Student Name Student Number Unit Code/s & Name/s HLTENN009 Implement and monitor care for a person with mental health conditions

Student Name Student Number Unit Code/s & Name/s HLTENN009 Implement and monitor care for a person with mental health conditions

Assessment Type Written

Assessment Name Formative assessment with Case study Assessment Task No. AT1

Assessment Due Date Date submitted Assessor Name Student Declaration: I declare that this assessment is my own work. Any ideas and comments made by other people have been acknowledged as references. I understand that if this statement is found to be false, it will be regarded as misconduct and will be subject to disciplinary action as outlined in the TAFE Queensland Student Rules. I understand that by emailing or submitting this assessment electronically, I agree to this Declaration in lieu of a written signature.

Student Signature Date PRIVACY DISCLAIMER: TAFE Queensland is collecting your personal information for assessment purposes. The information will only be accessed by authorised employees of TAFE Queensland. Some of this information may be given to the Australian Skills Quality Authority (ASQA) or its successor and/or TAFE Queensland for audit and/or reporting purposes. Your information will not be given to any other person or agency unless you have given us written permission or we are required by law.

Instructions to Student General Instructions:

This is a skills activity where, in the role of an Enrolled Nurse and within your Scope of Practice, you must demonstrate evidence of specified essential knowledge in mental health.

Each question to be answered.

Information / Materials provided:

Scenario, links to documents, online topics, readings

Word limits and referencing requirements noted within assessment where applicable

Assessment Criteria:

To achieve a satisfactory result, your assessor will be looking for your ability to demonstrate the following key skills/tasks/knowledge to an acceptable industry standard:

Key features of the Mental Health Act, Qld.

The Enrolled/Division 2 nurse's role and responsibilities within the mental health environment.

Rights of patients in a mental health environment.

Nursing management of common mental health disorders.

Specific medications and support strategies within the defined scope of practice.

Mental health assessment and assessment of risk.

This must not be a re-iteration of the elements and performance criteria from the Unit of Competency.

Referencing (in-text and reference list) per APA 7th ed referencing style to be used when acknowledging source material used. Failure to use will result in an unsatisfactory result.

Number of Attempts:

You are required to satisfactorily complete all assessments listed in the table below to be receive a Competency Achieved result for the Unit(s) of Competency. You are responsible for complying with TAFE Queenslands assessment rules and complete assessment tasks honestly. You need to follow all assessment instructions, including submission details and retain a copy of all assessment items. You must submit assessment on or by the due date, unless an extension has been granted. Failure to submit or complete assessment on or by the due date will result in a did not submit/sit (DNS) being recorded (unless there are exceptional circumstances) and you will have five (5) days to submit your second and final attempt. For more information, refer to the Student Rules.

Submission details Insert your details on page 1 and sign the Student Declaration.

<method of submission; example Assessment to be submitted via

TAFE Queensland Learning Management System: Connect url: https://connect.tafeqld.edu.au/d2l/loginUsername; 9 digit student number

For Password: Reset password go to https://passwordreset.tafeqld.edu.au/default.aspx>

Instructions for the Assessor The student will be provided with education and information on mental health assessment, risk assessment in the mental health field, common mental disorders, and a variety of issues pertaining to mental health and wellness.

Students may write on this form directly and submit as an electronic copy, but they must follow the format included here to undertake the required tasks

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

In addition, assessors must hold current registration as a registered nurse with Nursing and Midwifery Board of Australia.

Assessor is allowed to use discretion in assessment in judging assessment evidence in context with scenario and/ or reputable resources used other than provided resources.

Note to Student An overview of all Assessment Tasks relevant to this unit is located in the Unit Study Guide.

SECTION 1: ASSESSMENT IN MENTAL HEALTH NURSING

1a.

