Reference no: EM133500028

Mental Health Care Across the Lifespan

Mental State Examination Assessment

It is expected that as a student you will develop an ability to observe consumer behaviour and accurately document those observations as findings on the Mental Status Examination (MSE) and risk screening tool in the correct assessment categories using the correct terminology. You will also develop patient focused documentation skills in reporting the identified MSE and risk assessment findings concisely and accurately within the nursing report. From your findings, it is also expected that you will be able to identify symptoms about the client and consequently be able to develop mental health nursing-specific interventions to assist the client.

Assessment is one of the most important and fundamental skills of the mental health nurse and form a key part of the mental health nursing role. Through assessment, the mental health nurse develops an understanding of the consumer, formulates a plan of care, and contributes to the decision making of the multidisciplinary teams. Additionally, undertaking assessments is an important means of connecting with the consumer to commence the process of developing a therapeutic relationship. Assessments performed in the mental health care setting, which can be consumer or health care centred, is the first step of the nursing process and is ongoing over the time that the consumer is engaged with mental health care (Evans et al., 2017, p. 519). This process is systematic and organized, to ensure that the mental health nurse critically thinks and documents data, to implement and evaluate the individualized healthcare need of the consumer in their care. Continuity of patient care is achieved by the clear and concise transfer of patient clinical information from one health care provider to another during handover.

Effective communication is a vital factor in providing safe patient care. Standardised assessment tools used can be formal or semi-formal and include the mental state examination (MSE) and clinical risk assessment, however, there are numerous other tools incorporated to collect data in the clinical setting.

Objective 1 - Explain clinical manifestations associated with the major mental health disorders.

Objective 2 - Apply evidence-based interventions which informs the development of targeted treatment planning across the lifespan of the consumer, including culturally diverse consumers.

Objective 3 - Analyse and apply the principles of the Recovery process in delivering specific care for consumers living with mental illness and supporting carers and significant other's needs.

Objective 4 - Explain the importance of mental health legislation, rights of mental health consumers, cultural diversity, and the legislative implications for nursing practice.

Objective 5 - Effectively communicate with consumers, including Indigenous populations, to accurately assess mental state and risk parameters using standardised mental health assessment forms.Task detail

Please include the following consumer details on the appropriate documentation for this assignment.

• Download and read the history related to Peter Goldblum.

• Access and download the assignment template from the study desk. You are required to type directly into the formatted document provided.

• Watch the video interview with Peter and the consultant and read the history provided. Record your observations from the interview/assessment between Peter and the mental health consultant, on the MSE form. Refer to your text and lectures throughout the semester on the study desk for assistance, ensuring that you use the appropriate mental health terminology to communicate your findings.

• From the information obtained from Peter Goldblum history and interview a risk assessment is also to be completed using a Risk Screening Tool (also in the template).

• You may record findings in dot point or in a short paragraphs, however, you must support and specify the evidence that substantiates your observation, e.g. "Peter believed that... as evidenced by.....".

• Be succinct and relevant to your findings based on the interview/history content.

• From the findings in your MSE and/or Risk Assessment screening for Peter, identify THREE
(3) relevant symptoms or issues that Peter displayed during the interview, or are recorded on the Risk Assessment.

• Research TWO (2) evidenced-based nursing- mental health interventions (within the scope of a graduate registered nurse) per finding/symptom to assist you in completing the management/care plan for Peter.

• Complete the symptoms / findings and intervention page. There should be THREE (3) symptoms / findings in total identified, and TWO (2) evidenced mental health nursing- based interventions per symptom (total of six interventions) with at least one reference per intervention (total of minimum six individual references.)

The symptoms / findings that you record on your intervention page, must be from documented evidence within your MSE and or risk assessment report.

• Nursing Report/documentation: Together with your findings from the MSE and the risk screening assessment, you are required to write a one-page nursing report (between 400- 500 words), as if you were documenting your findings into a patient chart, using the SHARED tool- situation, history, assessment, risk, expectation, and documentation.

APA 7th referencing style.