STUDENT RMIT Classification: Trusted

STUDENT – PRODUCT ASSESSMENT TASK

Task Number 2 of 3. Task Name Case Study
National unit/s code HLTENN042 National unit/s title Implement and monitor care
for a person with mental
health conditions

National qualification code HLT54121 National qualification title Diploma of Nursing

RMIT program code C5417 RMIT course code TBC

Section A – Assessment Information

Assessment duration and/or due date Week 11

Task instructions

Summary and Purpose of Assessment

This product assessment task is the second of three assessment tasks you need to complete satisfactorily, in order to be
deemed competent for this unit.

Type of Product (tick which applies)

✘ Case study/role play

This assessment will allow you to demonstrate your ability to analyse, plan and evaluate the health care of a person with a
mental health condition, using health information and clinical presentation to reach a conclusion of possible nursing
interventions appropriate to their mental health condition.

Assessment Instructions

What
There are two (2) parts to this task, you will be required to complete:
Part 1: Case study – answer questions in part B of this assessment task “Case study questions”
Part 2: Role play - using ‘actors’ professional or an instructor with knowledge of mental health behaviours, to play the part of
Joanne who is being interviewed/assessed in preparation for discharge into the community under a community treatment
order (CTO).

Part 1: Case study

Joanne Hudson
DOB 21/5/2000
14 Livingston Street Springvale
Mobile: 0416 879 222
NOK: Margaret Hudson (mother) – contact No: 0404335776
GP details: Dr Matthew Ward, Springvale clinic

Background:

Joanne is 21 years old and has been studying for her Bachelor of Health Sciences degree for the past 2 years. She has been
living on campus in student share accommodation as she comes from a rural town. She is best described as a loner and has
few friends. Her current house mates describe her as hard working; she routinely leaves at 7 am and returns no earlier than 8
pm most nights, attending classes or lectures or spending time in the library.

Joanne has no previous psychiatric history and has enjoyed overall good physical health throughout her life. Her house mates
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and her parents have provided details of recent events, marked by a progressive deterioration of her usual functioning.

Six months ago, a significant event created chaos in Joanne’s life. It began when she started seeing a student called Brad.
They dated for quite a while and were always seen together. He would pick her up in the morning and drop her at the house
in the evening. Lately, he informed her that he was moving interstate and felt it best to end their relationship. When Joanne
said she would give up her studies to join him, he was adamant that he wanted to end the relationship. This break-up seemed
to have affected Joanne as her house mates noted that she had developed erratic sleeping habits, showed lack of interest in
her grooming and had avoided social interaction.

Joanne’s house mates became concerned about her deteriorating mental state. They recounted how Joanne came home one
night and stated that the librarian was picking on her. She had never related well with him but her complaints seemed
irrational and bizarre. She also mentioned that her lecturer was spying on her and eavesdropping on her conversations. In the
last month when Joanne travelled to her parents’ home on weekends, she would complain to them about her house mates.
She also complained that toxic mind-controlling gases were being pumped through the houses air-conditioning vents and that
the water flowing from the dining room tap was making her sick.

At around this time her house mates noted that the television upset her—she sought reassurances from them that the
television was not talking about her during a news item about illicit drug use. It appeared to them that she had taken the
news report personally.

In the 48 hours prior to her psychiatric assessment, two incidents escalated Joanne’s need for professional help. The first was
an episode in the library. She approached the information counter and accused the librarian of stalking her with a ‘tracking
meter’, a machine she believed he was using to track her movements. Following this the student counsellor insisted that she
go to the office and talk more about the accusations.

In the second incident, Joanne lunged at one of her house mates with a carving knife because he looked like the librarian. She
thought she had heard him discussing how the house mates might murder her. Terrified, and concerned for his own and
others’ safety, including Joanne’s, the house mate rang the police, who escorted Joanne to the hospital emergency
department. The treating doctor referred her to the psychiatric team for assessment.

