Mental Health Nursing Practice assignment Sample

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Introduction

Mental Health Nursing Practice plays a crucial role in assessing, diagnosing, and caring for patients with complex psychological conditions. For students studying this field, finding reliable support is essential to succeed academically. An experienced Assignment Helper in UK can provide valuable guidance and assistance, ensuring quality submissions that meet university standards and deepen understanding of mental health care. This support helps learners confidently navigate challenging topics like Mental Status Examination, bipolar disorder, and nursing interventions, ultimately enhancing their academic performance and professional skills.

Mental Health Nursing Practice assignment Sample

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Daniela Marchant 5 Years | MSc

1. Importance of MSE

The word Mental Status Examination is considered an essential element in Mental Health Nursing Practice for measuring the effectiveness of the diagnosis and as a baseline of treatment. In this context, it can be found that the MSE provides a legal structure for diagnosis and recording the current mental state of the patients. Kingdon et al. (2024) has argued that MSE helps in defining the mental state of the patients and at the same time can help in defining the process of mood and cognitive functions. In this context, it can be seen that the process requires a detailed approach for analysing the behaviours or attitudes involved and includes thought processes and cognitive functions. This process of MSE further depends on the thought process and the mood of the participants. In addition, it includes detailed evaluation of treatment efficiency and analysis of the mental stress level for the patients. Jalil et al. (2022) have counter-argued that the concept of MSE is associated with resource allocation programmes and schemes in medical institutions. This element serves as the baseline for the treatment of the patients in the organisation. MSE as a component of Mental Health Nursing Practice serves as the baseline for treatment by helping monitor changes in health conditions and counting the responses of patients. Based on this, it can be stated that MSE helps in defining the mental state of the patients and also aids in understanding mood and cognitive processes, requiring detailed analysis of behaviours and attitudes, which is a core part of Mental Health Nursing Practice. This process further depends on the thought process and mood of the participants.

2. MSE’s Findings

Behaviour

From the YouTube video, it can be seen that the patient has followed the patient and shows some form of restlessness while conversing with the doctor or medical consultant. From the YouTube video, it can be seen that the patient shows behaviour of continuously fidgeting and continuously shifting positions.

Appearance

The appearance of the patient is much sober and at the same time, the patient is properly dressed. Her clothing is neat and tidy and her hair is properly dressed [Refere to YouTube Video]. Her approach can be explained through their dressing sense and her neatly combed hair and at the same time, it can be seen that she has maintained a proper dress code as well.

Mood

From the YouTube Video, it can be seen that the patient named Gabriel is very anxious and to some extent worried. She further looked tensed to some extent. In this context, it can be seen that the patient has followed the patient and shows some form of restlessness while conversing with the doctor or medical consultant. From the YouTube video, it can be seen that the patient shows behaviour of continuously fidgeting and continuously shifting positions.

Affect

From the section above, it can be seen the mood of the patient was a combination of anxiousness and worry. In this context, it can be seen that the patient has followed the patient and shows some form of restlessness while conversing with the doctor or medical consultant [Refere to YouTube Video]. Signs of anxiety have been understood through her facial expressions and the movements of her hands.

Perception

From the YouTube video, it can be seen that the medical consultant asked Gabriel about any form of hallucination and in this context, it can be seen that she strictly denied this and stated that she does not suffer from any form of hallucination.

Thought content

On the other hand, it can be seen that the patient states that she is very talented. In this context, it can be stated that in the 16 minutes 59 seconds of the video, she states that Llistener has only seen a small part of her talent but believes it is evident she is where she should be” [Refere to YouTube Video]. However, she is worried of not being prepared enough for the consequences.

Thought process or form

However, it can be seen that Gabriel has been observed to be logically coherent and at the same time she os suffering from disorganized thinking.

Speech

The speech of the patient is normal but in some cases, it can be seen that the speech of the patient is hindered due to the huge mental pressure and anxiety [Refere to YouTube Video]. In this context, it can be seen that she looked tense to some extent. In this context, it can be seen that the patient has followed the patient and shows some form of restlessness while conversing with the doctor or medical consultant.

Cognition

From the video, it can be seen that Gabriel has demonstrated a high cognitive function, which includes seeking attention or concentration during conversations.

Orientation

In this context, it can be seen that she is aware of the locations, dates and times. For example, it has been observed that the patient Gabriel has stated that she can recognise the person or she can keep an update on timings.

Memory

From the section above, it can be seen that Gabriel has stated that she can recognise the person or she can keep an update on timings. This states that she is aware of the locations, dates and times and thus, there are no symptoms of memory impairment.

