HLT54115 - Diploma of Nursing - Nursing Assignment Help

Assignment Task

Part 1: Question 1    
Explain in 50-75 words, the difference between voluntary and involuntary admission, and note why Liam may have been admitted under an Involuntary order rather than a voluntary admission. Refer to your State/Territory Mental Health Act.

Response:
Part 1: Question 2 The statements below explain the application of Mental Health legislation to an enrolled nurses’ own work practices and health care setting. In understanding what the key features of Mental Health legislation represent, match a key feature to the most appropriate statement.

Key Features:
Confidentiality 
Objective 
Involuntary review process
Community treatment orders
Involuntary admission
Admission procedures
Consumer rights
Seclusion and restraint
Role of the mental health practitioner
Consent
Key Feature    

Statement
An example of this is to protect the civil rights of those persons with a mental health condition.
These are detailed in the Australian Charter of Healthcare Rights, and include the right to access, safety, respect, communication, participation, privacy and comment/feedback
Is applied to a consumer with a mental illness who requires inpatient treatment, and they are not giving their consent.
Requires being seen by an authorised medical officer as the first step.
Provides authorisation of care in the best interest of the person with a mental health condition and is guided by the mental health act.
All health workers must respect the client’s right to privacy and not divulge personal or medical information gain in the process of caring for a client in a healthcare setting, this is regardless of the clients admission status.
Are to be applied as a last resort and must be authorised.
A procedure by which the client’s status is reviewed in a regulated and timely manner to ensure least restrictive care is applied in the best interests of the person with a mental health condition and the public.
A person can give informed consent if they:
• Have capacity to give informed consent to the treatment or medical treatment proposed
• Have been given adequate information to enable the person to make an informed decision
• Have been given a reasonable opportunity to make the decision
• Have given consent freely without undue pressure or coercion by any other person
• Have not withdrawn consent or indicated any intention to withdraw consent.

The Mental Health Act permits an authorised psychiatrist to make a treatment decision for a patient who:
• Does not have capacity to give informed consent to the treatment proposed by the authorised psychiatrist or
• Has capacity to give informed consent to the treatment proposed by the authorised psychiatrist but has not given informed consent to that treatment.
Compulsory treatment in the least restrictive manner.
Part 1: Question 3 As a mental health nurse, it’s important to have a foundation upon which you build your nursing practice. In your care of a person with depression, explain how you would apply Hildegard Peplau’s nursing theory to this mental health context (50 words or less).
Response:
Part 1: Question 4 

An important component of an enrolled nurse’s work is in supporting the rights of the person with a mental health condition and working towards diminishing the impacts of negative stereotyping, discrimination and stigma. Identify one (1) impact each for negative stereotyping, discrimination and stigma and provide a 20-30-word explanation for how you would positively interact with and support a client with depression and his carer, experiencing these potential impacts.
• Discrimination
• Stigma
• Negative stereotyping
Response:
Part 1: Question 5    

As an Enrolled Nurse, you are required to communicate and work within the Mental Health Multidisciplinary Team. To do so effectively, you are required to understand and use the correct medical terminology, particularly related to the values and philosophies that underpin the profession. 
Read the terms and philosophies below, and in 20-30 words for each, write your understanding of it in the definition box. 

Part 1: Question 6    

As an Enrolled Nurse, you have already been responsible for caring for other clients who suffer from categories of Mental Health disorders other than Liam. Demonstrate your understanding of these by researching The international classification of Mental and Behavioural Disorders (ICD-10) or the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5), and your texts. Then, complete the table below. 

For each condition:
• List a minimum of two (2) ways the behaviour or mental state that is demonstrated 
• List a minimum of two (2) types of support, role-management or treatment you can offer as an EN (within your Scope of practice).       
Part 1: Question 7    

Alison is experiencing similar behaviours and mental patterns as Liam. 

View this video involving an interview with Alison and perform a brief Mental Health Assessment using the Mental Health Assessment framework below. You will use this assessment to report to the multidisciplinary team.  https://www.youtube.com/watch?v=4YhpWZCdiZc&t=45s
Medical Status Examination
Part 1: Question 8  

During an assessment of mental health patients, you were instructed to particularly take note of the state of their mouth and teeth. In 50 words, outline the reasons behind this aspect of nursing assessment, including to (2) strategies for managing oral health issues and possible causes.
Response:

Part 1: Question 9    

While you are performing a Mental Health Assessment on Alison you will also complete a Suicide Risk Assessment. 

Complete this form by filling in the appropriate boxes. In the area of ‘SUICIDALITY’ add up all of the ‘Yes’ boxes to obtain your Suicide Risk score. E.g., Alison has no past history of suicide attempt. You do not have to complete the Aggression/Violence part of the form.

According to this score, explain in 20 words, which setting you think the Mental Health Team will manage with Alison. 
Part 1: Question 10

Meanwhile, Liam, who has been identified as a high risk suicide patient is an inpatient in your ward. You have come on shift and Liam is pacing backwards and forwards, holding his head and muttering to himself. He is glancing around and eyeing everyone nervously. You know Liam has been violent towards other people before. The ward is also noisy as it’s about handover time. Liam starts to pick up a chair. 

In 75 words, identify and explain one (1) strategy you would use to manage this challenging behaviour. In your response, you are to consider the triggers and how you would deflect them.  Also, address the listening and observation skills you would need to apply to ensure effective communication. 

Part 1: Question 11
Identify three (3) different health professionals you could seek expert assistance from in managing this situation.
Part 1: Question 12

Many factors outside the mental health service system impact on an individual’s recovery process. Government, private and non-government agencies from other service sectors have a role in helping people to maximise their quality of life.  In 100 words, describe the concept of recovery in relation to mental health in Australia and how it can be applied to nursing care by the interdisciplinary team. In your response, discuss:
• The principles of recovery-oriented practice
• Provide an example of evidence-based framework/ practice in the context of recovery.
Part 1: Question 13

Briefly describe at least five (5) resources; professional, government, personal or community that Liam and his family/carer can access to facilitate his recovery. 

Part 1: Question 14

When faced with people who appear to be undergoing physical and mental health distress, it’s important to support them in a number of ways. In 50 words, explain how you could provide health promotion and educational strategies in accordance with organisation procedures when people exhibit signs and symptoms of reduced physical and mental health.

Part 1: Question 15

Explain in 100 words how, in your role as an enrolled nurse, you would plan, prioritise and implement nursing interventions in collaboration with those associated with a client suffering from mental health distress. Your response should include how would include:
• The client/person
• Registered nurse 
• Interdisciplinary health care team
• The person’s family or carer
• Consumer or carer perspectives on mental health
Part 1: Question 16

When a client is recovering from a mental health issue, it is important that their recovery is supportedappropriately. In your role as an EN, how you could help facilitate client recovery. Include in your response:
• Two (2) strategies you could use to empower the client to plan their own care
• One (1) way you might confirm that the client understands the use, administration methods and possible effects of medications to be used including known specific adverse effects
• Two (2) ways you might be able to assist the client to build on their own strengths and to take as much responsibility as possible for decisions that affect their lives.
 

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