSM-5, standard for
the mental position of Munny fall into the group of ‘depressive disorder’ which is determined
from the detail that he is has been distressed and he frequently has undesirable approach towards
the existence. After the inspection of this indication, the marking of PMOMIS (Patient-Reported
Outcomes Measurement Information System) can be inspected by the nurse. Therefore, from
Munny’s situational study evaluated that Munny is least interested in household activities and he
has stopped playing with the children’s as well and before he used to enjoy the work at the
bakery as well. Concluded that Munny’s indications are not attributable to the physical
belongings of a constituent (e.g., a drug of abuse, a medication) or another medicinal disorder.

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Question 2
This part focuses on the Stress-vulnerability model and trauma informed care for the
evaluation of mental health in Mr. Munny’s case. The Stress-vulnerability model helps to
understand the sources of psychiatric diseases and how the addiction influences each factors and
the management and treatment of co-occurring disorders. "Vulnerability" mentions to our
rudimentary weakness to mental health complaints. This is dogged by our genetic temperament
and our initial life involvements. ”Stress” mentions to the tests faced in exist. It is pretentious by
our managing services, communal support, and participation in expressive doings. As per study
of Munny’s case, concluded that the two factors which contributed to the development of mental
disorders are stress and coping skills. Pressure in the setting can deteriorate organic
susceptibility, degenerate indications, and cause deteriorations. Stress is whatever that
encounters a person, needful some kind of variety. Thoughtful demanding proceedings comprise
behind a loved one, getting dismissed from a job, being a target of crime, or consuming battles
with close persons. It is also conceivable for stress to be produced by not taking sufficient to do
(Blueknot foundation, 2019). Stress is often related with undesirable proceedings, but optimistic
proceedings and involvements might be demanding as well. For example, execution well in
school, receiving a new job, preliminary a new connection, having a child, or being a parental all
includes some mark of pressure. So an absence of expressive participation in life-in areas such as
effort or parenting, for example-can be additional source of pressure. Besides, expansion of the
coping strategies can support with treating stress and plummeting its negative effects on
susceptibility (R Elder, 2011). Examples of managing skills comprise: reduction skills for
distributing with stress and tension, communal skills for linking with persons, dealing with
struggle, and getting provision, coping services for management tenacious indications such as
unhappiness, nervousness, and snoozing problems. (J Zubin, 1977).
Additionally, Trauma informed care is a structural construction and action outline which
includes understand, recognition, and respond to the effect of all kinds of trauma. Moreover, TIC
improves the effectiveness of treatment and reduces threat of relapse and promotes
empowerment. Sources of TIC are counselors, physicians, social workers, case managers and
domestic violence organizations. Consecutively, as per Munny’s case, he worked really hard at
the Bakery and when the employer was not happy with his work and efforts, he became anxious
which triggered the development of stress. Furthermore, as per case study, he also stopped the
household activities and always looks stressed. Also, six months ago, his mother demised which
triggered the emotional stress in him. His wife Ary also informed about the past related to
Munny’s family wherein he lost his father during the struggle war and his family was forced to
move from Cambodia. Further, he had to drop his studies as his mother required support.
Although, Munny was proud to support his family in needs. From here he experience the stress
and depression which involves the life stressor events and ambient. Moreover, from these
symptoms concluded that Munny is depressed which is affecting his mental health as he was not
able to make eye contact with the nurse. However, he was well-dressed but the clothes look little

