NRSG264: Mental Health Reflection - Mental State Examination - Nursing Assessment Answer

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Internal Code: 1AHAJD Code: NRSG264

Mental Health Reflection Assessment Answer

Assignment Task: NRSG264 Question:  Reflect on the scope, nature, and rationale for assessment of the client in this case study (video) with particular reference to the components of the Mental State Examination (MSE). Length: 1000 words +/- 10%. Written reflection outlining the student’s reflection on what they learned while watching a video of a patient requiring completion of a Mental State Examination (MSE). NRSG264 Detailed instruction: For additional instruction and presentation of this assessment please refer to p.17 of the unit outline for the rubric for this assessment task. NRSG264 You can start with an introductory sentence that aligns to step 1 of the CRC being: Consider the patient situation. As stated above use the opening lines of the sentences below to insert your information. This paper intends to provide a reflection upon a case study of ‘Alison’ a 38-year-old single mother of two, with a current working diagnosis of Clinical Depression.  In consideration of her current situation financially…There are significant stressors being… However, there are some protective factors of... NRSG264 Your 2nd step of the CRC is to: Collect cues and information There are many areas to assess as the aetiology of mental health issues has been linked to a range of factors. As a clinician you need to know what areas these are and the rationale for incorporating them. The assessment of Alison requires a biopsychosocial approach (A good idea to insert some references here; perhaps something from Nizette &Evans). A key feature of this is the mental status examination (MSE). In Alison’s case, this was undertaken by the GP. A summary of the findings was that her general appearance was…Her behaviour demonstrated… Cognitively she was… Her speech was… The thought process was… Thought content was devoid of any classical delusional themes however contained cognitive distortions of… Her affect was… Mood state was… and Perception indicates that there was no response to or report of… Her level of insight was… with judgment being…NRSG264 The questions about her level of risk revealed static factors of… and current dynamic factors of… Your 3rd step of the CRC is to: Process the information By analysing the available data from this broad approach and more specifically from the MSE, her diagnosis of Depression can be described by the DSM-5 (Good idea to reference the DSM-5 here) as a… (Select what type of depressive episode and with what features)  In review of the risk assessment findings she is currently a…risk for… Your 4th step of the CRC is to: Identify problems/issues Alison’s current financial situation coupled by her current level of functioning may impact upon her two children aged… by… Her relationship with Dave is…NRSG264 Your 5th step of the CRC is to: Establish goals In the process of establishing a treatment plan, mindful of a Recovery-oriented approach, the plan is to… (This is a good place to source some literature to cite) Your 6th step of the CRC is to: Take action When an individual under treatment presents with symptoms of depression, with compounding financial and personal issues, as a nurse I (as this is a reflection, you can use first person) would need to consider… (Also a good place to source and cite evidence-based approaches i.e. Cochrane Database and peer-reviewed literature). Your 7th step of the CRC is: Evaluate outcomes In order to evaluate clinical outcomes, I may need to discuss at a later date with the individual the mutual set goals. Other means of evaluation could be… NRSG264 Your final step of the CRC and this assessment is: Reflect on the process and new learning Through the case study and assessment of Alison, I have learned that… My broader learning around mental health assessment was… I believe that in my future practice this will…NRSG264 Finish the assessment task by using a concluding sentence This paper imbedded steps of the Clinical Reasoning Cycle (ref) for the purposes of reflecting upon the scope, nature and rationale for assessment of the client in this case study. NRSG264
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