Complex Nursing Practice
Unit Learning Outcome assessed:
Use clinical knowledge and skills to conduct a comprehensive mental health and physical health assessment and plan care for a person with complex health-related issue in a clinical environment.
For this assessment you are require to watch the video of a case study provided and address the following sections:
Introduction:
Write an introduction to the case study and state the focus of your assignment (2 Marks). Part 1: 1a) Using information from the video, describe Bernadette’s mental state by completing the following components of Mental State Examination (MSE) (10 Marks).

1. a) Appearance
2. b) Mood and affect
3. c) Thought content
4. d) Cognition
5. e) Insight and judgement

Present your MSE section using the subheadings stated above. Please note that you must validate any specialised terminology you use. For example: The person (use the person’s name) was agitated, as evidenced by appearing to be tense and easily irritated. DO NOT discuss background information in the MSE section. An MSE is a snapshot of occurrences at the time of the interview. The way the person is presented; the information they gave during the interview; the clinician’s interpretation of the MSE constructs at the time of assessment. Remember most of the MSE constructs such as affect, mood etc. are dynamic and can rapidly change, that’s why the MSE should be a snapshot of what happened or how the person is presented in the interview. *Please note: This question relates to a mental health assessment interview and therefore in-text citations should only be from the video clip. Other external references are not required.
1b) Define bipolar affective disorders and describe any three symptoms that were displayed by Bernadette in the case video (4 Marks)
1c) Identify three actual and/or potential risks associated with Bernadette’s mental state (6 marks)
1d) Formulate a nursing care plan to support Bernadette achieve her mental health recovery. This care plan needs to reflect your level of knowledge and understand about the care of a person under the Mental Health Act 2014 (5 Marks)
Part 2:
2a) Using the information from the video, identify the actual and potential physical health issues that is associated with Bernadette. Provide a rationale for each of the physical health issue you have identified (10 marks)
2b) List the nursing interventions that you would use to conduct a comprehensive physical health assessment of Bernadette. Provide a rationale each of your choice of intervention (8 Marks)
2c) Define metabolic syndrome and identify and discuss any three health promotion strategies that you would use to support Bernadette achieve a better physical health (7 Marks)
Summary and conclusion
Provide a summary of the key findings from your case study. In other words, effectively summarise the main points of your assignment. It is not necessary to support the conclusion with references as these are your own inferences or interpretations of the key aspects of your assignment (2 marks)
Formatting and Presentation (6 marks)

• Academic writing is expected. Language should be appropriate for a beginning practitioner. To do this ensure your responses are clear, nursing/medical terminology should be used where appropriate
• Use APA 7th referencing
• Use 1.5 line spacing for entire report
• Times New Roman 12 (or equivalent)
• Allow margins of 2.5 cm at top, bottom and sides of page
• Please use headings to aid the flow of ideas, headings should be bold font

 