Insight

In this context, it can the patients have been that the patient has been through various odds, and this has resulted in making the situation more complex. For example, it can be seen that she acknowledges her anxiety levels and at the same time shows interest in overcoming the current odds.

Judgement

From this section, it can be seen that Gabriel has displayed good decisions relating to consequences and at the same time this will include effective actions.

3. Clinical Problem

A thorough analysis within the scope of Mental Health Nursing Practice can conclude that the client exhibits symptoms of manic episodes, which are related to bipolar disorder with signs of grandiosity. It is evident that the client has a reduced need for sleep, grandiosity, and increased goal-directed activities, which indicate the symptoms of mania. The patient's unrealistic beliefs regarding her relationships and career goals that do not include her family's well-being are concerning and directed toward bipolar disorder. Bipolar disorder includes manic episodes of impulsive judgment and risky behaviour that the patient exhibits by leaving her children unsupervised or thinking that Taylor Swift or Beyoncé can guide her career. Behaviour impulsivity is elevated throughout all of the phases of bipolar disorder, which represents clinically relevant and core features that are way beyond mood symptoms (Ramírez-Martín et al. 2020). Hence, it can be said that the patient might be suffering from bipolar disorder.

4. Goal for Care

The short-term goal for the client is to acknowledge the potential risks emanating from her current behaviour so that she also realises that she is in need of a psychiatric evaluation. It can help her mentally and improve her well-being and the people surrounding her. People with bipolar disorder not only suffer from manic episodes but also demonstrate signs of depression and often anxiety (McIntyre et al. 2022). Thus, it is essential for bipolar patients to seek professional help from psychiatric doctors who can prescribe the proper medications for treating mania and depression and psychological therapists who can heal the patient mentally from the inside out.

5. Nursing Interventions

Conduction of a risk assessment

Given the circumstances of the client and her impulsiveness and impractical judgment, it is essential to conduct a risk assessment for herself and her children. A proper evaluation can help identify and manage potential manic episodes in the patient, which can later prevent any harm to the patient and the people around the patient. Assessment of the risk can reduce the threats in order to protect the well-being of the patient and her children.

Facilitation of a psychiatric evaluation

The interview can only conclude in a generalised manner, but referring the client to a professional psychiatrist can help diagnose the actual issue or mental disorder the patient has and plan out a proper treatment. It is evident that early intervention in mood disorders can help prevent the symptoms from escalating and provide the appropriate care that a patient needs (Malhi et al. 2020). Hence, referring the patient for a psychiatric evaluation is essential.

6. Expected Outcome and Evaluation

If the client agrees to participate in a psychiatric assessment, that can lead to a proper treatment plan which addresses her symptoms and reduces the risks she poses to herself and her children. Within the next few days, if the patient agrees to a psychiatric evaluation, that can help with the effectiveness of interventions. Constant monitoring of her behaviour and decision-making can help to determine further interventions; otherwise, she might have to get hospitalised due to her manic episodes and behaviours, because those can lead to potential harm for herself and her children.

Reference:

• Jalil, M.F., Ali, A. and Ahmed, Z., 2022. Microfinance services and MSE growth in Pakistan: The mediating perspective of social and psychological capital.
• Kingdon, D., Stein, G. and Rowlands, P., 2024, April. Assessment, Formulation and Diagnosis. In Seminars in General Adult Psychiatry (p. 30). Cambridge University Press.
• Malhi, G.S., Bell, E., Boyce, P., Bassett, D., Berk, M., Bryant, R., Gitlin, M., Hamilton, A., Hazell, P., Hopwood, M. and Lyndon, B., 2020. The 2020 Royal Australian and New Zealand College of psychiatrists clinical practice guidelines for mood disorders: Bipolar disorder summary. Bipolar disorders, 22(8), pp.805-821.
• McIntyre, R.S., Alda, M., Baldessarini, R.J., Bauer, M., Berk, M., Correll, C.U., Fagiolini, A., Fountoulakis, K., Frye, M.A., Grunze, H. and Kessing, L.V., 2022. The clinical characterisation of the adult patient with bipolar disorder aimed at personalisation of management. World Psychiatry, 21(3), pp.364-387.
• Ramírez-Martín, A., Ramos-Martín, J., Mayoral-Cleries, F., Moreno-Küstner, B. and Guzman-Parra, J., 2020. Impulsivity, decision-making and risk-taking behaviour in bipolar disorder: a systematic review and meta-analysis. Psychological medicine, 50(13), pp.2141-2153.