Mental Health Disorder groups

Mood disorders

Bipolar Affective Disorder

Depression

Anxiety Disorders

Obsessive Compulsive Disorder (OCD)

Panic disorder

Post-traumatic Stress Disorder

Social & Specific Phobias

Eating disorders Organic Disorders

Dementia

Delirium

Personality Disorders

Borderline Personality Disorder

Psychotic Disorders

Schizophrenia

Psychosis

Using the table below, insert the mental health disorder group as an appropriate heading to each group of common sighs, symptoms and behaviours. Then matches the common signs, symptoms and behaviours with the correct Mental Health disorder

Mental health Disorder group Common Signs and symptoms (classification)

Disorder group: Disorder Racing thoughts, shaking, sweaty, feeling of choking, heart pounding

Disorder Unable to attend social functions Intense anxiety around social functions, physical symptoms of anxiety

Disorder Flashback, nightmares, recurrent memory of traumatic event

Disorder Increased weight loss, poor appetite, sleep, social isolation, purging, vomiting, binge eating. BMI below 15.

Disorder Obsessive thoughts, debilitating behaviours leading to decline in functionality

Mental health Disorder group Common Signs and symptoms (classification)

Disorder group: Disorder Fear of abandonment, unstable relationships, chronic feelings of emptiness, suicidal thoughts, Deliberate Self Harm, Poor self-image, impulsive, Angry.

Mental health Disorder group Common Signs and symptoms (classification)

Disorder group: Disorder Memory loss, Difficulty communicating, problem-solving, planning and organizing. Confusion and disorientation

Disorder Acute confusion/ disorientation. Anger irritability, anxiety, mood swings. Disturbed sleep.

Mental health Disorder group Common Signs and symptoms (classification)

Disorder group: Disorder Positive symptoms: Paranoid, disordered thoughts, Hallucinations, Delusions

Negative symptoms: Apathy social isolation, poor diet, ADLs

Fixed false beliefs

Substantially impair effective communication

Disorder Vivid, involuntary perceptions that are experienced as normal and occur without an external stimulus

Usually experienced as voices that are perceived as distinct from the person's own thoughts

Mental health Disorder group Common Signs and symptoms (classification)

Disorder group: Disorder Elevated mood, manic, pressured speech, increased spending, lack of sleep, increased substance abuse.

Disorder Low mood, suicidal thoughts, poor sleep, no energy, Helpless / hopeless themes, poor appetite. Low energy.

1b.For each of the mental health disorder groups below, provide two (2) treatment options (one medication class and one therapy) and two (2) nursing interventions to manage the disorder group

Note: Please do not repeat any answers

Mental Health Disorder group Therapeutic Treatment options

Medication Class Therapeutic Treatment options

Psychotherapy Nursing Interventions

Mood disorders

Bipolar Affective Disorder

Depression 1 medication class

Note: Please do not repeat any answers

1 type of psychotherapy

Note: Please do not repeat any answers

2 Nursing Interventions

Note: Please do not repeat any answers

Psychotic Disorders

Schizophrenia

Psychoses Anxiety Disorders

Obsessive Compulsive Disorder

Panic disorder

Post-traumatic Stress Disorder

Social & Specific Phobias

Eating disorders Organic Disorders

Dementia

Delirium Cholinesterase inhibitor

Extensiveinhibitionof an enzyme that leads to accumulation of the neurotransmitter acetylcholine and enhanced stimulation of postsynaptic cholinergic receptor

Do Not Copy

Music Therapy

-dementia patient may respond positively to their likes music that can unlock memories and feelings.it can helps change their complex behaviours (Dementia Australia n.d.)

Do Not Copy

Speak slowly and clearly to maintain a good conversation and using simple terms language

Express empathy in conversation and feel the client thought as oneself (Dementia Australia n.d.)

Do Not Copy

Personality Disorders

Borderline Personality Disorder Resource

Powerpoint Therapeutic Interventions Assessment Resources

Psychiatric & Mental Health Nursing

https://www-clinicalkey-com-au.tafeqld.idm.oclc.org/nursing/dura/browse/bookChapter/3-s2.0-C20150021554

2. Clinical practice is guided by nursing theory. There are many different theories in regards to mental illness. Phil Barker is renowned for his Tidal Model which looks at the recovery journey.

