NSB204 Mental Health Self and Others


Assessment Task 3

 Assessment name:

Case-based analysis with questions relating to clinical practice
Task description: This assessment requires you to answer a series of questions related to clinical cases provided (below), integrating relevant and contemporary literature to support your responses.
What you need to do: ·       Refer to the questions below and prepareresponses.

·       Clearly identify each of your questionresponses.

·       Do not re-type the questions as this will inflate thesimilarity percentage match withTurnitin

·       All responses should integrate evidence as support using QUT APA in-text referencing with specific page number. A reference list needs to be provided at the end of your document. As a guide a minimum 10 current relevant and credible references should beused.

·       Follow the word limit provided for each questionresponse.

·       Read the Criterion Reference Assessment for this task. This will help you to understand what is required of you and how this assignment will begraded.

·       You do not require an introduction or conclusion.

·       Please carefully edit your work to keep within the wordlimit.

Length: Total 1600 words, +/-10% (word length includes in-text referencing and

excludes your reference list).

Estimated time to complete task: 30 hours
Weighting: 30%
How will I be assessed: 7-point grading scale using a rubric
Presentation requirements: This assessment task 3 requirements are:

·       Clearly label your responses with the questionnumber.

·       Include a ‘footer’ on each page with your name, studentnumber,

unit code and page number.

·       3 cm margins on all sides, double-spacedtext

·       Use font, such as Times New Roman, Arial or Calibri; font size12

·       QUT CiteWrite APA stylereferencing


·       Be submitted in word doc electronic format viaTurnitin.

·       All three questions need to be addressed in onedocument.

Learning outcomes assessed: 1.     Apply principles of cultural safety and reflect on self to articulate the role of self in person-centred mental health care and therapeutic use ofself.

2.     Demonstrate and apply knowledge of the challenges and factors that can compromise mental health for ourselvesand others in order to promote positive mental health and wellbeing.

3.     Describe key mental health issues and work with consumers and carers to address needs and promote recovery acrossthe care continuum applying the RecoveryModel.

What you need to submit: One (1) word document that containsyour responses to assessment questions and reference list.
Resources needed to complete task: ·       Week 1-5 readings, and weekly online modules (week 6 to 12), lectures and tutorials on the NSB204 Black boardsite.

·       Cite|Write APAguide.

·       Turnitin TipSheets.

·       If you would like support with skills in studying, understanding assessment tasks, academic writing, communication or taking exams, visit the Study page on the HiQ website to access support as well as self-help resources.


Academic Integrity

The School of Nursing takes academic integrity very seriously. All work submitted must be your own work and work not previously submitted for other study. The work of others needs to be correctly acknowledged and referenced according to the CiteWrite APAguidelines.


There are serious consequences that will be imposed should you be found to breach academic integrity. Make sure you are familiar with the MOPP C/5.3 Academic Integrityand view the Academic Integrity video and explore the Academic Case Studies available on your Blackboard site.


Maintaining academic integrity is your responsibility. If in doubt, check it carefully.

Assessment Questions Question 1

Read the following case study and answer the questions below.

Michael is a 46-year-old man who is being treated in an adult inpatient unit. He was brought into hospital by Police after he was found in Queen St Mall – he was shouting the “bikies are out to get me” and appeared to be distressed and afraid, running aimlessly and often looking behind. He was not wearing shoes, and his only clothing was a towel wrapped around his lower body. He appeared gauntand very disheveled, his hair was matted and dirty, as were his hands and feet. There were multiple cuts to his hands, some of them deep. When the Police approached Michael, he was challenging to engage, not re-directable, speaking out of turn, intrusive and looking all around him with a startled expression. He also appeared to be paranoid about hospital staff being “undercover bikies”. He told Police he did not want to go to hospital as he feared the nurses would poison him and be able to “read his thoughts”. He very reluctantly agreed to attend hospital for assessment.

