Implement and monitor care for a person with mental health conditions
Please note that TAFE NSW is required to retain copies of all completed assessments, where practical, for a minimum period of three (3) years (or in accordance with regulatory/licencing requirements) after the completion of a learner’s studies. Refer to procedure to determine the retention period required.
Assessment Instructions
This is assessment event number 1 of 2 assessment events for this unit
Type of Assessment
Assessment 1 – Simulated clinical placement with short answer questions
Instructions for Written Assessment and stress management plan
1. Students are required to answer questions related to caring for clients with mental health conditions. It is suggested that you visit the websites referenced in the student assessment guide to assist you to answer the questions
2.References – Use the APA style for referencing
3.Write your name on each page of this assessment task
4.ALWAYS keep a copy of your work
5.Assignments are to be submitted by the due date
Submission instructions
Fill in the assessment cover sheet with signed declaration and submit with your completed assessment task
Submit assessment with the following file naming convention Surname.Firstname_Group_HLTENN009_dd/mm/yyyy
What do I need to do to achieve a satisfactory result?
All questions and reflections must be completed correctly to be deemed competent for this unit
Due date/time allowed
As per Assessment Timetable
Assessment feedback, review or appeals
Feedback must be provided to you no later than 10 days after all assessment activities have been conducted.
If you want a review of your results or if you have any concerns about your results, you can contact the teacher/assessor or your Head Teacher.
You have three weeks from the date you receive your results in which to make an appeal and/or request a review.
You should receive a response within 10 days of the receipt of the request.
Teachers and their Head Teacher will address any appeal in accordance.
ASSESSMENT COVER SHEET
Qualification:
Diploma Nursing
Assessment Date/Submission date:
STUDENT DECLARATION:
This assignment is my original work and no part of it has been copied from any other source except where due acknowledgement is made.
No part of this assignment has been written for me by any other person except where such collaboration has been authorised by the assessor concerned.
I understand that plagiarism in the presentation of the work, idea or creation of another person as though it is your own. Plagiarism occurs when the origin of the material used is not appropriately cited. No part of this assignment is plagiarised.
Student Name:
Student ID:
Student Signature:
Date:
Assessment Outcome:
For UOC being assessed by multiple assessment activities, each activity will be reported as Satisfactory or Not Satisfactory
[Satisfactory] [Not Satisfactory] [Resubmission]
For UOC being assessed for the final result it will be reported as AC (Competent) or NC (Not yet competent)
[Competent] [Not Yet Competent] [Resubmission]
Assessor Name/ Signature:
Date:
-10160016319500
ASSIGNMENT EXTENSION REQUEST:
A request must be made in writing to the head teacher prior to the assignment due date of submission with reasonable explanations concerning delay. If granted the late submission is limited to a maximum of one (1) week from the original submission date. No assignment will be accepted after the seven (7) day period. Non-submission of the assignment on the due date will result in failure of that unit.
-10160023622000
FEEDBACK:
ASSESSMENT TASK 1 – Simulated Mental Health client care setting
Identify a client that meets the criteria for a Mental Health Related Illness from either your Simulated Mental Health client care setting or the workplace and answer the questions as applicable to your selected Case-Scenario or your client.
☐ Satisfactory ☐ Not Satisfactory
Identify Psychological aspects relevant to Mental health:
Ans. The Psychological aspects noticed in client are low self-esteem, irregular life, anxiety, depression, rage and loneliness. No control on life. She is also facing negative emotions and feelings. Also, she fears rejection and cares about the approval of other people.
☐ Satisfactory ☐ Not Satisfactory
2.Identify Cognitive aspects relevant to Mental Health
Ans. Thinking negative things about their body, food, weight. Overthinking about the body image. The patient wants to look perfect and she is not happy with her body. Catastrophizes that her weight is uncontrollable. She also labels that some of the foods make her gain more weight. She also hates herself for having no self-control. She thinks that everything she faces, is her fault and somehow, her mother is also involved. The cognitive aspects of the patient are labelling, Accusing, personalizing and unfavourable comparisons.