Outline three (3) principles of this theory (Reference)

Question must relate back to mental health nursing:

Hints/Keywords

Development of a Nursing Care Plan( Identify what care is focused on and the effect on the patient)

The provision of care (Identify who provides the care)

Active collaboration (identify parties involved)

Resource:

Evans, K. Nizette, D. & OBrien, A. (2017). Psychiatric and Mental Health Nursing. Australia: Elsevier Mosby.

https://www-clinicalkey-com-au.tafeqld.idm.oclc.org/nursing/dura/browse/bookChapter/3-s2.0-C20150021554Powerpoint Tidal Model located in Assessment Resources (there are 4 principles- pick 3)

3. From a biopsychosocial perspective, list three (3) possible hypothesized causes for mental illness per perspective

Biopsychological perspective Possible causes

Biological Biological is internal or at a cellular level Physiological we can not change this

For example

Gender- Family History

Social Social are outside of a person

For example

What kind of social environment predisposes one to mental illness?

Psychological Psychological refers a persons psyche, personality

For example

What kind of personality predisposes a person to a mental illness?

Resource: Powerpoint Stigma located in Assessment Resources

4.Define and give a rationale for the indicated key features that relate to the Mental Health Act QLD 2016 as identified below:

The following websites will assist (use the contents index in the website link if needed to locate relevant information): https://www.health.qld.gov.au/__data/assets/pdf_file/0031/444856/guide-to-mha.pdf

(Word limit for each point max 60 100 words and reference)

For Q4 (Q4.1 to 4.10) please use only "The Guide to Mental Health Act" as per the instructions on the assessment written task for Q4. You do not have to paraphrase Q4 answers. They may be taken from the Guide to Mental Health word per word. These instructions only apply to Part 1 Q4 of AT1. All other answers should be paraphrased as per TAFE academic rules.

4.1Outline the main objectives of the Act

Relate Main objectives of the act to the Mental Health Act QLD 2016.

For example:

To protect the community if persons diverted from the criminal justice system may be at risk of harming others

The above statement is found in the Mental Health Act.

Hint: There are 2 more elements of the above that are missing that relates to the criminal justice system

4.2State eight (8) reasons why a patient may be classified as an involuntary patient?

There are 8 elements as to what an involuntary patient is

Relate involuntary patient to the Mental Health Act QLD 2016. List all the key features.

For example:

An involuntary patient is:

A person subject to a forensic order

List/Dot form answer is acceptable for the above answer.

4.3State seven (7) Rights of the patient according to the Mental Health Act (2016)

Hint : 13.1 Overview Chapter 9 of the Act (Rights of patients and others) and Rights of the patient 13.1 page75 @ https://www.health.qld.gov.au/__data/assets/pdf_file/0031/444856/guide-to-mha.pdf

4.4Involuntary review processes (Forensic orders)

There are two types of forensic orders

See p7 of https://www.health.qld.gov.au/__data/assets/pdf_file/0031/444856/guide-to-mha.pdfDo not Answer: forensic order (Criminal Code

Types of Forensic orders Rationale for use

4.5Use of Mechanical restraint, seclusion, physical restraint and other practices

Type of Restraint Authorization and Implementation, e.g. who authorize restraint and time period to be implemented? Nursing Interventions required with implementation of restraint

Mechanical restraint Authorised Person

Time 2 nursing intervention

Please do not repeat answers

Seclusion Authorised Person

Time 2 nursing intervention

Please do not repeat answers

Seclusion (emergency) Authorised Person

Time 2 nursing intervention

Please do not repeat answers

Section 12.2

Who should approve the use of mechanical restraint seclusion, and other practices on an involuntary patient and Reasons why the restraints are utilised? (p.69- 71 Section 12.3.2)

4.6Treatment in the community

Definition of a Community Treatment Order:

8.8.2 Treatment support orderscategories and treatment in the community

Hint: refers to least restrictive

Rationale for implementation:

Treatment in the community is relevant to persons subject to what kind of authority? Order?

