How to conduct a mental health assessment nursing essay assignment sample paper
YMH Boston Vignette 4 Video
In this film, 16-year-old Shawn has come to an outpatient clinic for a mental health assessment as his mother thinks he needs to be seen. The appointment appears not to be his idea and he is not happy to be at the clinic. how to conduct a mental health assessment nursing essay assignment sample paper.
Positive Elements
- The practitioner informed the patient about confidentiality, which is a vital aspect for professionals when providing any kind of care to patients (APA, 2013).
- The practitioner was engaging and questioned patient about school, his favorite subjects and
- The provider seeks the patient’s view about the problems he is having.
- how to conduct a mental health assessment nursing essay assignment sample paper
- The provider uses humor to empathize with the patient’s frustration with his mother, and gets a positive response from the patient.
- The provider articulates for the patient the patient’s need to be listened to and not feel pressured into disclosing his feelings.
- The provider re–engages the patient by asking him about his own views. This is respectful of the patient as it communicates that the provider believes that the patient has his own thoughts and feelings worth finding out about. The patient responds by becoming more verbal and making better eye contact.
- how to conduct a mental health assessment nursing essay assignment sample paper
- The provider asks about other people in the patient’s life (developing rapport) and finds out that he is more comfortable relating to his girlfriend and his coach. The patient shows more warmth and becomes more genuine when talking about other relationships.
- The provider formulates that the patient is appreciative when people listen to him rather than pressure him. The patient affirms this both verbally and in body language, and he and the provider go on to have a more comfortable conversation.
Negative Elements
- The practitioner’s body language when meeting the client was not therapeutic, he did not introduce himself, did not make the client feel comfortable as client seemed restless and made a clumsy attempt to empathize with the patient. It is not received well.
- The practitioner did not act professionally, his attitude (brushing of shoulders) sitting with one foot onto of the other, he also expressed irritation with the patient through an edgy tone of voice and a challenging statement about his mother having a reason for his being there and appeared to feed into negativity which might alienate the client.
- how to conduct a mental health assessment nursing essay assignment sample paper
- Obviously, client is upset with his mother but practitioner does not elicit strategies for the patient to communicate with his mother in a more effective manner.
- When the patient says his mother thinks he has an “anger management” problem, the provider challenges him, saying that his mother must have a reason for thinking this. The provider’s tone of voice and facial expressions indicate that he is having some negative feelings about this patient. This alienates the patient, who withdraws.
- Shawn appeared angry and disintegrated during the initial interaction with the practitioner. The practitioner asks why he has come to the clinic, and he responds that it was his mother’s idea. The practitioner tries to empathize about the patient’s lack of understanding about the reason for the visit, but this attempt is not well received. The provider then states that he would like to get to know the patient– a friendly gesture.
- how to conduct a mental health assessment nursing essay assignment sample paper
Compelling Concerns
The practitioner questioned client about school, client speaks negatively about school and continues to have an angry demeanor, but begins to talk more. Client stated he does not like it when his mother “keeps nagging him” to talk about his feelings. The practitioner should see this as a developmental issue as well as a family issue, as adolescent boys do not generally want to talk to their mothers about their feelings (Sadock, Sadock & Ruiz, 2014). The provider should also recognize that the client is saying that talking about his feelings is hard for him and he feels angry when he is pushed to try. Client is in the stage of middle adolescence where he is pursuing his goals of being independent and not let his mother make decisions for him. Additionally, adolescences underestimation of risks mixed with their drive to be autonomous frequently cause some conflicts with parental requests and expectations (Sadock, Sadock & Ruiz, 2014). The provider reflects and normalizes the patient’s aversion to talking to his mother in a humorous way. This resonates with the patient and helps him become more connected. He indicates this with agreement and a laugh. how to conduct a mental health assessment nursing essay assignment sample paper.
Next Question and Why
Once the practitioner developed rapport with the client, client appeared to open up and informed practitioner of what works for him and proceeded to talking about the positive relationship he has with his coach and girlfriend thus practitioner appears to develop therapeutic alliance with the client which will establish a trusting relationship when providing care (Wheeler, 2014). My next question would be to question if client is having any suicidal thoughts, assaultive behavior, psychotic symptoms, substance use and knowledge of safe sexual practice along with sexual history. This is because once rapport has been established, many adolescents appreciate the opportunity to tell their side of the story and may reveal things that they have not disclosed to anyone else (Sadock, Sadock & Ruiz, 2014). how to conduct a mental health assessment nursing essay assignment sample paper.
References
American Psychological Association. (2013). Ethical principles of psychologists and code of conduct. American Psychologist, 57, 1060–1073.
Sadock, B.J., Sadock, V.A & Ruiz P. (2014). Kaplan and Sadock synopsis of psychiatry: Behavioral science/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. how to conduct a mental health assessment nursing essay assignment sample paper.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. How to conduct a mental health assessment nursing essay assignment sample paper.