NURS1132 Mental Health Nursing Proof Reading Services

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Mental state examination

General appearance	The patient appeared to be silent, irritated, not interested in the session. He appeared to be excited about the onset of questioning.
Behaviour	The patient’s organizational behaviour appeared to be silent and dreamy. His behaviour appeared to be absurd as he went on to answer questions. While initially he answered the questions patiently, later became aggressive.
Speech	The speech of the patient was rather dreamy and absurd in nature. He spoke in a delusional manner which reflected his mood swings.
Mood and Affect	The patient’s mood appeared to be highly fluctuating as he answered to the questions in the interview. His mood reflected remote connection to reality. He sometimes reflected violence and conviction to his belief.
Thought process	The though process of the patient appeared to be paranoid and delusional. He had unclear understanding of reality.
Thought content	Thought content of the patient was connected to him being invisible and possessing special powers. He has engulfed in paranoiac thoughts that appeared totally psychotic in nature.
Perception	The perception of the patient reflects distorted mental orientation. His perception appeared highly confused, psychotic and derision.
Cognition	Report by the patient’s mother reflects his incapability in cognitive capabilities. His decline in cognitive capabilities is seen from deteriorating school performance, inability to speak appropriately, perform ordinary human functions.
Judgment	The patient seemed to have lack of judgemental capability as is understood from his speech. He lacks capability to link or draw connection between discussions or make a logical conclusion.
Insight	The patient did not reflect any capability to depict insight regarding his personality. His delusional and unrealistic speech made at the interview was the proof.

SYMPTOM	INTERVENTION
Delusion and mood swings	Providing companionship to help develop sense of reality and remove delusion(Kyaga, Lichtenstein, Boman, Hultman, Långström & Landen, 2011). Prevention of drug abuse through psychological counselling and mentoring.
Feeling sad and detached	Providing assistantship and company to remove the feeling of loneliness. Guiding through sessions to develop a sense of belonging(Clelland, Gould & Parker, 2007).
Anger to violence and paranoia	Aiding in developing social interactions and removing isolation(Corrigan, Druss & Perlick, 2014). Engaging patient in self-care and engaging in activities.

Nursing Report

The findings related to the patient has been documented by making use of ISBARtool. Identification of patient is done earlier and his name is Harry, 18 year old school boy. While I am conducting interview as a nurse for planning appropriate intervention techniques(Pirkis, Burgess, Hardy, Harris, Slade & Johnston, 2010). The situation in which the interview is conducted as Harry was caught and brought by the Police at an Emergency Mental Examination. It was urgent as he was found standing in middle of the road amidst cars in semi-naked condition. Background examination revealed, the patient Harry depicted use of drugs and was in a delusional mental state.

He had blurred psychotic and cognitive capabilities. Assessment from the interview it was found that he had no understanding of reality and showed anger, sadness with confused behaviours. It can be understood that Harry was suffering from a state of paranoia. Evidence based nursing reflects deteriorated mental health status from the assessment form and considerable mental health risk possessed by the patient. His behaviours were not expected from a youth of 18 years and his behaviours reflected self-harming nature. As he was caught from middle of the road as he tried to stand in middle of the road amidst speedy cars. Further he had no control over his emotional Intelligence as he thought that everyone was trying to harm him. From prolonged drug or other substance abuse he had lost connection with reality(Zhang & Jääskeläinen, 2014). Moreover, as he was not in taking any food he lacked in nutrition tremendously, he also agreed to having lost weight in recent period. Such loss in nutrition in the body can lead to mental disabilities and continuing status of the same in case he does not resume in taking food. He lacked proper sleep during the night, which was not normal as his brain functions could become delusional easily from lack of sleep.

He needed a normal routine and guidance through which he could resume a normal life and gain back his control of reality. The interview revealed that he had no social connection and suffered loneliness. He had enclosed himself and made up his own world, which makes him a patient of delusional disorder. He made up a world where an imagery agency was sending across to him passwords and directing him things to do. He made up imaginary stories for his own brother as well, and viewed him as his enemy. He planned aggression towards anyone, who would stop him from doing his acts(Kakuma, Minas, van Ginneken, Dal Poz, Desiraju, Morris, Saxena & Scheffler, 2011). Post evaluation of the situation, I want to request appropriate nursing intervention and medical intervention be conducted on Harry. Harry needs mental and health care for recovering from his current situation. He needs counselling, guidance with appropriate health treatment.

References

1. Clelland, N., Gould, T., & Parker, E. (2007). Searching for evidence: what works in Indigenous mental health promotion?. Health promotion Journal of Australia, 18(3), 208-216.
2. Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37-70.
3. Kakuma, R., Minas, H., van Ginneken, N., Dal Poz, M. R., Desiraju, K., Morris, J. E., Saxena, S. & Scheffler, R. M. (2011). Human resources for mental health care: current situation and strategies for action. The Lancet, 378(9803), 1654-1663.
4. Kyaga, S., Lichtenstein, P., Boman, M., Hultman, C., Långström, N., & Landen, M. (2011). Creativity and mental disorder: family study of 300 000 people with severe mental disorder. The British Journal of Psychiatry, 199(5), 373-379.
5. Pirkis, J., Burgess, P., Hardy, J., Harris, M., Slade, T., & Johnston, A. (2010). Who cares? A profile of people who care for relatives with a mental disorder. Australian and New Zealand Journal of Psychiatry, 44(10), 929-937.
6. Zhang, D., & Jääskeläinen, J. (2014). Critical Events and Mental Health.