Marking Rubric
	Fail 0	More information required 0.5	Satisfactory 1	Above average 1.5	Excellent 2
Introduction (2 marks)	The content minimally introduced the case study. The introduction also lacks focus and/or is incomplete.	There is little evidence of introduction to the case study and focus of the assignment. There is also low level of supporting detail or contains irrelevant information	The introduction to the case study and focus of assignment are mostly accurate and complete but lacks specific details	The introduction to the case study and focus of assignment are clear and accurate. More evidence is needed to demonstrate knowledge breadth and depth of the case study and focus of assignment.	The entire introduction to the case study and focus of assignment are clearly and highly accurate and consistent. The content demonstrates knowledge breadth and depth of the case study and focus of assignment.
	Fail 2	More information required 4	Satisfactory 6	Above average 8	Excellent 10
1a. Mental state examination (10 marks)	The content minimally addresses the question. It is also unclear and demonstrates no knowledge or understanding of mental state examination.	The description of the mental state examination is poor. The content demonstrates a low level of knowledge or understanding of mental state examination. There is also low level of supporting detail.	The mental state examination is mostly accurate and complete. The content demonstrates a developing level of understanding of the illness. There is adequate level of supporting detail.	The mental state examination is clear and accurate. The content is written with a logical progression of ideas and supporting information. The information is well researched. The content demonstrates knowledge and understanding mental state examination. There is also appropriate level of supporting detail.	The entire mental state examination is well researched, clear, highly accurate and consistent. The content demonstrates knowledge breadth and depth and understanding of mental state examination. The standard is excellent to exceptional
	Fail 0	More information required 1	Satisfactory 2	Above average 3	Excellent 4
1b. Bipolar affective disorder (4 marks)	The definition and symptoms are mostly inaccurate. It is also unclear and demonstrates low level of knowledge or understanding of the health promotion strategies.	The content is mostly vague. It also demonstrates a low level of knowledge or understanding of the definition and symptoms. There is little evidence of discussion and supporting detail.	The definition and symptoms are mostly accurate and complete. The content demonstrates a developing understanding of the definition and symptoms. There is adequate evidence of discussion and supporting detail. The content demonstrates satisfactory level of knowledge or understanding of the definition and symptoms.	The definition and symptoms are clear and accurate. The content is written with a logical progression of ideas and supporting information. The information is well analysed. The content demonstrates knowledge and understanding of the definition and symptoms. Appropriate level of supporting detail is present.	The entire definition and symptoms are well researched, clear, highly accurate and consistent. The content demonstrates knowledge breadth and depth and understanding of the topics. The content displays critical thinking of definition and symptoms. The standard is excellent to exceptional.
	Fail 2	More information required 3	Satisfactory 4	Above average 5	Excellent 6
1c. Risk assessment (6 marks)	The risks are mostly inaccurately and incomplete. It is also unclear and demonstrates low level of knowledge or understanding of the topic.	The risks are mostly vague. The content demonstrates a low level of knowledge or understanding of the topic. There is little evidence of discussion and low level of supporting detail.	The risks are mostly accurate and complete. The content demonstrates a developing level of understanding of the topic. There is adequate evidence of discussion and supporting detail. The content demonstrates satisfactory level of knowledge or understanding of the topic.	The risks are clear and accurate. The content is written with a logical progression of ideas and supporting information. The information is well analysed. The content demonstrates knowledge and understanding of the topic. Appropriate level of supporting detail is present.	The risks are well researched, clear, highly accurate and consistent. The content demonstrates knowledge breadth and depth and understanding of the topic. The content displays critical thinking of the evidences. The standard is excellent to exceptional.
	Fail 1	More information required 2	Satisfactory 3	Above average 4	Excellent 5
1d. Mental health care plan (5 marks)	The care plan is mostly inaccurately and incomplete. It is also unclear and demonstrates low level of knowledge or understanding of the topic.	The care plan is mostly vague. The content demonstrates a low level of knowledge or understanding of the topic. There is little evidence of discussion and low level of supporting detail.	The care plan is mostly accurate and complete. The content demonstrates a developing level of understanding of the topic. There is adequate evidence of discussion and supporting detail. The content demonstrates satisfactory level of knowledge or understanding of the topic	The care plan is clear and accurate. The content is written with a logical progression of ideas and supporting information. The information is well analysed. The content demonstrates knowledge and understanding of the topic. Appropriate level of supporting detail is present.	The care plan is well researched, clear, highly accurate and consistent. The content demonstrates knowledge breadth and depth and understanding of the topic. The content displays critical thinking of the evidences. The standard is excellent to exceptional.
	Fail 2	More information required 4	Satisfactory 6	Above average 8	Excellent 10
2a. Physical health issues (10 marks)	The identified physical health issues are mostly inaccurately and incomplete. It is also unclear and demonstrates low level of knowledge or understanding of the topic.	The identified physical health issues are mostly vague. The content demonstrates a low level of knowledge or understanding of the topic. There is little evidence of discussion and low level of supporting detail.	The identified physical health issues are mostly accurate and complete. The content demonstrates a developing level of understanding of the topic. There is adequate evidence of discussion and supporting detail. The content demonstrates satisfactory level of knowledge or understanding of the topic.	The identified physical health issues are clear and accurate. The content is written with a logical progression of ideas and supporting information. The information is well analysed. The content demonstrates knowledge and understanding of the topic. Appropriate level of supporting detail is present	The identified physical health issues are well researched, clear, highly accurate and consistent. The content demonstrates knowledge breadth and depth and understanding of the topic. The content displays critical thinking of the evidences. The standard is excellent to exceptional.
