University Nursing Report: Mental State Examination of Leroy

This report details a Mental State Examination (MSE) conducted on Leroy, a 35-year-old male presenting with symptoms of a manic disorder, including recent unemployment, separation from his partner, and refusal of follow-up mental health services. The MSE revealed signs of poor self-care, psychomotor agitation, incoherent speech, euphoric mood, flight of ideas, and insomnia. The report identifies insomnia and flight of ideas as key symptoms requiring intervention. The proposed interventions include the administration of oxazepam, cognitive behavior therapy (CBT), sleep hygiene techniques, maintaining a personal journal, participation in playful activities, and deep breathing exercises. The conclusion emphasizes the need for immediate intervention to prevent further deterioration of Leroy's mental health. The report references relevant literature on the treatment of insomnia and bipolar disorder.

Running head: REPORT
Nursing/ mental health
Name of the Student
Name of the University
Author Note

1REPORT
Executive summary
Leroy is a 35-year-old Caucasian, and has recently lost his job. He had been subjected to the
MSE, at the demand of his parents. Six months earlier, he also received treatment for manic
episode. This report contains a summary of the result of the MSE and the interventions that
should be implemented to treat his signs and symptoms.

2REPORT
Table of Contents
Introduction......................................................................................................................................3
Mental State examination result......................................................................................................3
Interventions....................................................................................................................................3
Conclusion.......................................................................................................................................3
References........................................................................................................................................4

3REPORT
Introduction
The patient who was subjected to the Mental State Examination is a 35 year old
Caucasian male, Leroy. He had been referred on being requested by his parents.
Mental State examination result
Although he did not have unkempt appearance, signs of poor self-care were evident since
he appeared much aged, in comparison to his actual chronological age. Continuous maintenance
kyphotic poster, absence of any direct contact and repetitive involuntary movements of his hands
suggested psychomotor agitation. He also manifested incoherent speech, palilalia, euphoric
mood and enhanced expression. Difficulty in sleeping, flight of ideas, and inappropriate
information in responses were other notable signs. However, he did not report suicidal thoughts,
hallucination or delusion.
Interventions
The two notable symptoms that require intervention are insomnia and flight of ideas. For
treating insomnia, the primary intervention would focus on administration of oxazepam, a
sedative that will reduce excitement and act on the central nervous system, thus causing
deceleration (Creado & Plante, 2016). Insomnia will also be treated using cognitive behaviour
therapy that will help in identification of the factors that prevent him from sleeping, followed by
showing adherence to different techniques like sleep hygiene, regular physical exercise,
abstaining from smoking and alcohol consumption, and paradoxical intention (van Straten et al.,
2018). Maintaining a personal journal and participating in playful activities will also help in
preventing the racing thoughts (Williams, 2017). In addition, he will also be asked to follow deep
breathing exercise for reducing negative thoughts (Van Dam et al., 2018).
Conclusion
To conclude, Leroy is suffering from manic disorder and needs immediate intervention in
order to prevent further worsening of his health.

4REPORT
References
Creado, S., & Plante, D. T. (2016). An update on the use of sedative-hypnotic medications in
psychiatric disorders. Current psychiatry reports, 18(9), 78.
Van Dam, N. T., van Vugt, M. K., Vago, D. R., Schmalzl, L., Saron, C. D., Olendzki, A., ... &
Fox, K. C. (2018). Mind the hype: A critical evaluation and prescriptive agenda for
research on mindfulness and meditation. Perspectives on Psychological Science, 13(1),
36-61.
van Straten, A., van der Zweerde, T., Kleiboer, A., Cuijpers, P., Morin, C. M., & Lancee, J.
(2018). Cognitive and behavioral therapies in the treatment of insomnia: A meta-
analysis. Sleep Medicine Reviews, 38, 3-16.
Williams, R. (2017). Bipolar Q&A. Mental Health Matters, 4(6), 12-14.