Background information: Michael has a diagnosis of Paranoid Schizophrenia, which was diagnosed when he was 19 years old. Michael finished year 12 although found it very challenging to maintain concentration and often lacked motivation to engage with study, his family, and his peers. He started using cannabis to “sleep and relax” and has been using this ever since.Michaelmovedoutofhisparent’shomewhenhewas20years old andhasbeenliving in shared accommodation. Michael is currently homeless as he was evicted from his shared unit as he did not pay his rent. Michael has in the past worked as a labourer in construction, however ceased this after becoming unwell. He has been unemployed for the past two years and receives a Disability SupportPension (DSP).

Michaelhashadmultipleadmissionsforthecareofhisillness(thelastonewas1.5yearsago). He has been prescribed depo anti-psychotic medication and did not present for his last depo and has disengaged with his case manager.

Michael’sparentstrytoremainincontact(theyalsoliveinBrisbane).However,thisishardas he does not have a phone. Michael has a younger brother, and they see each other when MichaelgoeshomeforafewdaysatChristmas.Michael’sgrandfatheralsohadschizophrenia and committed suicide aged50 years.

Michael had a long-term partner however she died of an overdose five years ago. They had no children.

YoumeetMichaelforthefirsttime followinghisadmission yesterday.Youintroduceyourself to him and take him to a quiet place to have a conversation. He appears confused and tells you he does not know why he is in hospital, saying: “there is nothing wrong with me, it is all the bikies’ and the nurses, you are all out to get me”. He is not aggressive towards you however he is not happy to be in hospital. He tells you he has not slept well or eaten for a few days as he is “worried about the bikies’ finding him”. He appearsunder the weight and very thin. His cuts have been cleaned andbandaged.

Question 1a. Identify and describe what symptoms of paranoid Michael is demonstrating.
[Approximate- 150 words}

Question 1 b. Identify and justify two immediate priorities for Michael’s nursing care
(priorities should benon-pharmacological).[Approximate –200 words].

Question 1c. Describe thenursing interventions required to address each of the above
priorities, drawing on peer-reviewed evidence. [Approximate – 200 words].

Question 1d. Argue why it is important to consider ‘insight’ (refer to the MSE component of insight) in Michaels’ treatment and recovery planning. [Approximate -200 words].

Question 2

Read the following case study and answer the questions below.

Aliah is28-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:AliahwasborninSyriaandcametoAustraliaasarefugeesixyearsagowithher husband Khalid. Aliah’s background is traumatic, and she witnessed both her parent’s death inSyriawhenshewasyoung.Shehasnosiblings.ShehasbeenmarriedtoherhusbandKhalid forthepasteightyears.Theyhavenochildren.AliahhasbeenattendingUniversitytobecome a teacher however has deferred the present 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 transcultural 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 flashbackstoherparent’sdeath.Sheattemptedsuicidebyoverdosesomeyearsago(thisled toashortmedicaladmissionandanadmissiontoanacutepsychiatricunit,forstabilisationof 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 ant-depressant medications for the past six 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 thatshe“doesnottalktohimmuchanymore”(relationshipwasgooduntilthreemonthsago). He is concerned about her risk for suicide and suspects she may not be taking her anti- depressantmedication.

Aliah does not drink or smoke and is otherwise in good health.

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 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.

Sheconfirmsshehasnottakenhermedicationforfourmonthsandsaysshefeelslow“allthe time”.

Question 2a. Identify and describe what PTSD symptoms Aliah is demonstrating. [Approximate- 150 words]

Question 2b. Identifyand describe two nursing interventions you would use in addressing
acute suicide risk [Approximate -200 words].
Question 2c. Discuss and justify two possible multi-disciplinary interventions or referrals (interventions should be non- pharmacological) for Aliah. In your answer identify why each intervention or referral is important to achieve person centered care? [Approximate
-200 words].

Question 3 

Refer to the video in NSB204 Blackboard site, Assessment 3 tab.

Watch the video on ‘Harm minimisation’, in Australia

Question 3a. Define the term‘harm minimisation approach’.

Question 3b. Identify one strategy implemented in Australia to address ‘harm minimisation’, with alcohol or drug addiction.

 Question 3c. Discuss if this strategy has been effective drawing on academic current peer reviewed sources.