University Mental State Examination Assessment Analysis - NUR2200

This assignment presents an analysis of a Mental State Examination (MSE) based on a provided case study of Mr. Leroy, a 35-year-old male exhibiting symptoms of cognitive impairment, thought process disorder, and insomnia. The analysis, conducted within the context of a NUR2200 course, identifies key observations from the video and patient background, including reluctance towards evaluation, confusion, and potential medication non-adherence. The assessment highlights Mr. Leroy's cognitive deficits, including lack of understanding and delusions. Based on the identified symptoms, the analysis suggests potential interventions such as Dialectical Behaviour Therapy (DBT), Cognitive Behavioural Therapy (CBT), music therapy, and recreational therapy. The focus of the treatment should be patient-centered, addressing the patient's negligence and promoting effective communication. The assignment emphasizes the importance of accurate documentation and patient-focused care within a mental health setting.

Running head: MENTAL HEALTH
MENTAL HEALTH
Name of the Student
Name of the University
Author Note

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MENTAL HEALTH
According to the video it can be seen that Mr. Leroy is a person who has cognitive
impairment issues such as lack of understanding, negligence, and lack of self realisation along
with delusions. His dressing, sitting postures, style of speech are the aspects which showed that
he is very much reluctant about the session of the re-evaluation. The interview process also
highlighted that Mr. Leroy could not get the questions at fist attempt and so the counsellor
needed to repeat every question. Moreover, it has been seen that the patient has a belief that he is
a busy person and he received help with his business plans by some external forces. However,
when asked about seeing or hearing any external force he stated that he never saw or hear one.
Hence, it can be highlighted that the person is very much confused as well. He also stated that he
stopped his medication cycle as he thinks he is well, he also had not been sure about the food
intake and sleeping behaviour along with suicidal behaviours. Thus, it can be stated that he has
cognitive impairment, thought process disorder and also insomnia based on the Mental State
Examination form and the video. Hence, the possible interventions that can be implemented here
are Dialectical Behaviour therapy (DBT), Cognitive Behavioural Therapy (CBT), music therapy
and recreational therapy for eliminating delusion, suicidal behaviour and insomnia (Gilbody et
al., 2015). The aspect of the treatment for Mr. Leroy should focus on the patient centred
approach and elimination of negligence of the patient. Furthermore, the effective communication
is needed for the treatment (Peter et al., 2017).

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MENTAL HEALTH
References
Gilbody, S., Littlewood, E., Hewitt, C., Brierley, G., Tharmanathan, P., Araya, R., ... & Kessler,
D. (2015). Computerised cognitive behaviour therapy (cCBT) as treatment for depression
in primary care (REEACT trial): large scale pragmatic randomised controlled trial. Bmj,
351, h5627.
Peter, L., Richter, K., Acker, J., Höfig, J., Miloseva, L., & Niklewski, G. (2017). Combining
repetitive transcranial magnetic stimulation and cognitive behavioral therapy for effective
treatment of tinnitus and insomnia–a case report.