☒ Satisfactory ☐ Not Satisfactory
3.Identify how the staff will manage challenging behaviours including recognising triggers and deflecting them, using active listening and observation skills, ensuring effective communication and seeking expert assistance
Ans. The eating patterns of the patient are observed. Moreover, also examine the number of time patient eliminates and also watched the sleeping pattern of the client. In addition, dietary restraint practices and exercise habits were also found out by asking the patient. Kept the behaviour calm and maintained quality relationship with the patient. Used different strategies to gain the trust and confidence of the patient. Moreover, the mood and feelings of the client were also assessed. Tried to clarify the misconception of the patient about herself. Emphasise on the importance of food and maintained the behavioural bond. Educated the patient about the disease and encouraged the client to learn more about the disorder. Tried to assess if there are any chances of suicidal thoughts or self-harm thoughts.
☐ Satisfactory ☐ Not Satisfactory
Describe common behaviours associated with the relevant mental health conditions, and the effect of behaviours on the person and others:
Ans. There are adverse physical and mental risks that are linked to eating disorder that is observed in the patient. It causes feelings of guiltiness, dishonour, lack of self-control and inaccurate body image. It further causes depression and anxiety in the patient. These behaviour cause mood swings and gloomy thoughts in a person. Also decreases the self-esteem of the person and he or she gets isolated. As a result, a person can cause harm to him or herself or other person. It can cause miscarriage or premature birth of pregnant patients. It can also cause other birth abnormalities in pregnant clients. In case of major problem, the behaviour of the patient can be as severe as death, suicidal thoughts and self-harm. There are chances of life threatening behaviour in patient.
☐ Satisfactory ☐ Not Satisfactory
Discuss the principles of recovery in the mental health context:
national framework for recovery-orientated mental health services (Australian Government):
principles of recovery-oriented practice
evidence-based practice in the context of recovery
Ans: The Australian Government has designed a national framework for the recovery of the mental health patients from mental illnesses. This framework contains several approaches to deal several mental health issues faced by the people. The document contains recovery-oriented mental health practices based on a thorough research. Different rehabilitation and other services are defined under the framework to deal with the people who are experiencing the mental health problems. It has a wide range of consultation processes throughout Australia. It includes online surveys, written assignments and consultative platforms.
The recovery-oriented practice ensures that mental health care identifies and holds the opportunities for recovery and wellbeing of people who are facing mental health problems. Moreover, it increases the process of self-determination and management of the problem. Also, assists families in understanding the problems and chances take place from family history.
Using the less-expensive practices in therapy that help individuals in recovering from an illness by get special training or using the tools that were experienced before.
☐ Satisfactory ☐ Not Satisfactory
Describe the consumer and carer perspectives relevant and specific to Mental Health care:
Ans: According to the standard, the practitioners and service givers engage the consumers, carers and other responsible community members in preparation, provision, development, assessing and evaluation of services. The responsible professional should provide support and training wherever required. The active participation of interest groups and the patients would improve the efficiency of the health services. The involvement of clients and cares in treatment and care, evaluation, education and policy formulation can help to control the rate of mental illnesses in the country.
☐ Satisfactory ☐ Not Satisfactory
Highlight the effects of stigma attached to the Mental Health condition:
Ans: Some of the effects of stigma related to eating disorder can be hesitant to seek help or get the treatment. Moreover, the family members even unable to understand the patient. The work or social related opportunities decrease for the person. In addition, the patient can face harassment or physical violence. Social pressures can make the person feel bad him or herself.
☐ Satisfactory ☐ Not Satisfactory
Elaborate on the associated discrimination the client may be subjected to due to the Mental Health condition:
Ans: There are many examples from the society that people show negative attitude towards people who are having eating disorders. Body shamming is very common among the patients of Bulimia Nervosa. People underestimate the severity of mental health diseases. There are myths and incorrect information about the eating disorders or any other mental illness.
☐ Satisfactory ☐ Not Satisfactory
Identify the key features of the mental health legislation pertaining to your selected client with Mental Health condition:
Key features of legislation
Objectives
To recognize and support the people with Mental disorders and help them deal with illness.
Involuntary Admission
There is a strict criterion under the legislation against the admission of the patient without his or her will. However, the client in the case study herself wants to get rid of the illness.
Consumer Rights
The consumer rights of the patient are ensured as per the law and her information is kept confidential.
Involuntary Review Processes
The patient will be reviewed for involuntary admission or involuntary treatment and the facility will be extended or ended according to the patient’s will.
Seclusion And Restraint
It is the last option in order to deal with the patient. However, it is not required in this case.
Admission Procedures
It is ensured that the patient is admitted to the hospital with using any restrictive measures.
Community Treatment Orders
The CTO will be suggested to the patient after she leaves the facility. It will ensure that she receives appropriate treatment through CTO.