Discuss (rationale) Limited community treatment (for a patient on an inpatient category), Limited community treatment (other than an inpatient unit-i.e. How many days is a Limited community treatment) and the purpose of limited community treatment.

Section 3.7 What is treatment in the community

4.7Capacity to consent

Define capacity as per the Qld MH Act 2016. State five (5) conditions

See Meaning of capacity to consent to be treated p.9 of https://www.health.qld.gov.au/__data/assets/pdf_file/0031/444856/guide-to-mha.pdf

4.8Privacy and confidentiality

State two (2) Policies and or Procedures to establish privacy and confidentiality regarding patient information in Mental Health Care

Reference: Queensland Health. A Guide to the Mental Health Act 2016, 2017:

P104

See 17.2 Definitions

Mention 2 legislations or i.e. Act

Outline two (2) provisions in the Mental Health Act (2016) where private and confidential information of a patient can be shared without consent

Hint: How do you apply for an information notice?

What are the responsibilities of a person who receives the information

9.5.5 Confidentiality p.53

9.5.1 Application

4.9Admission procedures - what must happen immediately after the client has been admitted to a secured unit in an authorised mental health facility?

After the admission of a patient to an authorised mental health service, the administrator must perform 3 actions as per the document suggested on Q4

See https://www.health.qld.gov.au/__data/assets/pdf_file/0031/444856/guide-to-mha.pdf13.3 Statement of Rights p.75

4.10 Role of the Authorised Mental Health Practitioner (AMHP) during the assessment and transfer as per the Mental Health Act (2016)

State the authority an AMHP has to perform a Mental Status examination (MSE) in the community:

State the authority an AMHP has to perform a Mental Status examination (MSE) in the community:

See Section 5.5

State the authority an AMHP has to transport a patient for assessment:

See Section

18.2.6 Transport powers

p111

5.Outline four (4) ways that you as the nurse can ensure that your own interactions with a person experiencing a mental illness is therapeutic and positive

(Word limit max 80 100 words and reference)

4 therapeutic and positive interactions that a nurse should implement to encourage Therapeutic relationship

See Connect Topics:

Skills for Effective Practice- Therapeutic relationship

SECTION 2: CASE STUDY (Mapping matrix indicated as CS)

Bill is a 45 year old man 75kg brought into the Emergency Department by his sister after intentionally lacerating one arm and his neck while heavily intoxicated on alcohol.

Bill is separated from his wife and children, he has a history of domestic abuse due to his alcohol consumption and often is verbally abusive to his neighbors. Bill is currently unemployed due to the recent loss of his drivers license for Driving Under the Influence (DUI). His sister lives 4 houses away from Bill and seems to be the only person that he will talk to, she is often away and only sees Bill occasionally.

He is seen in the Emergency Department by the Mental Health Assessment Team (MHAT). Following assessment, Bill is admitted as a voluntary patient to the Mental Health Unit for assessment, observation and monitoring. Bill appears malnourished, dehydrated, and unwashed. He is flushed, ataxic and smells strongly of alcohol. His speech is slurred. He has a productive cough. He is given a provisional diagnosis of Major Depressive Disorder (MDD) and Substance Abuse (Alcohol).

A few hours later, Bill attempts to leave the Mental Health Unit without a medical review or authority. He becomes verbally and physically threatening toward nursing staff who are trying to persuade him to stay and be treated. Security is called and they physically restrain Bill when he lashes out at them and the nurses.

Following further assessment by the Medical Officer, Bill is placed on an involuntary Treatment Authority (TA) under the Mental Health Act 2016 (Qld). By this time, he appears physically exhausted, sobbing and stating that he wants to die.

1.Discuss five (5) signs and symptoms of a Major Depressive Disorder (MDD), as per the Diagnostic and Statistical Manual of Mental Disorders (DSM5), applicable to the case study information (Word limit max 60 -80 words and reference)

Timeframe re. presence of signs and symptoms:

Discuss how long the timeframe is and how many symptoms should be present

Note that the first part of the question refers to a textbook definition of depression as per the Diagnostic and Statistical Manual of Mental Disorders (DSM5).

