Order Description please answer all questions. please use the queenland mental health acts website to answer the questions and well as any other sources. please refer to the patient in the case study to answer all questions.Student Name Student Number Unit Code/s & Name/s HLTEN510B Implement and monitor nursing care for consumers with mental health conditions Assessment Type Case Study Assignment Project Other (specify) Assessment Name Assessment Task No. 1 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 Instructions to Student General Instructions: The aim of this assessment is to demonstrate an understanding of the signs and symptoms of the mental health disorder presented You must apply the case study material to the assignment answers This is a case study assessment so please refer to the client in your answers Use the appropriate (Mental Health) terminology Your answers may be given under each question as a heading if you wish but please ensure you reference your answers Use in text referencing and provide a reference listALL questions must be attemptedInformation / Materials provided: As aboveAssessment 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: See marking guide as attachedNumber of Attempts: You will receive up to two (2) attempts at this assessment task. Should your 1st attempt be unsatisfactory (U), your teacher will provide feedback and discuss the relevant sections / questions with you and will arrange a due date for the submission of your 2nd attempt. If your 2nd submission is unsatisfactory (U), or you fail to submit a 2nd attempt, you will receive an overall unsatisfactory result for this assessment task. Only one re-assessment attempt may be granted for each assessment task, with the exception of Apprentices or Trainees who are permitted an additional supplementary assessment. For more information, refer to the Student Rules.Submission details Insert your details on page 1 and sign the Student Declaration. Include this template with your submission.Due date TBA by your teacher Mode of submission will be advised by your teacherAssessment to be submitted via: Hard copy with comoleted assessment cover sheet attached (face to face) TAFE Queensland Learning Management System: Connect url: https://connect.tafeqld.edu.au/d2l/login Username; 10 digit student number For Password: Reset password go to https://passwordreset.tafeqld.edu.au/default.aspx>Instructions for the Assessor

Note to Student An overview of all Assessment Tasks relevant to this unit is located in the Unit Study Guide. Scenario: Bill is a 45 year old man, 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, currently unemployed due to recent loss of his drivers license for Driving Under the Influence. He is seen in the Emergency Dept 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 towards nursing staff who are trying to persuade him to stay and be treated. Security is called and physically restrain Bill when he lashed out at them and the nurses. Following further assessment Bill is placed on an Involuntary Treatment Order under the Mental Health Act. By this time he appears physically exhausted, sobbing and stating that he wants to die. Questions: 1. List six signs and symptoms of a Major Depressive Disorder (MDD).2. What are the criteria (not the process or assessment) listed under the Mental Health Act Qld (2000) to detain Bill as an Involuntary patient ?3. What are your nursing interventions to maintain this patients safety and activities of daily living (ADLs) ?4. Would Bill suffer any discrimination in the Emergency Dept? If so, explain why?5. Bill has been assessed as High Risk for suicide. What assessment tool/s would you complete to assess for this specific risk ?6. What do you understand by the term Therapeutic Alliance? Why is this important in Mental Health care and our care of Bill? Plus what is the meaning of reflection?7. While caring for Bill we relate our practice to nursing theory. Which nursing theorist is most relevant to mental health nursing?8. Describe / list six nursing interventions you could put in place for a suicidal patient.9. Bill has already demonstrated aggression and continues to be potentially assaultive I. Name / list four common triggers of aggressive behavior. II. Name / list five nursing interventions to de-escalate a patient.10. You have a medication order for Bill directing you to give Diazepam 5 to10mgs orally if the Alcohol Withdrawal Scale (AWS) score is 5 or above. List the reasons why we give Diazepam for alcohol withdrawal?11. You are required to conduct a Mental State Assessment (MSA) on Bill. What are the nine elements of the MSA? (Pls apply the case study material (for Bill) to your MSA.12. Mental Health workers are recommended to have Clinical Supervision. What does this involve?13. Bill is to be discharged to live in a granny flat at his sisters property. Before discharge a Mental Health Support Plan (MHSP) is drawn up by the treatment team and he has met with a Case Manager from the Community Mental health Team. What are the aims of the MHSP?14. Mental Health Services in the community are based on the Recovery model. List and describe the four elements of the Recovery Model15. Bill could be troubled by stigma attached to having mental illness. What are three common misconceptions about mental illness?16. Mental health clients often have government and non-government agencies involved in their support in the community. Name six, three from each area.17. Being made an Involuntary patient and detained against your will can be seen as a disempowerment of the client by the MH system. How could mental health services empower a client?18. What are some of the cultural / ethnic factors that need to be considered when caring for a patient with mental illness ?19. List some of the patho-physiology thought to be associated with the causes of mental illness (Biological / Genetic / Psychosocial) ?20. Name the policy / guidelines that would need to be considered in regards to Bills Privacy and Confidentiality issues when he is in hospital?Assessment criteria / benchmarksThe evidence submitted demonstrates that the student satisfactorily: Attempt 1 Attempt 2 S U S U 1. Introduction 0 0 0 0 2. Presentation logical/sequence 0 0 0 0 3. Evidence of appropriate research 0 0 0 0 4. At least six signs and symptoms of major depressive episode are listed 0 0 0 0 5. The criteria to detain Bill as an Involuntary patient under the Mental Health Act 2000 is discussed 0 0 0 0 6. The nursing interventions to maintain this patients physical health is discussed 0 0 0 0 7. The student discusses if discrimination by staff in Emergency would occur and why this is so 0 0 0 0 8. Policies and procedures for a client with high risk level for suicide are discussed 0 0 0 0 9. The student discusses the term therapeutic alliance and why it is important in the care of Bill 0 0 0 0 10. The student discusses which nursing theory is most relevant to mental health nursing and the meaning of reflection 0 0 0 0 11. Six nursing interventions for the suicidal patient are discussed 0 0 0 0 12. Four common triggers of aggressive behavior and five nursing interventions for an escalating patient are named 0 0 0 0 13. The rationale for giving Diazepam for alcohol withdrawl is discussed 0 0 0 0 14. The elements of the MSE that would relate to Bill are discussed 0 0 0 0 15. The meaning of clinical supervision is discussed 0 0 0 0 16. The aims of the MHSP is discussed 0 0 0 0 17. A description of the 4 main elements of the Recovery Model is given 0 0 0 0 18. Three common misconceptions about mental illness is given 0 0 0 0 19. Three government and non-government agencies involved in support in the community are named 0 0 0 0 20. How mental health services can empower a client is discussed 0 0 0 0 21. Cultural and ethnic issues are discussed in relation to mental health care 0 0 0 0 22. Use of correct mental health terminology. 0 0 0 0 23. Identify the required polices, procedures and guidelines required in maintaining privacy and confidentiality. 0 0 0 0 24. List of pathophysiology thought to be associated with mental illness are listed. 0 0 0 0 25. Referencing list and in text referencing is evident 0 0 0 0