Role Of The Mental Health Practitioner
Implement the rules and laws, standards, codes and policies that are related to their role in a way that help people who are facing mental issues.
Consent
Consent is obtained from the patient for all the treatment she receives as per the legislation
Confidentiality
It also ensures the confidentiality of the patient and strictly follows the confidentiality policies mentioned under mental health legislation.
☐ Satisfactory ☐ Not Satisfactory
10. Elaborate on the appropriate response to a person in distress or crisis including:
applying appropriate communication skills with the person
identifying possible causal factors and addressing where possible
enlisting support and assistance
Ans: When a person with disorder is communicating, he or she is giving a message and also conveying emotions. Therefore, it is very important to listen to the patient more carefully to understand his or her feelings in order to build a trusting relationship. Open questions are asked to help the patient to feel comfortable. Repeat her words to show her that she is valued.
There are different factors of Bulimia Nervosa that vary from biological, behavioural to social factors. However, some of the factors that can be controlled are the external influence or social pressure. Another factor is related to Adolescent onset. When kids hit adolescent due to some internal changes, they face eating disorders.
An effective therapy will help the patient to recover in this case. Moreover, the client is given full support. Family therapy is also helpful for her. Moreover, holistic weight management treatment facility will also work for the patient.
☒ Satisfactory ☐ Not Satisfactory
11. Identify strategies for managing oral health issues and possible causes such as the side effects of medication, poor nutrition and reduced motivation for self-care.
Ans: Eating disorders sometimes cause dental erosion due to vomiting. In this case, the client needs to know about the worth of good oral health. An individual should maintain the good dental habits. Encourage the client to brush her teeth at night before going to bed. Recommend her to visit a dentist. Also, educate about a healthier lifestyle. Making the client more comfortable with the available dental care.
End of Questions
A national framework for recovery-oriented mental health services. (2019). A national framework for recovery-oriented mental health services. Health.gov.au. Retrieved 1 April 2019, from http://www.health.gov.au/internet/main/publishing.nsf/content/67d17065514cf8e8ca257c1d00017a90/$file/recovgde.pdf
Standard 3. Consumer and carer participation. (2019). Department of Health.Health.gov.au. Retrieved 1 April 2019, from http://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-nongov-toc~mental-pubs-i-nongov-st3
ASSESSMENT TASK 2 – Short answer questions
Complete table below to include behaviours of mental health condition, treatment and nursing management.
☐ Satisfactory ☐ Not Satisfactory
Mental Health Condition
Behaviours
Treatment
Nursing Management
Mood disorders
Feeling Helplessness, Depressed mood
Trouble in sleeping
Daytime sleepiness, poor appetite and low energy, Low self-esteem
Antidepressants and anti-anxiety Medications
Psychotherapy,
Educating patients
Identify the possibility of risks caused by client to self or other
Ensure the safety and protection of the patient
Obtain history from the patient
Encourage the client to share his or her feelings and emotions
Personality disorders
Mood Swings, Anger, Anxiety, Suicidal thoughts, Self-harm, unable to control their emotions, spontaneous behaviour
Talking Therapy with a therapist, Medication by anti-depressants like selective serotonin
Interactions with the patient
Providing a safe and secure environment
Create a written contract with the patient
Maintain a Therapeutic Relationship with the client
Anxiety disorders
Feeling anxious, restless
Sweating, Trembling, Feeling weak or tired, Disturbed sleeps, Gastrointestinal problems
Cognitive Therapy
Behaviour Therapy
Develop a relationship with the client based on empathy and trust
Promote an understanding about the features of the disorder
Stimulate effective strategies and positive health behaviours
Psychosis
Hallucinations, Unreal Beliefs, Disorganization of speech and behaviour, Chaotic thinking and Catatonia
Antipsychotic Medication,
Cognitive Therapies and Behavioural Therapies
Listen to their stories, Build Trust, Respect and alliance
Administer the medication
Organic disorders
Confusion, nervousness, behavioural changes, weakened brain function, difficulty in concentrating for longer time period
Rehabilitation Therapy, Medication
Focusing the underlying causes
Sustaining behavioural Control
Avoiding complications
Supporting functional needs
Patient History
Panic disorder
Trembling, Chest Pain, Feeling Dizzy, Traumatic feelings, Fear of Dying,
Psychotherapy and medication like Selective Serotonin Reuptake Inhibitors, Benzodiazepines
Assess the patient’s anxiety level
Maintain a calm environment
