identify a high-priority and urgent mental health risk from the case study, and provide two relevant interventions.

Nursing mental health

Order Description

• Words limit of 2000 words
• Using current literature minimum 10 with no more than 5 years of the current date
• Refer to marking criteria and standards for mark allocation for each question
• This guided essay does not require a standard essay introduction or conclusion
• Organise the answers in order of questions; by referring to the question number in the answer

Answering to question 1 to 5
1. Depression and suicide are significant areas of concern in Australia.
a). investigate and outline the incidence of BOTH depression AND suicide in Australia. Ensure to address depression and suicide separately.
b). using relevant literature,
? identify and critically discuss one community group which is at risk of depression and
? one different community group which is considered at risk of suicide (for example: a particular age; social; employment or cultural group) ensure your answer
demonstrates why these groups are thought to be at risk.
Using current literature and one of the scenarios A or B provided, answer the following questions:
2. Critically discuss 2 factors that may have contributed to the development of the client’s mental health concerns and risks.
3. Ethical and legal considerations in health care can generate in-depth discussions from different perspectives within a professional health care team. The case study
presents areas of risk regarding harm to self and others. Use literature and case study to define and discuss the ethical principles of beneficence and non-maleficence
and aspects of the mental health ACT 2007, which are relevant to the areas of risk in the case study.
4. Identify a high priority and urgent mental health risk from the case study, and provide two relevant interventions. Explain the rationale and possible impact on the
client for both interventions drawing on relevant literature. (Note: the interventions should be something that you as a nurse would undertake directly with your
client. A referral to another service or health provider is not considered a suitable intervention for your work).
5. Identify a mental health problem/need or concern from the case study, and provide two relevant interventions. Explain the rationale and possible impact on the
client for both interventions drawing on relevant literature. (Note: the interventions should be something that you as a nurse would undertake directly with your
client. A referral to another service or health provider is not considered a suitable intervention for your work).

Marking criteria
Question 1: investigate AND outline the incidence of depression AND suicide in Australia. Ensure to address depression and suicide separately. Using relevant
literature, identify and critically discuss TWO specific risks groups/community groups, for depression and suicide.

High distinction: Incidence of depression and suicide for different risks groups/community groups is CRITICALLY DISCUSSED with integration of details from high-quality
literature.

Question 2: critically discuss factors that may have contributed to the development of the client’s presentation, mental health concerns, and risks. Ensure you
highlight at least 2 factors.
High distinction: Integrates multiple high-quality literature sources to critically discuss each factor from the case study.

Question 3: use literature and the case study to define and discuss the ethical principles of beneficence and non-maleficence, and aspects of the Metal Health Act 2007
which are relevant to the areas of risk in the case study.
High distinction: critically discuss the balance between the ethical principles of beneficence and non-maleficence. Critically discusses the possible impacts of
implementing the Act in the case study, integrating multiple high-quality sources.

Question 4: identify a high-priority and urgent mental health risk from the case study, and provide two relevant interventions. Explain the rationale and possible
impact on the client for both interventions drawing on the relevant literature.
High distinction: critically discusses multiple aspects of a high-priority and urgent mental health risk from the case study. Provide two interventions that are
strongly supported by rationales in high-quality and relevant literature. Impact on the client discusses through reference to multiple high-quality literature sources.

Question 5: identify a mental health need/concern from the case study, and provide two relevant interventions. Explain the rationale and possible impact on the client
for both interventions drawing on relevant literature.
High distinction: critically discussed multiple aspects of a mental health need/concern from the case study. Provide two interventions that are strongly supported by
rationales in high-quality and relevant literature. Impact on the client discussed through reference to multiple high-quality literature sources.

Scenario: you are a nurse undertaking home visit to meet with Elizabeth, Craig, and Zoë. This is their first home visit from your services. During your discussions
with the family, you obtain the following information.
Elizabeth is a 21 year old female. She is living with her partner, Craig, 22 year old. They have been in a relationship for 18 months, living together for the past
four months. They are currently renting accommodation. The rental company made contract with Elizabeth several days ago, stating that the house owners may terminate
their rental agreement in two months as they want to return to live there themselves. Elizabeth and Craig have a two week old baby, Zoe. This is their first baby.
Elizabeth and baby Zoe arrived home one week ago. They were both in hospital for seven days after delivery, as Elizabeth had high blood pressure and baby Zoe was
having some breathing difficulties.
Elizabeth is currently on maternity leave form her full time administrator job. She was off work for one month prior to the baby’s birth due to her increasing blood
pressure. She reports she is finding the isolation difficult while off maternity leave from work. Craig got a new truck driving job during the last month of her
pregnancy which has contributed to Elizabeth’s feelings of isolation. While his income is much improved, it does mean Craig is away from home overnight at least two
nights every week. Prior to her pregnancy, Craig and Elizabeth’s had a very active social life. They would visit the pub with friends most weekends and had travelled
internationally for two holidays. Elizabeth was very anxious during her pregnancy. She has been acutely aware that her own mother experienced anxiety and depression
during her first pregnancy, which requires anti-depressant medications and mental health in-patient care after suicidal behaviours. Her mum continued to experience
depression for 12 months after the birth of her first baby. Elizabeth is worried that this may happen to her. Elizabeth has felt low in mood and increasingly anxious
since she was 7 months pregnant. She feels she has not been able to bond with the Zoe since she was born. She was breast feeding in hospital, but since coming home
Elizabeth reports ‘it hasn’t been a success’. Elizabeth didn’t like feeling the baby was so attached to her. Since returning home from hospital, Elizabeth has started
to bottle feed the baby. Craig is helping to feed the baby during the baby during the day when he is not at work while Elizabeth does most of the night feeds.
Since arriving home from the hospital, Elizabeth has become increasingly low in mood; lacking in energy and expressing feelings of hopelessness for the future. She
feels like a failure as she was initially very keen to breast feed Zoe. Feeding times reinforce her feelings of failure. During the past 48 hours, she has expressed a
wish to die and to leave Zoe in the care of others who can look after her better. Elizabeth informed you that she walked to the yesterday to buy more baby milk
formula. She also brought a packet of painkillers, with the intention to overdose.