URBN2024 Nursing Practice 4: Mental Health Nursing Case study

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ASSIGNMENT DETAILS:

• Referencing Styles : APA
• Words: 3250
• Course Code: NURBN2024
• Course Title: mental health nursing
• University: Federation University

QUESTION:

Case Scenario

A teenage boy named Jacob (14) comes into the clinic where you work and tells you that he is being bullied at school, he states that he hates the kids there and his life. He explains that his mum and dad are divorced and he does not see or speak to them and he is currently living with his grandma permanently. You notice that he is coughing a lot whilst in the room and when you ask him about this, he tells you that it has been getting worse. You ask him if there has been anything that may have contributed to this such as a cold or asthma, and he tells you that he hasn’t wanted to ask his grandma to buy his asthma medication as she doesn’t have much money. . He further explains that he doesn’t want to go to school and feels guilty for being a burden on his grandma.

You have conducted the following mental state assessment:

Appearance– clean and tidy, hair tidy and clean, wearing school uniform

Behavior– strained conversation, poor eye contact, fidgeting, uncomfortable with interview

Speech– normal rate, speed and volume

Mood– feels guilty, unhappy, often sad, feels numb

Affect– congruent with mood

Thought form– no formal thought disorder

Thought content– feels a burden on grandma, no evidence of self harm thoughts

Perception– no perceptual disturbance

Cognition– oriented to place and time, memory intact

Insight– intact

Judgement– intact

Instructions:

You are working as a nurse at your local community health clinic

Today, a patient comes to see you with a problem that requires your knowledge and assistance to help resolve.

This problem is contained in the case study you will be randomly allocated & is provided in Week 1 of Semester 2

You are required to research  and develop a patient centered, holistic care plan and provide nursing advice required to support your patient in the community

You will need to consider the mental health problem your patient presents with, any physical problems and any social problems with the patient – they are often linked .

The information you have been given in the case study allows you to assume you will conduct comprehensive assessments – simply state which assessments you would do and why?