Assessment TWO | Mental State Examination NUR2200

Assessment One Task Sheet

Course Code & Name

NUR2200 | Mental Health Care Across the Lifespan

Assessment Item and Name

Assessment TWO | Mental State Examination

Assessment Item Type

Case Study

Due Date & Time

Week 9 | 8^th April 23:59 hrs

Results data will be returned to youby2^nd May 2025

Length

There is no specific length assigned to this assessment; however completed appropriately, it should be no longer than 10 pages.

This will include:

- 2 pages for your Mental State Examination

- 3-4 pages for your Risk Screen Tool

- 2 page(s) for your Recovery and Care Plan

- 1 page for your Nursing Handover

- 1 page for your Reference List

- If applicable, include your AI use statement of approximately 100 words after your reference list on an additional page (page 11).

Marks and Weighting

The marks are out of 50 and this assessment is weighted at 50% of the overall course grade.

Assessed Course Learning Outcomes

CLO1 Explain the clinical manifestations associated with the major mental health disorders.

CLO2 Apply evidence-based interventions which informs the development of targeted treatment planning across the lifespan of the consumer, including culturally diverse consumers.

CLO3 Analyse and apply the principles of the Recovery process in delivering specific care for consumers living with mental illness and supporting carers and significant others needs.

CLO5 Effectively communicate with consumers, including Indigenous populations, to accurately assess mental state and risk parameters using standardized mental health assessment forms.

Rationale

Assessment is one of the most important and fundamental skills of the mental health nurse. 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 are performed in a range of mental health care settings, and are embodied by person-centred approaches and collaboration with persons in care (Muir-Cochrane & Birtle, 2017, p. 195). 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 person receiving 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.

Muir-Cochrane, E. & Birtle, F. D. (2017). Psychiatric-mental health assessment. In L. Moxham (Ed.), Contemporary psychiatric-mental health nursing: Partnerships in care (pp. 194-209). Pearson Education Australia.

Task Instructions

If you intend to use any generative AI or AI-integrated tools to assist you with this task, please read the Acceptable AI Use section first. Keep a record of how you are using generative AI or AI integrated tools, then at the completion of your assessment, create an approximately 100-word statement on how the tools were used in the formation of your final work (prompting questions and an example is provided on the template).

You will use this template named MSE Assessment Template to complete your assessment. Ensure you include the persons personal and demographic information from the persons profile where relevant. To complete your assessment, follow these steps:

Review history and assessment:

1. Familiarise yourself with the persons profile (viewable and downloadable from the StudyDesk, Assessment Two Studybook).

2. View the persons assessment video (viewable from the StudyDesk, Assessment Two Studybook).

Mental State Examination:

3. From the findings in the persons assessment video, complete the Mental State Examination. You may record your findings in dot points or short paragraphs, however the information must be substantiated by evidence in the assessment video. Use appropriate mental health terminology throughout.

Risk Screen tool:

4. From the findings in the persons assessment video, as well as their profile (history), complete all sections of the Risk Screen tool.

Recovery and Care Plan:

5. From the persons profile and assessment video, identify three (3) personal recovery goals. Document these in the left column of the table.

6. From the findings in your Mental State Examination, Risk Screen tool as well as the persons profile, identify three (3) symptoms or concerns that relate to the recovery goals identified. These may be symptoms of mental illness or risk related concerns. Document these in the left column of the Recovery Plan table alongside their relevant recovery goal.

7. For each of the symptoms or concerns, provide two (2) evidence-based, referenced, nursing interventions. This will total 6 interventions across 3 symptoms or concerns.

8. Provide a brief rationale for how each intervention will assist the person in achieving their recovery goal by addressing the identified symptom or concern.

9. You will have a total of six (6) scholarly references, one (1) per intervention, to evidence your proposed plans. Use in-text citations where appropriate.

Nursing Handover

10. Complete the SHARED formatted nursing handover document using all relevant information from the previous sections and relevant information from the persons profile and assessment video.

11. Providing informative and succinct handovers is a skill and this will be your opportunity to practice discerning what is important information to include.

12. You are not required to use references in your nursing handover, as this is a report of your own findings.

Acceptable AI Use

For this assessment, you are permitted to use generative AI and AI integrated tools, keeping in mind the importance of Academic Integrity and definition of Academic Misconduct.

How you may choose to use these tools:

• Using AI to generate ideas, summaries, or prompts to help structure your response.

• Using AI to prepare yourself for how you may conduct an interview and assessment.

• Refining your written response to ensure clarity, coherence, and academic tone.

• Spelling and grammar check.

