Assessment Questions Question 1(Interventions should be within the scope of practice of a nurse not like CBT, which involve intervention of other health professionals.)
Read the following case study and answer the questions below.
Sandy is a 42-year-old female who is
being treated in an adult
inpatient unit on a Treatment Authority under the Mental Health Act 2016
Qld. She was brought into hospital by Police after she was found in Queen
Street Mall – she was shouting the “government is spying on me and reading my
mind” and appeared
to be distressed and afraid,
running aimlessly and often looking behind. She appeared gaunt and disheveled, her
hair was matted and dirty, as were
her hands and feet.
When the Police approached Sandy, she was challenging to engage, not re-directable, spoke of bizarre,
illogical content that was difficult to follow, and looking all around herself
with a startled expression. She also appeared to be suspicious about hospital staff
being “government agents” stating “don’t take me back there, that’s
where they want me”. Sandy told Police she did not want to go to hospital as
she feared the nurses would poison her and be able to “read my thoughts”. The
Police made the decision to place Sandy under an Emergency Examination Authority (EEA) under the Public
Health Act 2005 Qld and transferred Sandy to the nearest Authorised
Mental Health Service for further assessment.
Background information: Sandy has a diagnosis of Schizophrenia, which was
diagnosed when she was 19 years old. Sandy moved out of her parent’s home when
she was 20 years old and has since been living in shared accommodation. Sandy is currently homeless
as she was evicted from this shared unit as she did not pay rent. Sandy has in
the past worked in manufacturing warehouses, however ceased this after becoming
unwell. She has been unemployed for the past two years and receives a
Disability Support Pension. Sandy has had multiple admissions for the care of
her illness (the last one was 1.5 years ago). She has been prescribed depot (long-acting
injection) anti-psychotic medication however, did not present for her last depot and has disengaged
with her case manager for over three months. Sandy’s parents try to remain in
contact (they also live in Brisbane). However, this is hard as she does not have a phone.
Sandy’s grandfather also
had schizophrenia and committed suicide aged 50 years.
You meet Sandy for the first time following her admission to
the inpatient mental health unit yesterday. You introduce yourself to her and
take her to a quiet place to have a conversation. She appears distressed and confused
and tells you she does not
know why she is in hospital, saying: “there is nothing wrong with me, it
is the government spying on me, reading my mind and the nurses trying to poison
me”. She is not aggressive
towards you however she
is not happy to be in hospital. She tells you she has not slept well or eaten for a few days
as she is “worried about what the government agents will do next”. She appears underweight and very
thin.
Question 1a. Identify and describe what symptoms of paranoia
Sandy is demonstrating. [Approximate- 150 words] 3 marks
Question 1 b. Identify a nursing priority problem for Sandy
and briefly justify your choice. Describe a related nursing intervention to
address this priority problem, drawing on peer-reviewed evidence. [Approximate
-200 words] 5 marks
Question 1c. Identify and explain your assessment of Sandy’s
insight into her illness (refer to the MSE component). Discuss how Sandy’s
insight into her illness is relevant to her Treatment Authority under the
Mental Health Act 2016 Qld. [Approximate -200 words] 4 marks
Question 2
Read the following case study and answer the questions below.
Aliah is 28-year-old female who was brought into the
psychiatric emergency department by her husband yesterday, after he experienced
concerns about her safety and wellbeing. Background: Aliah was born in Syria
and came to Australia as a refugee six years ago with her husband Khalid.
Aliah’s background is traumatic, and she witnessed both her parents’ death in
Syria when she was young. She has no siblings. She has been married to her
husband Khalid for the past eight years. They have no children. Aliah has been
attending University to become a teacher however has deferred this semester as
she feels low and unable to concentrate on her studies. Aliah has two close
friends but has not seen them for the past three months. She is not linked with
any local services in thecommunity. Aliah has suffered from depression since
the loss of her parents ten years ago. She has also been diagnosed with Post-Traumatic Stress Disorder
(PTSD), and she experiences distressing flashbacks of her parents’ death. She attempted suicide by
overdose some years ago which led to a short medical admission and an admission
to an acute psychiatric unit, for stabilisation of her mental state and
mitigation of risk. When Aliah feels low, her sleep is often limited to 5-6 hours per night and her appetite is poor. She has
been taking anti-depressant
medications for the past five years and Khalid states her GP also referred
her to a psychologist who specialises in trauma. She has attended several
sessions but stopped going about three months ago, after the 10th anniversary
of her parent’s death. Khalid tells staff on admission that she “does not talk
to him much anymore” (relationship was good until three months ago). He is
concerned about her risk for suicide and suspects she may not be taking her
anti- depressant medication. Aliah does not drink or smoke and is otherwise in good
health. Aliah has a medical
history of scoliosis, experiencing chronic pain and as a result has
developed a dependence on
codeine to manage her pain. You meet Aliah in her room the morning after
her admission the previous day. She presents as withdrawn, her replies are
limited, and she looks at the floor as you speak. When you ask whether she
feels safe to assess her suicide risk she looks down and says, “what is the
point anyway, Khalid will be better off without me, he can meet someone else
and be happy”. She is unable to confirm her safety on the ward. She confirms
she has not taken her medication for four months and says she feels low “all the time”.
Question 2a. Identify and describe what PTSD symptoms Aliah is
demonstrating. [Approximate - 150 words] 3 marks
Question 2b. Identify and describe the nurse role in
providing care and safety to a person such as Aliah, who is an inpatient
experiencing suicidal ideation. [Approximate – 200 words] 4 marks
Question 2c. Discuss two multi-disciplinary interventions
(non- pharmacological) for Aliah and briefly discuss how they align to the
person-centered care model. [Approximate-200 words].4 marks
NSB204 Assessment task 3
Question 3
Refer to the video https://youtu.be/vHfv1-FEayY
Assessment 3
Watch the video on ‘Harm minimisation’, in Australia
Question 3a. In your own words define the term ‘harm
minimisation approach’. [Approximate 100 words.] 2 marks
Question 3b. Identify one strategy implemented in Australia
to address ‘harm minimisation’, within the context of alcohol or drug
addiction. [Approximate 100 words.] 2 marks
Question 3c. Discuss the rationale of this strategy and
evaluate the effectiveness of its implementation in Australia, drawing on
academic current peer-reviewed sources. [Approximate 200 words] 4 marks
·
All response sources should be appropriately acknowledged and
referenced using an author/ date approach (APA). No reference = no marks •
Referencing o Use APA7 referencing for citing academic literature
·
Include
the page number in the in-text citation that indicates the actual page in your
source where you located the evidence to support your key point. Failure to do
this will attract a reduced grade for referencing. Eg. (Smith, 2020, p.15)
Note: markers will be checking
references to see that you have accurately represented the source. Inaccurate
citations or falsifying your references is academic misconduct and will be
reported.
·
Minimum
14 peer-reviewed academic articles other than the textbook.
·
Don’t
use non-academic articles, hospital websites
·
Responses
to questions one, two and three clearly identified
·
Reference list in APA7 style at the end of
your assignment
·
Assessment
should not be plagiarised. An introduction and conclusion are not required.
Directly answer to the questions
Academic Writing
Consistently adheres to a
high level of academic writing standards. Correct terminology and professional
language Skilful use of language that conveys meaning with clarity and fluency.
No errors in tense, spelling, punctuation, or grammar
Referencing
All aspects of APA
referencing are technically correct in the reference list and in-text
referencing. High level of academic sources used Minimum of total 14
peer-reviewed journals accessed in addition to other sources to support work.
The total word count is
1500.
Deadline 14 October 2022