Assessment Task 3 :
Subject Code & Title: NSB204 Mental Health Self And Others
Length: Total 1600 words, +/-10% (word length includes in-text referencing and excludes your reference list).
Estimated time to complete task: 30 hours
Weighting: 30%
How will I be assessed: 7-point grading scale using a rubric
This assessment requires you to answer a series of questions related to clinical cases provided (below) integrating relevant and contemporary literature to support your responses.
NSB204 Mental Health Self And Others Assignment
What you need to do:
- Refer to the questions below and prepare responses.
- Clearly identify each of your question responses.
- Do not re-type the questions as this will inflate the similarity percentage match with Turnitin
- All responses should integrate evidence as support using QUT APA in-text referencing with specific page number. A reference list needs to be provided at the end of your document. As a guide a minimum 10 current relevant and credible references should be used.
- Follow the word limit provided for each question response.
- Read the Criterion Reference Assessment for this task. This will help you to understand what is required of you and how this assignment will be graded.
- You do not require an introduction or conclusion.
- Please carefully edit your work to keep within the word limit.
Presentation requirements:
This assessment task 3 requirements are:
1.Clearly label your responses with the question number.
2. Include a ‘footer’ on each page with your name, student number unit code and page number.
3. 3 cm margins on all sides, double-spaced text
4.Use font, such as Times New Roman, Arial or Calibri; font size 12
5. QUT Cite Write APA style referencing
6.Be submitted in word doc electronic format via Turnitin.
7.All three questions need to be addressed in one document.
Learning outcomes assessed:
1.Apply principles of cultural safety and reflect on self to articulate the role of self in person-centred mental health care and therapeutic use of self.
2.Demonstrate and apply knowledge of the challenges and factors that can compromise mental health for ourselves and others in order to promote positive mental health and well being.
3.Describe key mental health issues and work with consumers and carers to address needs and promote recovery a cross the care continuum applying the Recovery Model.
NSB204 Mental Health Self And Others Assignment
What you need to submit:
One (1) word document that contains your responses to assessment questions and reference list.
Assessment Questions Question 1
Read the following case study and answer the questions below.
Michael is a 46-year-old man who is being treated in an adult inpatient unit. He was brought into hospital by Police after he was found in Queen St Mall – he was shouting the “bikies are out to get me” and appeared to be distressed and afraid, running aimlessly and often looking behind. He was not wearing shoes, and his only clothing was a towel wrapped around his lower body. He appeared gaunt and very disheveled his hair was matted and dirty, as were his hands and feet. There were multiple cuts to his hands some of them deep. When the Police approached Michael he was challenging to engage not re-direct able speaking out of turn intrusive and looking all around him with a startled expression. He also appeared to be paranoid about hospital staff being under cover bikies. He told Police he did not want to go to hospital as he feared the nurses would poison him and be able to read his thoughts. He very reluctantly agreed to attend hospital for assessment.
Background information:
Michael has a diagnosis of Paranoid Schizophrenia, which was diagnosed when he was 19 years old. Michael finished year 12 although found it very challenging to maintain concentration and often lacked motivation to engage with study, his family, and his peers. He started using cannabis to sleep and relax and has been using this ever since. Michael moved out of his parent’s home when he was 20 years old and has been living in shared accommodation. Michael is currently homeless as he was evicted from his shared unit as he did not pay his rent. Michael has in the past worked as a labourer in construction how ever ceased this after becoming un well. He has been unemployed for the past two years and receives a Disability Support Pension (DSP).
Michael has had multiple admissions for the care of his illness (the last one was 1.5 years ago).He has been prescribed depo anti-psychotic medication and did not present for his last depo and has disengaged with his case manager.
Michael’s parents try to remain in contact (they also live in Brisbane). However, this is hard as he does not have a phone. Michael has a younger brother, and they see each other when Michael goes home for a few days at Christmas. Michael’s grandfather also had schizophrenia and committed suicide aged 50 years.