Important:

Do not copy and paste generative AI responses as your own work.

Academic Integrity

Students should be familiar with, and abide by, policy on Academic Integrity and the definition of Academic Misconduct. Penalties apply to students found to have breached these policies and procedures. Please ensure you have completed the mandatory Academic Integrity training and have familiarised yourself with Academic Integrity at UniSQ.

You are required to complete the Academic Integrity module, before you submit your first assessment. Please access the module here.

Relevant Information and Resources

Your document should follow APA 7^th Edition paper format and style, except where the formatting of the template tables would be significantly altered. APA 7^th Edition writing style: https://apastyle.apa.org/style-grammar-guidelines/paper-format

Include six (6) scholarly references that evidence the proposed nursing interventions. A scholarly reference would be a piece of academic work, usually a peer-reviewed or refereed source that is written by experts in the field and is supported by evidence and informed by up-to-date research. These reference should be contemporaneous (within 6 years old, unless seminal works).

Your reference list and entries must be done in APA 7^th Edition style.

An example of the completed documentation will be provided on the study desk.

UniSQ academic writing and study support: https://www.unisq.edu.au/library/study-support/assignments

Formatting requirements:

• Set page margins to 2.5 cm on all sides.

• Double-space all text.

• Indent the first line of every paragraph. For consistency, use the tab key.

• Include a page number on every page.

A variety of fonts are permitted in APA Style papers. Font options include the following:

• sans serif fonts such as 11-point Calibri, 11-point Arial, or 10-point Lucida Sans Unicode

• serif fonts such as 12-point Times New Roman, 11-point Georgia, or normal (10-point) Computer Modern (the default font for LaTeX)

No PDF submissions.

Assessment Marking Criteria

Mental State Examination 10 marks (20%)

Risk Screen tool 5 marks (10%)

Recovery and Care Plan 18 marks (36%)

Nursing Handover 12 marks (24%)

Academic Practice 5 marks (10%)

Refer to the Marking Rubric for this Assessment item here.

Submission Information

Use a Microsoft Word (.docx) document with your Name & Student Number. A template will be provided in the assessment ONE submission hub. Save your document using the following naming convention: Surname_InitialORStudentnumber_Coursecode_A2.doc/docx

Submit to the Assessment TWO Portal titled Mental State Examination (Case Study) via Turnitin. If you do not receive a Turnitin % report, please contact ICT on 07 4631 1900.

Return of Assessment Items and Feedback for Learning

All staff assessing your work will meet to moderate and discuss results before grades are finalised.

Extensions and Penalties for Late Submission

Information on extensions and late penalties can be found here.

Criteria

Outstanding

Excellent

Proficient

Satisfactory

Unsatisfactory

Mental State Examination

10 8.5

8.4 7.5

7.4 6.5

6.4 5.0

4.9 - 0

Clear, relevant, and well-documented assessment findings, appropriately evidenced from the patient interview and concisely recorded using correct terminology.

Mostly clear and relevant assessment findings, with appropriate evidence from the patient interview. Recorded concisely with mostly correct terminology.

Assessment findings are generally relevant and supported by some evidence from the patient interview. Some use of correct terminology, though inconsistencies are present.

Basic assessment findings recorded with limited relevance and minimal evidence from the patient interview. Some correct terminology used, but with frequent errors.

Assessment findings are unclear, lack relevance, and are poorly recorded. Little or no evidence from the patient interview, with incorrect or missing terminology.

Risk Screen tool

5 4.3

4.2 3.8

3.7- 3.3

3.2 2.5

2.4 0

Clear, relevant, and well-documented assessment findings, appropriately evidenced from the patient interview and history, using correct terminology concisely.

Mostly clear and relevant assessment findings, with appropriate evidence from the patient interview and history. Recorded concisely with mostly correct terminology.

Assessment findings are generally relevant and supported by some evidence from the patient interview and history. Some use of correct terminology, though inconsistencies are present.

Basic assessment findings recorded with limited relevance and minimal evidence from the patient interview and history. Some correct terminology used, but with frequent errors.

Assessment findings are unclear, lack relevance, and are poorly recorded. Little or no evidence from the patient interview or history, with incorrect or missing terminology.

Recovery and Care Plan

18 15.3

15.2 13.5

13.4 11.7

11.6 - 9

8.9 - 0

Recovery Goals Identifies three (3) highly relevant and specific recovery goals, clearly supported by the persons assessment and history.

Symptoms/Concerns Identifies three (3) key mental health symptoms or concerns evidenced in the interview, MSE, and Risk Screen.

