NRSG210 IBL Tutorial Week 1

NRSG210 – IBL Tutorial
Week 1- Stigma & Mental State Examination
Learning Outcomes:
1. Outline social, developmental and cultural factors that impact on mental health and wellness; (GA4)
3. Reflect critically on the experiences of mental illness from consumer and carer perspectives; (GA4)
Critical Reflection Activity 1
You will need to reflect on the SDL activity information, consider your own experiences and seek additional information to complete the activity below.
From the circles, choose one area to focus a comprehensive discussion and investigation related to
Stigma and Mental illness.

Consequences for people who experience stigma

Impacts of stigma in the broader society How can the roles
& actions of the mental health nurse contribute to stigma?

Self - Stigma

Role of the media (all forms e.g. social media/ entertainment/news) in stigma perpetuation Actions the mental health nurse can take/adopt to prevent stigma.

Where do you think stigma originates from?

What are some of the ways stigma can be remedied?

Stigma and the concept of
‘perceived
dangerousness’

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NRSG210 – IBL Tutorial
Learning Outcomes:
4. Assess a person’s mental health status within the contexts of a holistic health assessment and potential underlying pathology; (GA6)
6. Plan, implement and evaluate safe, holistic, person-centred nursing care taking account of a person’s / family’s mental health status, strengths, risks and resilience;
(GA6)
Critical Reflection Activity 2
Read the following two case studies.

Case Study 1
You are an RN working on a morning shift in the general medical ward at Royal Melbourne Hospital.
Adam, a 57-year-old male admitted last night has been recently been diagnosed with Diabetes
Mellitus (non –insulin dependent) and now has presented with a severe ulcer on his left foot. He has been prescribed metformin 1500mg daily but has not been taking it regularly. His wife, Margaret and his 23 year old daughter are with him in his room. They are very concerned for Alan’s health and have a number of questions for you.

Case Study 2
You are an RN working on a morning shift in the acute mental health inpatient unit. Steve, a 57-yearold male admitted last night after he had attempted suicide by overdose. Medically cleared by the general ward. Recently diagnosed with depression and has been prescribed sertraline (Zoloft) 150mg daily but not adherent with his medication. Night staff report Steve does not have contact with his family; he has spent the night in his room and is now on category C visual observations (every 15 minutes). Critical Thinking Questions
Explore both case studies with a focus on:
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The role/ purpose of assessment in each scenario;
What would each assessment entail?
Focus on mental state examination, including elements of risk in both;
The nursing priorities in each case?
How do you feel about managing both Adam and Steve?

Key Findings
You need to be ready to provide key findings (evidence) and rationales from your discussions.

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