NCS2102: Biopsychosocial and Spiritual Dimensions of the Lifespan - Nursing Assessment Answer

TASK  NCS2102

Tim is a registered nurse working in a busy tertiary general hospital in Western Australia. As part of Tim’s patient load, he will often care for consumers diagnosed with mental illness or admitted with both physical and mental health issues. Tim knows that physical illness and mental illness can be linked and will always ensure he provides holistic nursing care to all his patients.
Question 1: Mental health promotion is a broad domain that includes the biopsychosocial and spiritual dimensions of the lifespan. Mental health and well-being are encompassed in all aspects of an individual’s life and must be addressed at many levels to ensure quality of life (physical and mental health) and social wellbeing. Discuss this statement and provide rationale for your answer.

General hospitals and the health care system is increasingly faced with the need to address the management and care of individuals with multiple co-existing diseases. As an R.N Tim knows that many consumers diagnosed with mental illness also have physical complications and vice versa.

Question 2: 

NCS2102

Discuss this statement and outline why a comprehensive mental health assessment is essential for the nurse to undertake when admitting patients in a general hospital ward. Provide rationale to support your answer. (350 words approximately)
Question 3:

NCS2102

Provide two (2) possible occasions when a consumer would present with psychiatric symptoms, but may actually have an underlying physical illness that requires treatment. Provide rationale for your answer. (150 words approximately)
Tim has received handover on patient Nicole, a 32-year-old woman admitted to Tim’s medical ward following an overdose of psychotropic medications. Nicole is emotionally labile, has had trouble following her treatment schedule, is frustrated with the limits and compromises of being in hospital, is demanding medications, and has threatened suicide. Tim has also noted old scars on Nicole’s forearms. The clinical nurse specialist has proposed that Tim work together with Nicole to identify treatment options and goals for her health, wellbeing and overall functioning.
Question 4: Given Nicole’s current presentation, outline the priority assessments that Tim would undertake, and discuss how Tim might identify issues affecting Nicole. Provide rationale for your answer.

Tim knows that anxiety disorders and depression are highly prevalent mental health problems in the Australian community. Tim is looking after Jane a 27-year-old mother who has lived with symptoms of anxiety since she was in high school. Jane tells Tim she has recently started worrying more about little things and is now scared to leave her home for fear of what might happen. She says she is also not sleeping, not eating as much as usual and is lacking motivation to go out as she used to. She states she thought this was just due to her anxiety, but is now worried it might be something else.

Question 5: The early detection and treatment of anxiety and depression is important to promote a person’s wellbeing. Often anxiety and depression will go ‘hand-in- hand’ or one precedes or can mask the other. Discuss this statement and identify how health professionals can assist in the early detection of these diagnoses. Provide your rationale and reasoning to support your answer.

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