Resource:

Evans, K. Nizette, D. & OBrien, A. (2017). Psychiatric and Mental Health Nursing. Australia: Elsevier Mosby.

https://www-clinicalkey-com-au.tafeqld.idm.oclc.org/nursing/dura/browse/bookChapter/3-s2.0-C20150021554Discussion of five (5) Signs and symptoms Bill presents with:

Application of Knowledge - Discuss five (5) signs and symptoms of a Major Depressive Disorder (MDD), as per the Diagnostic and Statistical Manual of Mental Disorders (DSM5), applicable to the case study information

2. Bills behaviour demonstrates to have a significant impact on his family/friend/neighbours re a person with Mental illness.

2aIdentify four (4) behaviours Bill is showing that impact on his family / friends? (Word limit max 40-60 words)

Refer back to the case study

List 4 negative behaviors that greatly impacts his family and friends

2bBill could feel stigmatised by having a mental illness. Outline three (3) common misconceptions about mental illness which is reinforced by Bills behaviour. (Word limit max 40-60 words and reference)

2 part question

State the myth and refer back to the case study Bills behaviour that reinforces the myth

For example

People with mental illness are violent and dangerous. Bill was verbally abusive and has attacked the medical staff

So a myth is a stigmatising statement that is not true, however, it doesnt help that Bill reinforces this behaviour

Not all patients with mental illness are violent. People who are sick, in pain and frustrated can become violent. Thats the truth. So a myth has a seed of truth but is blown out of proportion to stigmatise or devalue a person who is vulnerable. Just like stereotyping

Resource:

Assessment Resources Stigma PowerpointAssessment Resources- Mental Health Q.6 myths, facts, discrimination and stigma

2c Bill will experience discrimination during his episode of care (hospital and community). Explain. (Word limit max 40-60 words and reference)

Identify at least one setting/environment wherein Bill will experience discrimination

Discuss how he is stigmatised in the setting you have chosen

Resource

See Voices of lived experience in https://www.qmhc.qld.gov.au/sites/default/files/downloads/media_release_report_challenges_stigmatisation_of_people_with_problematic_alcohol_and_drug_use_web.pdf2dFor effective-evidence based practice in mental health nursing use a variety of sources to plan appropriate care delivery to Bill. Explain the importance of the consumer and carer perspective as sources of information when planning evidence based care delivery

(Word limit max 80 100 words and reference)

Why is it important to take into account the clients and carers experience of mental health?

What does knowing the clients and carers experience of mental health add to a nurses ability?

Hint: Connect Topic: Recovery Oriented Practice 2nd Paragraph

2eReferring to the Mental Health Standards of Practice, discuss two (2) ways you as the enrolled nurse, the health team and careers can act to maintain Bills dignity and uniqueness. (Word limit max 60 - 80 words and reference)

The following websites will assist: https://www.health.gov.au/sites/default/files/documents/2021/04/national-standards-for-mental-health-services-2010-and-implementation-guidelines-national-standards-for-mental-health-services-2010.pdfState the selected Standard of Practice (Standard No.) which refer to dignity and uniqueness in mental health care delivery. Choose only one.

State the selected Standard of Practice which refer to dignity and uniqueness in mental health care delivery

Discuss two (2) ways you as the enrolled nurse, the health team and careers can act to maintain Bills dignity and uniqueness

In your own words Discuss two ways to uphold the standard chosen

3.Bill has already demonstrated aggression and continues to be potentially threatening to staff and patients.

3a. Consult the case study information and describe four (4) common triggers which can impact on Bill to present with aggressive behaviour. (Word limit max 60 -80 words and reference)

Explain why each trigger is a trigger for Bill

For example a physical disorder- name that physical disorder.