	Fail 0	More information required 2	Satisfactory 4	Above average 6	Excellent 8
2b. Physical health assessment (8 marks)	The physical health assessment is mostly inaccurately and incomplete. It is also unclear and demonstrates low level of knowledge or understanding of the topic.	The physical health assessment is mostly vague. The content demonstrates a low level of knowledge or understanding of the topic. There is little evidence of discussion and low level of supporting detail.	The physical health assessment is mostly accurate and complete. The content demonstrates a developing level of understanding of the topic. There is adequate evidence of discussion and supporting detail. The content demonstrates satisfactory level of knowledge or understanding of the topic.	The physical health assessment is clear and accurate. The content is written with a logical progression of ideas and supporting information. The information is well analysed. The content demonstrates knowledge and understanding of the topic. Appropriate level of supporting detail is present.	The physical health assessment is well researched, clear, highly accurate and consistent. The content demonstrates knowledge breadth and depth and understanding of the topic. The content displays critical thinking of the evidences. The standard is excellent to exceptional.
	Fail 0	More information required 2	Satisfactory 4	Above average 6	Excellent 8
2c. Metabolic syndrome (7 marks)	The discussion on metabolic syndrome is mostly inaccurately and incomplete. It is also unclear and demonstrates low level of knowledge or understanding of the topic.	The discussion on metabolic syndrome is mostly vague. The content demonstrates a low level of knowledge or understanding of the topic. There is little evidence of discussion and low level of supporting detail.	The discussion on metabolic syndrome is mostly accurate and complete. The content demonstrates a developing level of understanding of the topic. There is adequate evidence of discussion and supporting detail. The content demonstrates satisfactory level of knowledge or understanding of the topic.	The discussion on metabolic syndrome is clear and accurate. The content is written with a logical progression of ideas and supporting information. The information is well analysed. The content demonstrates knowledge and understanding of the topic. Appropriate level of supporting detail is present.	The discussion on metabolic syndrome is well researched, clear, highly accurate and consistent. The content demonstrates knowledge breadth and depth and understanding of the topic. The content displays critical thinking of the evidences. The standard is excellent to exceptional.
	Fail 0	More information required 0.5	Satisfactory 1	Above average 1.5	Excellent 2
Summary and conclusion (2 marks)	The summary and conclusion are mostly inaccurately and incomplete. It is also unclear and demonstrates low level of knowledge or understanding of the topic.	The summary and conclusion are mostly vague. The content demonstrates a low level of knowledge or understanding of the topic. There is little evidence of discussion and low level of supporting detail.	The summary and conclusion are mostly accurate and complete. The content demonstrates a developing level of understanding of the topic. There is adequate evidence of discussion and supporting detail. The content demonstrates satisfactory level of knowledge or understanding of the top	The summary and conclusion are clear and accurate. The content is written with a logical progression of ideas and supporting information. The information is well analysed. The content demonstrates knowledge and understanding of the topic. Appropriate level of supporting detail is present.	The summary and conclusion are well researched, clear, highly accurate and consistent. The content demonstrates knowledge breadth and depth and understanding of the topic. The content displays critical thinking of the evidences. The standard is excellent to exceptional.
	Fail 0	More information required 0.5	Satisfactory 1	Above average 1.5	Excellent 2
Writing style of content, grammar, spelling and text legibility and usage (2 marks)	Engagement with reader is limited. Writing is confusing, hard to follow. There is also inappropriate diction and excessive wordiness. The text contains major grammatical or proof-reading errors. The language is marred by clichés, colloquialism, or inappropriate citations (if used). The writing style is inadequate. The report displays many errors in spelling, punctuation, grammar, text usage, layout and font choices	The layout of pages inconsistent and makes comprehension difficult. Writing is at times hard to follow. It may also contain fragmented and run-on sentences. The text contains excessive wordiness. Some grammatical or proofreading errors are present. Uses a beginning academic writing style. There are several errors in grammar, spelling, text usage, page layout, font and image usage.	The text is clear and interesting. Appropriate use of headings, subheadings and white space is present. Writing is mainly clear. It may contain excessive wordiness. Mostly uses a developing academic writing style. The text is clear and readable. Mostly grammar, spelling, text usage is accurate.	Writing is clear, but sentences may lack variety. Diction is consistent with some wordiness. Mostly observes conventions in written English. Uses a developed academic writing style. Makes a few errors. Most of the grammar, spelling, and text usage are accurate.	Excellent to exceptional standard. Writing is smooth and coherent with economy of expression. Sentences are strong and expressive. Uses well developed academic writing style. The report is easy to read and text free of any errors.
	Fail 0	More information required 1	Satisfactory 2	Above average 3	Excellent 4
APA referencing, number of references, direct quotes & in and end text, footer, page numbers and other (4 marks)	Three or more fundamental errors in applying APA (7th ed.) referencing format and/or contains content which breaches academic integrity guidelines. Less than the required number of references is used. Sources are mostly websites.	Two fundamental errors in applying APA (7th ed.) referencing format. Less than the required number of references is used and/or sources are mostly websites.	One fundamental error in applying APA (7th ed.) referencing format. The required number of references is used. Credible references are used but they lack variety.	Minor typographical errors in APA (7th ed.) referencing format. The required number of references is used. A variety of quality references are used.	No errors or no more than two minor typographic errors in APA (7th ed.) referencing format. The required number of references is used. A variety of quality sources are used as per the assignment guideline.

