Discuss three (3) essential skills the nurse will use in the mental state examination. His work clothes are slightly soiled and
he is wearing black boots. He mostly gazes downward towards his feet,
making eye contact sporadically with staff.
Dylan Walz has been bought to the mental health unit for assessment.
He is accompanied by a work colleague. Dylan presents as a tall, slim
man, who looks his stated age. His hair is short and it is evident that he
has not shaved for several days. His work clothes are slightly soiled and
he is wearing black boots. He mostly gazes downward towards his feet,
making eye contact sporadically with staff.
Documents:
1. The following information is from the letter that was sent to the Mental
Health Unit by the GP.
Dear Doctor,
Thank you for seeing 26 year old Dylan Walz. Dylan has been to see me
on several occasions this past two months requesting a sick certificate
for time off work because he has not been able to sleep. He says that he
is not able to sleep because of noises in the ceiling. He says sometimes
the noises are like scratching and other times he hears muffled voices.
He has not wanted to use medication to assist with sleep. I have noted a
slight weight loss but can find no organic cause. He reports that he is
concerned by poisons that might be in the food and prefers to eat
canned food. At his last visit I noted his mood was euthymic and affect
blunted.
He denies illegal drug use and reports he doesn’t drink alcohol. He says
he likes his job at Coles and feels they are the only people he can trust.
Regards,
Dr Jean General Practitioner.
Question 1 ( 200 words)
Discuss three (3) essential skills the nurse will use in the mental state
examination. You must include the reasons why these skills are
essential and provide an example of the behaviour, question or
statement you would use in the interview with Dylan.
Here is an example:
1. Suitable introduction and explanation of the purpose of the interview.
It is critical that the nurse establish rapport and introducing yourself is
one way in which to begin to establish rapport and also set boundaries
related to the nurses’ role. (Elder, Evans & Nizette, 2013).
Example statement
Hello Dylan. Thank you for attending the appointment today. My name is
Lilly Deng and I am one of the nurses who work here in the Mental
Health Assessment Unit. I would like to ask you some questions about…
Question 2 (200 words)
Describe the purpose of this mental health assessment for Dylan?
Question 3 (600 words)
For each of the components of the Mental State Examination listed
below, write a question or statement you would use to investigate each
component. Include any evidence from the case study to support your
work.
Here is an example
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