NSB204 Mental Health Self And Others Assignment
Michael had a long-term partner however she died of an overdose five years ago. They had no children.
You meet Michael for the first time following his admission yesterday. You introduce yourself to him and take him to a quiet place to have a conversation. He appears confused and tells you he does not know why he is in hospital, saying: “there is nothing wrong with me, it is all the bikies’ and the nurses, you are all out to get me”. He is not aggressive towards you how ever he is not happy to be in hospital. He tells you he has not slept well or eaten for a few days as he is “worried about the bikies’ finding him”. He appears under the weight and very thin. His cuts have been cleaned and bandaged.
Question 1 a. Identify and describe what symptoms of paranoid Michael is demonstrating.
Question 1 b. Identify and justify two immediate priorities for Michael’s nursing care (priorities should be non-pharmacological).
Question 1 c. Describe the nursing interventions required to address each of the above priorities, drawing on peer-reviewed evidence.
Question 1 d. Argue why it is important to consider ‘insight’ (refer to the MSE component of insight) in Michaels’ treatment and recovery planning.
Question 2
Read the following case study and answer the questions below.
Aliah is 28-year-old female who was brought into the psychiatric emergency department by her husband yesterday, after he experienced concerns about her safety and well being.
Background:
Aliah was born in Syria and came to Australia as a refugee six years ago with her husband Khalid. Aliah’s back ground is traumatic, and she witnessed both her parent’s death in Syria when she was young. She has no siblings. She has been married to her husband Khalid for the past eight years. They have no children. Aliah has been attending University to become a teacher how ever has deferred the present semester as she feels low and unable to concentrate on her studies. Aliah has two close friends but has not seen them for the past three months. She is not linked with any trans cultural services in the community.
NSB204 Mental Health Self And Others Assignment
Aliah has suffered from depression since the loss of her parents ten years ago. She has also been diagnosed with Post-Traumatic Stress Disorder (PTSD), and she experiences distressing flash backs to her parent’s death. She attempted suicide by overdose some years ago (this led to a short medical admission and an admission to an acute psychiatric unit, for stabilisation of her mental state and mitigation of risk). When Aliah feels low, her sleep is often limited to 5- 6 hours per night and her appetite is poor. She has been taking ant-depressant medications for the past six years and Khalid states her GP also referred her to a psychologist who specialises in trauma. She has attended several sessions but stopped going about three months ago, after the 10th anniversary of her parent’s death. Khalid tells staff on admission that she does not talk to him much anymore relationship was good until three months ago).He is concerned about her risk for suicide and suspects she may not be taking her anti- depressant medication.
Aliah does not drink or smoke and is otherwise in good health.
You meet Aliah in her room the morning after her admission the previous day. She presents as withdrawn her replies are limited, and she looks at the floor as you speak. When you ask whether she feels safe to assess suicide risk she looks down and says what is the point anyway Khalid will be better off without me he can meet someone else and be happy. She is unable to confirm her safety on the ward.
NSB204 Mental Health Self And Others Assignment
She confirms she has not taken her medication for four months and says she feels low “all the time”.
Question 2 a. Identify and describe what PTSD symptoms Aliah is demonstrating.
Question 2 b. Identify and describe two nursing interventions you would use in addressing Aliah’s acute suicide risk
Question 2 b. Discuss and justify two possible multi-disciplinary interventions or referrals (interventions should be non- pharmacological) for Aliah. In your answer identify why each intervention or referral is important to achieve person centered care?
NSB204 Mental Health Self And Others Assignment
Question 3:
Refer to the video in NSB204 Blackboard site Assessment 3 tab. Watch the video on ‘Harm minimisation in Australia
Question 3 a. Define the term harm minimisation approach.
Question 3 b. Identify one strategy implemented in Australia to address ‘harm minimisation’, with alcohol or drug addiction.
Question 3 c. Discuss if this strategy has been effective drawing on academic current peer reviewed sources.
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