 

Medical case report 

The subject of the case report is a papilloma thyroid carcinoma occured in an ovarian teratoma. The case report must have abstract, introduction, case presentation, discussion and conclusion.
I can provide the necessary bibliography.

Objectives#9: Psychotherapy With Children and Adolescents 
 
 
Assess clients presenting with disruptive behavior
 
Analyze therapeutic approaches for treating clients presenting with disruptive behavior
 
Evaluate outcomes for clients presenting with disruptive behavior
 
 
List AND COMPLETE the 8 objective(s) met and  Briefly Describe 8 the Activities you completed during each time period. If you are not on-site for a specific week, enter “Not on site” for that week in the Total Hours for This Time Frame column. Journal entries are due in Weeks 4, 8, and 11; include your Time Log with all hours logged (for current and previous weeks) each time you submit a journal entry.
 
You are encouraged to complete your practicum hours on a regular schedule, so you will complete the required hours by the END of WEEK 11.
 
 

Time Log
Week	Dates	Times	Total Hours for This Time Frame	Activities/Comments	Learning Objective(s) Addressed
9
9

 

Total Hours Completed:

 
 
Journal Entries
 

• Include references immediately following the content.
• Use APA style for your journal entry and references.

 

The nurse’s role goes far beyond that which is expected. Nurses are the main communicators between patients, doctors, and family, and they care for more than just physical ailments. Often, nurses are presented with difficult situations where being an advocate becomes paramount to the healing of the patient. One of the issues that patients with acute and chronic illnesses or extended hospitalization face is a tendency to become depressed. The nurse’s role in this situation requires more than just attention to the physical problem. Another situation where a nurse may need to shift his or her care is when a patient presents with a suspicious injury or illness. In addition to considering the legal and ethical responsibilities of the nurse, he or she must consider the psychological undertones that may be present.
Consider delicate situations that nurses often face and analyze the implications of these situations. Reflect on a patient care situation in which you have encountered one of the following:
· A suspicious illness or injury
· Depression resulting from illness or injury
Then, locate at least 3 scholarly journal articles related to your patient care situation that offers strategies for managing the circumstances.
Respond to the following:
· Explain your patient encounter, highlighting the challenges the situation presented, and briefly summarize the contents of your journal article.
· What strategies did you employ to help handle the situation?
. What other strategies could you have used?
· How did you advocate for the patient in the situation?
· What are some of the legal and ethical implications that need to be considered when providing care for patients with illnesses or injuries resulting from depression or suspicious illnesses or injuries?
·
Support your response with references from the professional nursing literature.
Note Initial Post: A 5-paragraph (at least 550 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).