Format of answer

Bill is experiencing a physical disorder of alcohol withdrawal. Alcohol withdrawal symptoms include aggressive behaviour

Resource: https://www.health.qld.gov.au/__data/assets/pdf_file/0031/444586/aggressive.pdf

3b.Describe six (6) nursing interventions you as an EN may use to deflect triggers or de-escalate a patient who is agitated or aggressive must include at least two (2) communication interventions, two (2) listening skills and two (2) other de-escalation skills. (Word limit max 80 100 words and reference)

You may find information from the following to assist with this question

Clinical key textbook - Evans, K. Nizette, D. & OBrien, A. (2017). Psychiatric and Mental Health Nursing. Australia: Elsevier Mosby

The following websites will assist:

https://www.health.qld.gov.au/__data/assets/pdf_file/0025/665314/qh-gdl-452.pdf3b1 Communication skills (2 skills)

Resource:

Evans, K. Nizette, D. & OBrien, A. (2017). Psychiatric and Mental Health Nursing. Australia: Elsevier Mosby.

https://www-clinicalkey-com-au.tafeqld.idm.oclc.org/nursing/dura/browse/bookChapter/3-s2.0-C20150021554

3b2 Listening skills (2 skills)

Resource:

Evans, K. Nizette, D. & OBrien, A. (2017). Psychiatric and Mental Health Nursing. Australia: Elsevier Mosby.

https://www-clinicalkey-com-au.tafeqld.idm.oclc.org/nursing/dura/browse/bookChapter/3-s2.0-C20150021554

3b3Other de-escalation skills (2 skills)

Resource:

Evans, K. Nizette, D. & OBrien, A. (2017). Psychiatric and Mental Health Nursing. Australia: Elsevier Mosby.

https://www-clinicalkey-com-au.tafeqld.idm.oclc.org/nursing/dura/browse/bookChapter/3-s2.0-C20150021554

3c.To assist you with Bills issues and possible outbursts of aggressive behaviour who can you seek to obtain guidance or support? (Word limit max 40 60 words and reference)

The patient is not aggressive at the moment (Q3c) so security is not required. How can we prevent further aggression in relation to you as an EN seeking guidance to enhance your negotiating and de escalation skills

4.Bill has been prescribed prn Diazepam (Benzodiazepine), PO additionally of his regular dosage of Diazepam 10 mg QID, PO as part of managing his alcohol withdrawal symptoms to prevent severe physical and emotional symptoms of withdrawal. The following websites will assist:

HYPERLINK "https://www.health.qld.gov.au/clinical-practice/guidelines-procedures/medicines/drugs-of-dependence?a=167070" https://www.health.qld.gov.au/clinical-practice/guidelines-procedures/medicines/drugs-of-dependence?a=167070

4a. Identify the assessment tool used to administer the correct dose of prn Diazepam

Resource

Queensland Alcohol and Drug Withdrawal Clinical Practice Guidelines Queensland Health, p. 31

State the name of the assessment tool to determine when to administer a PRN order of Diazepam

4b.Provide health education to Bill regarding the administration of Diazepam

Use:

Identify the drug class diazepam belongs to

Refer back to the case study- Why is Bill prescribed diazepam?

Two (2) contraindications to use diazepam

Resource

https://www.health.qld.gov.au/__data/assets/pdf_file/0026/444419/detox-guidelines.pdfP 32

Explain one (1) commonly used approach:

Resource

https://www.health.qld.gov.au/__data/assets/pdf_file/0026/444419/detox-guidelines.pdfP 32

Section 3.5 Treatment

There are 3 Commonly Used Approach

Pick one and explain

Administration

Route:

What is the drug route prescribed for Bill?

State five (5) Possible Adverse effects Bill could experience using Diazepam

4c Outline four (4) nursing strategies you may use to confirm that Bill understands the use, administration methods and possible effects of this medication (Word limit max 40 60 words and reference)

This is not how you would deliver education but how can you confirm that Bill has understood the message you are trying to convey.

How do you know that your patient has digested and understood the education delivered?