On Admission:

Joanne was admitted to inpatient psychiatric care under an Assessment Order with a medical diagnosis of schizophrenia
disorder, for the following reasons:
 Her refusal to accept her need for treatment despite her apparent need
 The lack of treatment facilities in her parents’ area
 Her house mates’ inability to support her
 Her threat of violence with a weapon

Joanne was argumentative and resistive to treatment, and her parents were frightened and bewildered by her dramatic
deterioration. Initially, Joanne was agitated, her thoughts were disorganised, and she did not seem to know where she was,
she was wanting to leave and was verbally abusive towards staff. She was demonstratively floridly psychotic.

Four days after her admission:

Joanne continues to keep largely to herself. She answers in monosyllable single word answers when staff approach her and
attempt to converse. She has been seen laughing/giggling to herself and has been removed from the television room after
yelling obscenities at the newsreader. At mealtimes Joanne needs continual encouragement to sit at the table. She has
confided to a nurse that she suspects the food has been poisoned.

Part 1: Complete the following

Provide responses to the questions relating to the case scenario in AT2 Part 1 Case study. Your answers are to be detailed,
well researched, and informative, with accurate APA in-text referencing and make a Reference list at the end.

Part 2: Role play

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It is estimated that this role play should take between 30 and 45 minutes. This is to meet the criteria for a mental health
assessment and care planning to be carried out as a simulation that reflect the real working environment.

The treatment plan is to stabilise Joanne’s mental state and medication regimen and then discharge her to her parents’ home
on a Community Treatment Order.

Her current medication regimen is:

 Olanzapine (oral 5 mg daily)
 Fluphenazine Decanoate Vial (12.5mg IMI every 4 weeks)
 Clonazepam (0.5–1 mg PRN).

To maintain optimal wellness, discharge planning includes the development of knowledge about Joanne’s illness and
appropriate treatment, as well as ongoing support from her family and the community treatment team.
You set up a meeting with Joanne and Margaret. Joanne’s chosen “nominated person” is her mother. During this meeting you
will need to address the following:
1. Conduct a MSE on Joanne – (APPENDIX A)
2. Discuss the community treatment order (CTO) conditions she will be discharged under.
3. Briefly discuss the medications she will be discharged with using the Medication information sheet (APPENDIX B) to
guide the discussion and to give to Joanne and Margaret to take with them.

The Recovery Model focuses on providing a personalised recovery and treatment plan that considers Joanne’s personal
circumstances. It emphasises that recovery is possible and living well with a mental illness is within reach provided achievable
person-centred goals are put in place. It aims to provide hope and promote wellness while recognising that there is no
expectation for the individual to return to a “pre-mental illness”.

Using the “personal decision-making tool” at Ottawa Personal Decision Guides - Patient Decision Aids - Ottawa Hospital
Research Institute (ohri.ca), help Joanne and Margaret identify their goals and suggest strategies and support services that
may help both Joanne to achieve her goals and support services that may help Margaret in her roles as the nominated person
and primary carer giver.

Record the outcomes of the meeting on the “Mental Health Treatment Plan” (APPENDIX C).

Part 2: Complete the following

Participate in the role play, then complete and submit:
 Mental status exam (APPENDIX A)
 Medication information sheet (APPENDIX B)
 Mental Health Treatment Plan (APPENDIX C)

Where
You will be provided some class time to work on this assessment, however, it is expected that the majority of this assessment
will be completed outside of class. The practical observation will take place during class time.

How
You will be assessed against the criteria as listed in the assessment checklist in Section B of this task. To achieve a satisfactory
result, you will need to address all criteria satisfactorily.

