PART A – 1500 words

An APA reference list must be included with your work. Your work should include at least 10 different pieces of literature, no more than 5 years old. 

Question 1-      500 words-     10 marks

Using relevant literature critically discuss the mental health status of the client in the case study.

Your work should make reference to two (2) components of the Mental Health Examination (MSE) related explicitly to the case study and the DSM V.

(4 marks for MSE, 4 marks DSM V, 2 marks for references).

Question 2-       500 words-     10 marks 

Critically discuss two (2) factors which have contributed to the development of the client's current mental health status.

You should demonstrate your knowledge of the Stress Vulnerability Model. Your work should clearly identify the contributing factors: make reference to the case study and relevant literature.

(2 marks for Stress Vulnerability Model, 3 marks for each contributing factor, 2 marks for references).

Question 3-          500 words-    10 marks 

Respect, empowerment and hope are three (3) positive aspects of mental health recovery. Using relevant literature and the case study, critically discuss how these three (3) principles could positively contribute to the client's journey of recovery.

You should demonstrate your knowledge of recovery orientated mental health theory and practice.

(2 marks for recovery orientated mental health theory and practice, 2 marks each for factors, 2 marks for references).

PART B— 500 words

A reference list with at least 6 different pieces of literature less than 5 years old must be included using APA style. 

Questions 1a and 1b-     200 words 

1a). Using the case study provided, identify an urgent risk area. Ensure your answer details why you have identified the risk area including specific information about the client and current literature. (2 marks).

1b). Identify one nursing intervention you would immediately undertake with your client to address the risk area noted in question 1a and include a rationale for the intervention. (2 marks for the intervention and 2 marks for the rationale).

Ensure the intervention includes who and when you would actually carry out the intervention. Your rationale should state how and why you would carry out the particular intervention. Ensure literature is included. 

Questions 2a and 2b—     200 words 

2a). Using the case study provided, identify a mental health concern.  Ensure your answer details why this is an area of concern. Include specific information about the client and current literature. (2 marks).

2b). Identify one nursing intervention you would undertake with your client to address the mental health concern noted in question 2a and include a rationale for the intervention. ( 2 marks for the intervention and 2 marks for the rationale).

Ensure the intervention includes how, who and when you would actually carry out the intervention. Your rationale should state how and why you would carry out three particular intervention. Ensure literature is included when you discuss the rationale.

Question 3–            100 words

3). Using current literature, identify and discuss (2) two legal, ethical or professional issues a nurse may need to consider when working with the client in the case study (4 marks).

Question 1

Mr Chung was a doctor, who was 35 years old and working in the Accident and Emergency department in an inner-city hospital in Australia. He migrated from China five years ago. He was anxious and distressed due to the work overload, which led to a negligent act of injecting a drug through wrong route. This caused a serious issue and Mr. Chung has been kept under supervision for 12 months. He felt guilty of unable to take care of his sick wife and newborn baby. All these experiences have led to the development of certain symptoms presented below.

Mental state examination

Mood and affect: Mr. Chung spoke very slowly after repeated questioning. He was inactive as he sat on a chair and appeared gloomy. His tone was deliberate, indicating congruency in the subjective and objective observations. He was depressed about situation his wife was undergoing and was guilty of unable to care for her. He blamed himself of not able to develop bonding with his newborn due to his busy work schedule. He was anxious and distressed about the accident in the hospital, which caused him to undertake a series of investigation and kept him under 12 months supervision. 

(Some parts of the solution has been blurred due to privacy protection policy)