Resource

https://www.pharmacytimes.com/publications/issue/2009/December2009/MedicationSafety-1209

4d. From the answers below choose 3 negotiation skills you as the EN could use if Bill becomes aggressive towards you

Using a calm, gentle soft tone, tactful language and sensitive use of humour towards Bill

Communication and engagement should be intermittent with Bill and ensure long periods of silence are used

Speak clearly and slowly to Bill as Bill may be unable to comprehend information when agitated; you may have to repeat information several times.

Validate Bills concerns where relevant and accepting that concerns are distressing for Bill (even if you may not agree with them)

5. Bill is experiencing oral health issues due to his disorder. From the case study:

Develop two (2) nursing interventions to improve Bills oral health to contribute to care planning with the Registered nurse.

Outline three (3) possible causes for his oral health issues

Resource : Powerpoint Assessment Resources - Oral health

See https://www.dentistryiq.com/dental-hygiene/clinical-hygiene/article/16352136/how-depression-threatens-oral-health-and-other-oralsystemic-links

Poor oral health Nursing interventions with rationale

Education while in acute depressive state may not be very effective. Remember that he is experiencing a major depressive episode and any education you might give him will not be effective as he is not in a state of mind to process information.

Possible causes of poor oral health

Answer causes of poor Oral health applicable to Bill

For example:

Diabetes is incorrect as Bill does not have diabetes

6.Assessments are bound by time and context; that is, when you conduct an assessment, you are looking at the risk factors as they present in the current situation. While you do explore the client's history and background, the main focus of risk assessment is what is happening for the client now. Bill is being admitted in a secured mental health ward due to being placed on an involuntary Treatment Authority (TA) under the Mental Health Act 2016 (Qld). Remember assessment is dynamic.

You as the EN are on Duty the afternoon that Bill is admitted to the mental health facility, you would be working with a RN. Using the information from the case study you are to complete the following risk assessment tool, the RN will review your answers once you have completed it

(In this instance the RN will verify the marking of this paper)

Categories of risk identified

Please tick/choose from the following Categories of Risk

Absconding

Malnutrition

Neglect (self)

Victimisation

Self Harm

Risk of Violence

Suicide

Detail any historical information that may indicate the potential for risk ( for example previous history or risk behaviours / threats )

Provide a rationale for each category of risk selected

What environment factors may contribute to risk ( for example, access to drugs alcohol, access to weapons)

The above question relates to environmental factors in hospitals. Are there any environment factors in hospitals that might potentially be a weapon? If yes please identify the items

Identify how a patient can access alcohol in hospital

Is there any current evidence to suggest planned intent to engage in risk related behaviours

Please identify the history of behaviours that would suggest planned intent.

Hint: has he acted on the intent to kill himself? Verbalised an intent?

Are there any risk factors that indicate preferred staff allocation( for example danger to women, intimidation to men, need for 2 workers)

How many workers are needed at all times with Bill? Should there be a need for male workers instead of female workers? -Hint previous domestic violence history.

What strengths and opportunities can you identify, from the consumer and /or services as resources to support this plan

Identify what services in hospital can you organise the patient to see with his issues of malnutrition, dental, financial and social issues and depressive disorder

State specifically the identified risk

Select from below:

Suicide risk

Self-harm risk

Violence risk

7.Contemporary mental health services are based on the recovery-orientated approach. The Australian National Framework for Recovery-oriented Mental Health Services: Policy and Theory identifies five practice domains and capabilities. The following website link will assist:

http://www.health.gov.au/internet/main/publishing.nsf/content/67D17065514CF8E8CA257C1D00017A90/$File/recovgde.pdf

7a.List the five (5) practice domains and capabilities in relation to recovery-orientated practice and service delivery

See:

https://www1.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-n-recovpol-toc~mental-pubs-n-recovpol-9

2 parts to the question List 5 Domains and each corresponding capabilities

7b.Select one (1) of the practice domains and explain how you could use the information when assisting with planning Bills nursing care (Word limit max 40 - 60 words and reference)

Select one of the domain that you have answered and in your own words how would you utilise the domain in your practice?

