OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: NURSING

TIME ALLOWED:
READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES

Read the case notes and complete the writing task which follows

Case Notes:

Harry Kovacs is a 5-year-old boy who is the son of one of your newly referred patients in the
community mental health centre where you are a mental health case manager.

Date of birth: 15 April 2006

Place of birth: Sydney Children’s Hospital, Sydney
School year: Kindergarten
Religion & ethnicity: Catholic & both parents Australian born Hungarian
Mother’s name: Elizabeth Kovacs

Mother’s community admission date: 16 May 2011

Diagnosis: Mother – Major depression with psychotic features
Son – ? Early onset separation anxiety disorder

Family/Psychosocial:

 Elizabeth suffered PND – depressed since

 She sometimes hears voices calling her and sees ‘men’
 running around her house – nil serious psychosis in
 functional terms.
 Recently 1st psych admission for 6/52after high
 lethality DSH attempt.
 Harry’s psychological status ok until DSH and
 hospitalisation; after this +++ signs of separation
 anxiety
 Father is self-employed and works long hours 7/7. Rarely
 sees Harry & dismissive of Harry’s emotional states, ‘He’s
 like a bloody girl now!’ he told us.
 Harry loves soccer and playing with his dog, ‘Rusty’.

Medical History Eczema

Serous otitis media – required grommets at 18 months

Hearing NAD now.

Medication: Nil meds

Case management care and progress:

 Elizabeth new to our area (from Parramatta) & referred to

us post D/C from Bankstown MH inpatient unit 2/52 ago
We will provide her with long term MH case management.
 Harry now 1) cries and panics whenever Mum leaves his
 sight 2) Socially withdrawn & refusing to attend kindergarten 3) ↑ insomnia & nightmares 4)
preoccupied re Mum’s daily activities & that she might leave him again. This is greatly
↑pressure on Elizabeth when her MH is already fragile.
 Father, John, uninterested in meeting in person or discussing problems in detail.
 Harry attended initial assessment with Elizabeth and separation anxiety behaviour very obvious

Referral plan:

 Referral to early childhood mental health team for

assessment and management of Harry’s? early onset separation anxiety disorder.
 Request joint meeting with case manager and Elizabeth.

Writing Task:

You are the Case Manager caring for Harry Kovac’s depressed mother but due to his psychological
issues need to write a referral for him to John Dyer, Clinical Psychologist on the Bankstown early
childhood mental health team at Bankstown Hospital.

In your answer:

 Expand the relevant notes into complete sentences

 Do not use note form
 Use letter format

The body of the letter should be approximately 180-200 word

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