Remain with the patient all the time
Social phobia and specific phobias
Feeling overwhelming anxiety or fear, Fear of losing control, Feeling an extreme need to escape, Difficulty in breathing, Fear of social situations, Negative thoughts
Cognitive Behavioural Therapy, Treatment of specific phobia, Anti-anxiety medications
Complete the patient profile
Asses the patient if he or she is using forecast, movement, repression and redirection
Acknowledge the patient needs
Obsessive-compulsive disorder
Fear of uncleanness or dirt, Aggressive thoughts, Unwanted Thoughts like sexual or religious subjects, Intense stress caused by mess
Therapy and Medication
Control the environmental stimuli for the patient
Manage the patients’ daily and weekly schedule functions
Show compassion for the patient
Post-traumatic stress disorder
Upsetting memories or dreams, emotional distress, Negative thoughts about yourself, hopelessness, Memory problems, detached feelings, Lack of interest
Cognitive Behavioural Therapy, Exposure Therapy,
Acceptance and Commitment Therapy
Eye movement desensitization and reprocessing
Help the patient to ease his or her mind
Explain patients about the trauma and its effects on the brain
Assist the clients to relax and manage anger through different techniques
Psychotherapy, Medications that include anti-depressants and help in changing mood
Assess the patient
Monitor the clinical progress
Enhance treatment conformity
Encourage social change for the patient
Educate the patient and his or her family
Bipolar disorder
Lack of judgement , Feeling underwired, boredom, missing work or school, extreme sadness, insomnia, lack of interest in pleasure activities, fatigue
Drug Treatment , therapies like Interpersonal and social rhythm therapy, Electroconvulsive therapy sometimes
Psycho-education. Revert prevention, physical care, evidence-based care
Monitor the patients
Eating disorder
Chronic dieting regardless of under-weight, weight Fluctuations, Food and Calories Obsession, Depression , switching between eating too much and starving
Medical Care and monitoring
Proper Nutrition for the Patient
Therapies like psychotherapy
Medications to control mood or anxiety symptoms
An Assessment of the patient
A detailed examination of the patient
A proper nutritional rehabilitation for the patient
Schizophrenia
Delusions and Hallucinations, Lack of motivation, dull emotions, social extraction
Psychological Counselling, Medications like Olanzapine and Quetiapine
Assessment of the patient with the disease,
Therapeutic Relationship with the client
Promoting growth and prevention of the disease
Involvement of family of the client
Dementia
Memory Loss, Facing difficulty with common tasks, Communication Problems, Confusion , Problems with thinking and misplacing things, mood changes
Medication
Keep the environment pleasing and calm
Maintain physical safety for the patient
Monitor medication for the patient
Give more freedom to the patient
Delirium
Seeing different thing that do not exist, Restlessness, feeling withdrawn especially the old age adults, apathy
Supportive care to the patient and medications
Ensure the safety of the patient
Assess the mental status of the patient
Physical assessment
Evaluate the emotional changes
Question 2. Complete the table below to include definitions of key mental health terms. ☐ Satisfactory ☐ Not Satisfactory
Key Mental Health Terms
Definition
Involuntary admission
When a person is admitted to a mental health unit without his or her will is involuntarily admission.
Consumer rights
All the consumer rights are the rights of the involuntary patients that include information about legal services, advocacy, privacy, safety and protection.
Involuntary review processes
It is the legal reviewing process of involuntary patients who are given restricted involuntary treatment. Under the Mental Health Review, these patients are reviewed if they want to get discharged from the involuntary process.
Seclusion and restraint
It is the last option of intervention that is used in mental health when all other options are failed to maintain the safety of a person who is experiencing mental health issues.
Admission procedures
It is the proper procedure of admitting in hospital when a person wants to receive treatment in hospital and agrees to admit.
Community treatment orders
Community treatment orders are the supervised treatments that are provided to the mental health patients out of the hospital and clinicians arrange it for their patients.
Role of the mental health practitioner
It includes all the actions performed by a healthcare professional in order to treat all the patients with mental health problems.
Consent
The Mental Health Law requires a legal agreement provided by the patient or patient’s family on behalf of the patient for the treatment.
Confidentiality
It is the right of a mental health patients that their personal information should be safeguarded and protected. It is under the law that their personal information must not be disclosed without the consent of the patient.