7c.Identify four (4) key recovery principles that will assist the interdisciplinary team and yourself in planning care for Bill to maximise his health outcomes. (Tick the correct answers)

Enable Bill to be in and connected to communities

Plan outcomes so that Bill feels like he is doing something worthwhile

Outlining to Bill that recovery is a cure

Plan ways for Bill to regain belief in oneself

Planning strategies for Bill to be aware of the principles of recovery and that it is an attitude, a way of approaching day-to-day challenges and being in control

Enabling Bill to understand that recovery has an endpoint and will solve his problems

Bill has remained in the mental health care facility for 4 days and there is now talk of possible discharge. A case management meeting has been arranged to discuss a plan for moving forward

8.As the EN on duty you will participate in the case meeting for Bill, complete the following questions

You may find information from the following to assist with this question

Clinical key textbook - Evans, K. Nizette, D. & OBrien, A. (2017). Psychiatric and Mental Health Nursing. Australia: Elsevier Mosby

http://www.health.gov.au/internet/main/publishing.nsf/content/mbsprimarycare-caseconf-factsheet.htm8a.State which five (5) members of the multidisciplinary team would possibly attend and why (Word limit 60 - 80 words and reference)

Members attending the case meeting Why?

Multidisciplinary team is agroupof health care professionals from diverse fields who work in a coordinated fashion toward a common goal for the patient.

Bill or Bills sister cannot be a part of the multidisciplinary team.

Resource:

Evans, K. Nizette, D. & OBrien, A. (2017). Psychiatric and Mental Health Nursing. Australia: Elsevier Mosby.

https://www-clinicalkey-com-au.tafeqld.idm.oclc.org/nursing/dura/browse/bookChapter/3-s2.0-C201500215548bReview Bills case study and name two (2) possible community based service providers that the Multidisciplinary team members could include in the case meeting, as selected by Bill when he is discharged. Explain your role as an Enrolled nurse to liaise with these services and how can they help Bill towards recovery (Word limit max 30 - 60 words per provider and reference)

The following websites will assist: https://insight-prod.s3.ap-southeast-2.amazonaws.com/public/guidelines/1511827744_QH%20DD%20Clinician%20Tool%20Kit.pdf8b1Provide an example of one (1) community service provider which Bill might select to assist him when he is discharged. Explain how this service can help to support Bills recovery.

8b2Provide an example of one (1) community service provider that facilitates recovery in a group based environment, which Bill might select to assist him when he is discharged. Explain how this service can help to support Bills recovery.

Provide 1 community group and how they can help Bill recover in a group environment

8b3Explain the role of the Enrolled Nurse in liaising with service providers. Consider reporting relationships and enrolled nurse scope of practice in your response. Select the standard no. and indicator and explain the role of the Enrolled Nurse in liaising with service providers.

Select standard no and indicator. State the text within

Hint: Keywords Liase

Reference: Nursing and Midwifery Board of Australia (2016). Enrolled Nurses Standards for Practice.

8c What would your role as the EN be in this case meeting? Outline at least three (3) possible roles (Word limit max 60 - 80 words and reference)

The following websites will assist:

https://www1.health.gov.au/internet/main/publishing.nsf/Content/mbsprimarycare-caseconf-factsheet.htmHINT: See Case conferencing process

8dOn discharge, Bills mental health care will predominantly be provided within a community-based

setting. According to the aims of community-based service delivery, how could Bill be supported that will help him to build on his own strengths and to take as much responsibility as possible for decisions that affects his life when integrating back into the community? (Word limit max 60 - 80 words and reference)

Discuss the following concepts:

Recovery as a personal journey

Recovery informed practice

Focus on personal strengths

Resource:

Evans, K. Nizette, D. & OBrien, A. (2017). Psychiatric and Mental Health Nursing. Australia: Elsevier Mosby.

https://www-clinicalkey-com-au.tafeqld.idm.oclc.org/nursing/dura/browse/bookChapter/3-s2.0-C20150021554