Conditions relating to mental state and behaviour

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Reference no: EM133915065

Jason, a 37-year-old Caucasian male with multiple past mental health hospitalisations, was admitted 4 days ago in your ward, under the provisional diagnosis of depression, suicidal ideation and alcohol abuse.

Jason lives with his de facto partner, who is currently in the waiting lounge.

After high school, Jason was on and off drug and alcohol rehabilitation programs. The couple are currently living on government grants. Past social history indicates possible sexual abuse. Jason currently denies suicidal ideation but has had past attempts using knives; details regarding these attempts are unclear. He denies any legal history of criminal behaviours.

Jason who has a diagnosis of schizoaffective disorder has a history of alcohol dependence and this intensified after his friend recently died. Also, Jason's father died last year on his birthday, due to prostate cancer. Jason himself was diagnosed with a lymphoma in 2010, and underwent a biopsy of axillary lymph nodes. He says it has now resolved but he states this is contributory to his increasing depression and SI. He admits to increased drinking of 'amount 6 beers a day and some vodka'. He reports having blackouts. He denies any change in weight or appetite. He reports his concentration is poor, sleep is decreased. He reports his mood as depressed and he says he feels overwhelmed. Jason self admitted to the ED because of feeling unsafe, but upon admission to the unit, he

denies that he had suicidal tendencies. He also denies symptoms of psychosis, although he appears preoccupied and guarded during the interview. He appears to have some thought blocking, but when questioned, reports, he is 'trying to concentrate'. No history of withdrawal seizures present. Patient has been admitted for substance abuse numerous times, at several locations.

Jason appears older than the stated age of 37. He is heavy set with fair grooming. Mild psychomotor retardation noted. Maintains eye contact, though at times is staring intently and seem preoccupied. Concentration is poor. Mood is reported as depressed and anxious. Affect is odd, anxious and constricted in range. Speech halting at times. Thought process significant for thought blocking. Denies any visual or auditory hallucinations. No delusions elicited. He currently denies suicidal ideation or homicidal ideation. Judgment and insight are fair. Based on the assessment outcome, in collaboration with the registered nurse (RN), interdisciplinary health care team, Jason and his partner, you develop a nursing care plan for Jason's recovery. After being treated for 1 month, Jason recovers well. he doctor and RN inform you that Jason can discharge from the hospital and use community services for further treatment.

Questions

1. Identify two conditions relating to the mental state and behaviour of Jason, and their associated broad classifications of mental illness and terms.

2. Identify four signs and symptoms of Jason's mental heath conditions you identified in question 01.

3. How should you as EN respond to Jason's signs and symptoms of mental health conditions within your scope of practice? State at least ten (10) strategies that you can use.

4. Identify at least two biopsychosocial effects from Jason's history that may have contributed to his mental illness.

5. How will you negotiate with Jason to calm him down? State two measures you will use?

Reference no: EM133915065

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