watch the interview provided in the Case study video below titled “Psychiatric interviews for teaching: Psychosis – Schizophrenia” to complete a mental health assessment and intervention report. In your report ensure to:
• Refer to the diagnostic criteria as listed in the DSM-5 (American Psychiatric Association, 2013) to validate your decision that the client has a psychiatric disorder.
• Support your report by providing evidence from the case study video.
• Provide evidence that you have thought about the mental health nursing practice by examining your thinking about your decisions, observations and recommendations.
•
Case study video
view the case study video and during the video make notes on the items listed for Parts A, B and C below:
Part A: History 20 Part B: Mental state examination 20 Part C: Care Plan 20
Reason for referral
History of presenting problem
Past psychiatric/mental health history
Medical history
Family history
Personal history
Occupation history
Forensic history
Drug and alcohol history
Current treatments
Current functioning and supports
Parental status and/or carer responsibilities
Details of dependents
Appearance
Behaviour
Affect
Mood
Speech
Thought form
Thought content
Perception
Cognition/intellectual functioning
Insight and Judgement
Risk assessment
Formulation
Provisional diagnoses
Need for referral
1. Medical intervention
(Clinical issue/ goal)
2. Psychosocial intervention
(Clinical issue/ goal)
3. Nursing intervention
(Clinical issue/goal)