Interventions Provides two (2) well-articulated, appropriate, and contemporary evidence-based nursing interventions for each identified symptom/concern.

Rationale & Critical Thinking Demonstrates exceptional understanding and critical thinking by providing a comprehensive rationale for how each intervention addresses the identified symptom/concern, supporting the persons recovery goals.

Recovery Goals- Identifies three (3) relevant recovery goals, mostly supported by the persons assessment and history.

Symptoms/Concerns- Identifies three (3) key symptoms or concerns with appropriate evidence from the interview, MSE, or Risk Screen.

Interventions- Provides two (2) appropriate and evidence-based nursing interventions for each symptom/concern, with minor gaps in articulation.

Rationale & Critical Thinking- Demonstrates strong understanding and critical thinking by providing a clear rationale for how each intervention addresses the symptom/concern, with good support for recovery goals.

Recovery Goals- Identifies three (3) recovery goals that are generally relevant and supported by assessment and history.

Symptoms/Concerns- Identifies three (3) symptoms or concerns, with some supporting evidence from the interview, MSE, or Risk Screen.

Interventions- Provides two (2) nursing interventions for each symptom/concern, though some may lack clarity or contemporary evidence.

Rationale & Critical Thinking- Demonstrates sound understanding and some critical thinking by providing a rationale for each intervention, though explanations may lack depth or strong connection to recovery goals.

Recovery Goals- Identifies recovery goals, though they may be vague or only loosely connected to the assessment and history.

Symptoms/Concerns- Identifies symptoms or concerns, but with limited supporting evidence from the interview, MSE, or Risk Screen.

Interventions- Provides at least one (1) appropriate intervention for each symptom/concern, but some may be unclear or lack evidence.

Rationale & Critical Thinking- Demonstrates basic understanding, with a limited rationale for interventions. Connections to symptoms/concerns and recovery goals may be weak.

Recovery Goals- Recovery goals are unclear, missing, or not relevant to the persons assessment and history.

Symptoms/Concerns- Symptoms or concerns are not clearly identified or lack supporting evidence from the interview, MSE, or Risk Screen.

Interventions- Provides interventions that are unclear, inappropriate, or lacking in evidence.

Rationale & Critical Thinking- Demonstrates little or no critical thinking, with weak or missing rationale for interventions and poor connection to recovery goals.

Nursing Report

12 10.2

10.1 - 9

8.9 7.8

7.7 - 6

5.9 - 0

Comprehensive and accurate nursing report based on MSE, Risk Screen Tool, and interventions, effectively applying the SHARED communication framework and meeting legal requirements.

Detailed and mostly accurate nursing report based on MSE, Risk Screen Tool, and interventions, applying the SHARED communication framework with minor gaps, while meeting legal requirements.

Nursing report includes key details from MSE, Risk Screen Tool, and interventions, with some inconsistencies in accuracy or application of the SHARED communication framework. Mostly meets legal requirements.

Basic nursing report covering MSE, Risk Screen Tool, and interventions, but with gaps in accuracy or application of the SHARED communication framework. Legal requirements are partially met.

Nursing report is incomplete, lacks accuracy, or does not effectively use the SHARED communication framework. Legal requirements are not adequately addressed.

Academic Writing

5 4.3

4.2 3.8

3.7- 3.3

3.2 2.5

2.4 0

The writing follows APA 7 guidelines, presenting ideas clearly and concisely, with appropriate evidence and critical analysis integrated throughout. It adheres to academic conventions, demonstrating a strong understanding of the topic.

The writing generally follows APA 7 guidelines, presenting ideas clearly and logically. It includes relevant evidence and demonstrates critical analysis, with minor lapses in formatting or clarity.

The writing mostly follows APA 7 guidelines, presenting ideas clearly but with some inconsistencies in formatting or structure. It includes some relevant evidence and analysis, though further depth and clarity are needed.

The writing partially follows APA 7 guidelines, with some errors in formatting, structure, or clarity. It includes limited evidence and analysis, requiring further development to fully meet academic standards.

The writing does not adhere to APA 7 guidelines, with significant issues in formatting, structure, and clarity. It lacks sufficient evidence and analysis, requiring substantial revision to meet academic standards.

NOTE | Assessment Items submitted more than 10 Calendar Days after the published due date without an approved extension, or more than 10 Calendar Days after the revised due date where an extension has been granted, will receive a mark of zero.

Assessment Policy Link Penalty: Use of AI-generated content may result in an automatic Fail for the originality criterion and may impact the overall grade. Overall mark is out of 50 and this assessment is weighted at 50%