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Conditions for assessment

 You must be observed undertaking this task by a qualified assessor

 Your assessor will negotiate a suitable time and location for assessment at least one week prior to the assessment taking
place
 You must complete the task within the maximum allowed duration
 This is an individual task that you must complete with minimal support from others (allowed support would be questions
related to the location of equipment needed)
 Please make arrangements with your assessor at least one week prior to the assessment due date if you feel you require
special allowance or allowable adjustment to this task
 You must complete all the actions as listed in the observation checklist to the standard described in Section B to be
deemed satisfactory in this assessment
 As part of the assessment, the student will need to submit all Part 1
 Please ensure your full and correct name is written on the student version of this assessment task (do not use nicknames
or abbreviations)
 You will be assessed as satisfactory or not satisfactory
 You can appeal the assessment decision according to the RMIT Assessment Processes.

Instructions on submitting your case study

Your assessor will confirm the assessment submission requirements
Equipment/resources students must supply (if applicable):
 Computer and relevant software
 Pen and a printed copy of the assessment task and it’s
appendices.
Equipment/resources to be provided by RTO or the
workplace (if applicable):
 Onsite computer and internet access
 Case Study Part 1 attachment
 A private area suitable for conducting a discharge
planning meeting with Joanne and her mother.
 The NWMH statement of patient rights and
responsibilities brochure.

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Section B – Marking Guide

TASK: This assessment will allow you to demonstrate your ability to analyse, plan and evaluate the
health care of a person with a mental health condition, using health information and clinical
presentation to reach a conclusion of possible nursing interventions appropriate to their
mental health condition.

Criteria for assessment Satisfactory Not Satisfactory Comments

Part 1

Complete and submit AT2 Part 1 Case ☐ ☐ .

study

Part 2

Demonstrate an ability to communicate ☐ ☐

effectively whilst conducting a MSE and
discharge preparation meeting with
Joanne and her nominated person, her
mother Margaret.

Demonstrate an ability to comply with ☐ ☐

professional standards
Complete and submit AT2 Part 2 Role ☐ ☐
play documentation.
1) Medication information sheet –
Appendix A
2) Mental Status Exam – Appendix B
3) Mental health treatment plan –
Appendix C

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Part 1: Case study

Criteria for assessment Satisfactory Comments

Y/N
Define schizophrenia. (100-150 words).
☐ ☐

Identify 6 signs / symptoms of schizophrenia using DM-5 guidelines. (50-100words)

☐ ☐

From the case study, list all the symptoms displayed by Joanne. (100-150words)
☐ ☐

Joanne will be discharged on a Community Treatment order. Explain what a Community Treatment order is. (50-100
words)
☐ ☐

List the 4 criteria needed for a Treatment Order under the Mental Health Act 2014? (100-150words)
ü ü
☐ ☐

Joanne is admitted to hospital. List 3 nursing strategies you could implement in her initial care. (100-150words)
☐ ☐

When Joanne is admitted to the hospital it is important to conduct a risk assessment on Joanne and the environment.
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Why? (50-100words)

☐ ☐

What are the 5 core domains of the Recovery Model? List and discuss each element. (100-150words)
☐ ☐

How can the Recovery Model be applied to Joanne’s case including all the 5 domains? (100-150words)
☐ ☐

You are to educate Joanne on her medications. Explain the action (what the medication is supposed to do) and possible
side effects of the medication listed. (100-150words)
☐ ☐

What support and education would you provide for Joanne’s family? In your response, list at least 4 relevant areas. (100-
150words)
☐ ☐

Joanne is unable to consent to treatment. Under the current Mental Health Act 2014 explain your understanding of:
 Nominated person (50-100words)
 Informed consent (50-100words)
Advanced Statement (50-100words)
☐ ☐

As a Mental Health nurse, you would conduct a Mental State Examination (MSE) on Joanne. List the 10 headings and for
each one give a brief definition. (150-200words)

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Consult the latest edition of the National Safety and Quality Health Care Service (NSQHC) Standards and explain which
Standards, inclusive of Standard relevant items, directly apply in the management of Joanne’s case.
☐ ☐

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Section C – Feedback to Student

Has the student successfully completed the task? Yes No

Feedback to student:

Assessor Name Date

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