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loose which shows that he is not taking proper meals due to the stress at work. Later, when the
nurse asked about the life he did not replied, he simply shook his head and asked the nurse to
leave him alone as he do not want to talk about the mental stress and conditions (M Pruessner,
2017)
Question 3
Furthermore, implementations of positive aspects like respect, empowerment and hope
will contribute in the recovery of depression in Munny based on Recovery model theory. On the
basis of Recovery Model Theory, Munny has his family and loving wife who are ready to
support Munny in all the conditions. Though there is no solitary meaning of the thought of
retrieval for people with cerebral health difficulties, there are supervisory philosophies, which
highlight confidence and a robust belief that it is conceivable for individuals with mental disease
can recover an expressive lifetime, notwithstanding persistent indications. Furthermore through
respect, empowerment and hope people can support relationships which offer unconditional
love. There was strong agreement about the belief that good excellence care must be made
obtainable to facility operators to endorse retrieval both as inpatient (B Schrank, 2014). The
recovery model helps to support persons with mental diseases and distress to look outside mere
survival and presence. It inspires them to move onward and set new objectives.
Respect involves being courteous, respectful and honest, sensitiveness and respect
towards beliefs, values and morals. It provisions the view that they must get on with exists, do
belongings and develop relations that give their lives sense. Salvage is about observing
elsewhere those bounds to help people accomplish their own objectives, ambitions and thoughts
(B Villaggi, 2015). The effort to upsurge the person's regulator over their lifetime and their
mental fitness glitches, authorize them to uphold wellness, recover their excellence of life and
contribution persons attain their thoughts and aims. They emphasis on varied parts layer the chief
features of people's exists, counting breathing skills, interactions, exertion and individuality and
confidence. They effort to upsurge the person's control over their lifetime and their psychological
health difficulties, authorize them to uphold wellness, recover their worth of life and contribution
people accomplish their dreams and objectives. Apparatuses to aid recapture emphasis on varied
parts casing the chief characteristics of people's lives, counting living skills, relationships, work
and individuality and self-esteem (G Lala, 2014). From the viewpoint of the person with mental
disease, improvement means advancement and maintenance of hope, expansion of understanding
aptitudes and incapacities. Similarly, providing respect to the opinions of Munny will support
him to feel good about him and probably will help in motivation.
Additionally, empowerment is a part of the recovery plan used by nurse in contradiction
of the retrieval of Munny. Empowerment is apprehensive with the optimistic inspiration given by
the nurse to the enduring through representing their skills and competences and also presenting
them the right path in order to move further.

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Formation of hope is a decent plan can be assumed for the mental wellbeing of Munny.
Hope mentions to addition of sense in life and emerging positive thoughts in instruction to move
frontward. (Ehrmantrout, 2014). Therefore, hope will support Munny in being positive in the
condition of difficulties. Hope can lead to making of gratification and anticipation of the
optimistic belongings that would be impending in future. Thus, it can be said that hope is a good
exercise to be selected against the improvement of mental wellbeing of Munny as it can bring
him a chance to recover his disorder can be enhanced only when he imagines or trusts in moving
advancing by keeping the right approach.

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Bibliography
American Psyciatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders
(DSM–5). Retrieved from American Psyciatric Association:
https://www.psychiatry.org/psychiatrists/practice/dsm
B Schrank, M. A. (2014). Insight, positive and negative symptoms, hope, depression and self-
stigma: a comprehensive model of mutual influences in schizophrenia spectrum
disorders. Epidemiology and psychiatric sciences, 23(3), 271-279.
B Villaggi, H. P. (2015). Self-management strategies in recovery from mood and anxiety
disorders. Global qualitative, 2, 2333393615606092.
Blueknot foundation. (2019). Trauma-informed Care and Practice. Retrieved from Blueknot
foundation: https://www.blueknot.org.au/Workers-Practitioners/For-Health-
Professionals/Resources-for-Health-Professionals/Trauma-Informed-Care-and-practice
Briere, J. (2014). Principles of trauma therapy: A guide to symptoms, evaluation, and treatment
(DSM-5 update). California: Sage Publications.
DAI Fernando, F. H. (2014). A case-based reasoning approach to mental state examination using
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244.
G Lala, C. M. (2014). Messages of hope: Using positive stories of survival to assist recovery in
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J Zubin, B. S. (1977). Vulnerability: a new view of schizophrenia. Journal of abnormal
psychology, 86(2), 103.
M Pruessner, A. C. (2017). The neural diathesis-stress model of schizophrenia revisited: an
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methodological …. Neuroscience & Biobehavioral Reviews, 73, 191-218.
R Elder, K. E. (2011). Psychiatric & Mental Health Nursing-E-Book. Sydney: Elsevier Health
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SM Woo, C. K. (2016). Diagnosis and treatment of mental disorders across the lifespan. New
Jersey: John Wiley & Sons.