Reference no: EM133251425
Case study - 18 years old - John is an 18-year-old student. He lives with his mother Anne, 50 years old, and his stepfather Greg, 53 years old. Anne was remarried 9 years ago. John is the youngest of three children and he is the only child still living in the family home.
John is now in Grade 12. He liked to socialise with friends and was fun-loving. In the past seven months he started to have changes in behaviours and appearance. John was disruptive and started to talk and laugh inappropriately in class. He also became isolated and did not want to join in any activities at school. He used to receive good grades but since the beginning of the year he started to lose his concentration and attention. His school performance became poor, and he was frequently tardy. John has finally stopped going to school over the last two months. He has a history of drug abuse. He started to use marijuana when he was in Grade 9 because the group of friends, he was hanging out with also used drugs. John uses amphetamines on a regular basis. He occasionally drinks alcohol and smokes cigarettes.
John was brought to a mental health unit by his parents after he had been found wandering around the house and talking to himself for over a week. This is his first admission. On admission, John appears suspicious and is unkempt. He stated he heard voices from a group of two men and a woman. The voices kept telling him that he was 'no good' and 'everybody hated' him. Sometimes they told him to kill himself and sometimes to kill older people. John also believes that he has special powers and is a spy working for the government. John is argumentative and sometimes aggressive. He has a history of aggression and violence.
John's mother tells the admitting nurse that John's father has schizophrenia, and he was abusive to her and the children. They divorced when John was 8 years old. After the divorce, John's family relocated to different cities. He also had to move to different schools and needed to make new friends.
Aim - The aim of this written assignment is to provide you with an opportunity to demonstrate your knowledge and understanding of the impact of the biopsychosocial factors, when identified in the mental health assessment, on the development of a mental health disorder. The correct identification of these factors will assist in planning appropriate care in consideration of any ethical or legal implications.
Task Description -
1. Choose one case study from the case studies supplied.
2. With reference to appropriate scholarly literature, answer the following questions about your chosen case study:
a. Explain the importance of identifying the biopsychosocial factors that impact on the well-being of a client during a mental health assessment.
b. Identify three (3) factors that have impacted on the presenting problem of the client from your chosen case study. Explain the significance of each factor in the client's presenting problem.
c. With reference to the presentation of the client from your chosen case study, identify and justify three (3) appropriate nursing interventions. ('Nursing interventions' refers to interventions that could be conducted by a newly graduated registered nurse, not a specialist mental health nurse).
d. Discuss three (3) ethical and/or legal implications the nurse must consider for the client from your chosen case study.
Please include the references - thank you for your help.