NCS2102 Mental Health & Illness
Assessment 2: Unfolding Case Study
Word count: There is a word limit of 2000 words (+/- 10%)
Due date: Week 10, Monday October 7, 2019 at 23:59 hours (11:59 pm) AWST
Submission details: via Blackboard Assessments Turnitin link
Mental Health in the General Hospital
• The unfolding case study has been provided to establish context when answering the questions.
• Each question (i.e. your response/discussion) must be supported with evidence (academic references).
Unfolding Case Study
Tim is a registered nurse working in a busy tertiary general hospital in Western Australia. As part of Tim’s patient load, he will often care for consumers diagnosed with mental illness or admitted with both physical and mental health issues. Tim knows that physical illness and mental illness can be linked and will always ensure he provides holistic nursing care to all his patients.
Question 1: Mental health promotion is a broad domain that includes the biopsychosocial and spiritual dimensions of the lifespan. Mental health and well-being are encompassed in all aspects of an individual’s life and must be addressed at many levels to ensure quality of life (physical and mental health) and social wellbeing. Discuss this statement and provide rationale for your answer.
(400 words approximately)
General hospitals and the health care system is increasingly faced with the need to address the management and care of individuals with multiple co-existing diseases. As an R.N Tim knows that many consumers diagnosed with mental illness also have physical complications and vice versa.
Question 2: Discuss this statement and outline why a comprehensive mental health assessment is essential for the nurse to undertake when admitting patients in a general hospital ward. Provide
rationale to support your answer. (350 words approximately)
Question 3: Provide two (2) possible occasions when a consumer would present with psychiatric symptoms, but may actually have an underlying physical illness that requires treatment. Provide
rationale for your answer. (150 words approximately)
Tim has received handover on patient Nicole, a 32-year-old woman admitted to Tim’s medical ward following an overdose of psychotropic medications. Nicole is emotionally labile, has had trouble following her treatment schedule, is frustrated with the limits and compromises of being in hospital, is demanding medications, and has threatened suicide. Tim has also noted old scars on Nicole’s forearms. The clinical nurse specialist has proposed that Tim work together with Nicole to identify treatment options and goals for her health, wellbeing and overall functioning.
Question 4: Given Nicole’s current presentation, outline the priority assessments that Tim would undertake, and discuss how Tim might identify issues affecting Nicole. Provide rationale for your
answer. (450 words approximately)
Tim knows that anxiety disorders and depression are highly prevalent mental health problems in the Australian community. Tim is looking after Jane a 27-year-old mother who has lived with symptoms of anxiety since she was in high school. Jane tells Tim she has recently started worrying more about little things and is now scared to leave her home for fear of what might happen. She says she is also not sleeping, not eating as much as usual and is lacking motivation to go out as she used to. She states she thought this was just due to her anxiety, but is now worried it might be something else.
Question 5: The early detection and treatment of anxiety and depression is important to promote a person’s wellbeing. Often anxiety and depression will go ‘hand-in- hand’ or one precedes or can mask the other. Discuss this statement and identify how health professionals can assist in the early detection of these diagnoses. Provide your rationale and reasoning to support your answer.
(350 words approximately)
End of case study and associated points/questions to answer
Important details about your assessment
The case study word limit is 2000 words (plus or minus (+/-) 10%. All words are calculated towards the word limit except for the title page, direct quotes and end text references. If you choose to ‘cut and paste’ the question or use headings – these are not included in your word count. If you write less, it is unlikely you will have covered all aspects of the assignment, and marks may not be awarded in the content and critical thinking section of the marking rubric.
1. Word approximates are a guide only. Please use your judgement – this is not a prescriptive number, merely a guide to assist with your writing.
2. Marks will be allocated as per the SNM Assessment Rubric as outlined within the assignment brief. This assessment is marked out of 100 (as per SNM marking rubric) and converted to 40% (a mark out of 40).
3. Please refer to the marking criteria/rubric on page 7-8 of this document.
4. Please read the five (5) questions carefully and then ensure that you answer each one in turn.
5. All assignments should be written in the third (3rd) person.
6. The assignment should not have bullet/dot points, it is expected that all aspects be written in narrative and full paragraph format.
MARKING RUBRIC: Content (possible 40 marks)
7. You need to consider- the situations/issues/considerations that the case studies raise and to apply the relevant unit content throughout the essay to the questions/points being asked.
8. You will be assessed on your ability to critically think about the subject and the questions being asked.
9. Please do not add information to the case study to suit your needs or discussion.
10. References and research should be directly applicable and relevant to the question being asked and for students to show understanding and application of the course/research material.
11. Please avoid the use of general statements in your assignment.
12. Ensure that all statements/written content made in this assignment are backed up with rationale or evidence.
MARKING RUBRIC: Structure & Presentation (possible 20 marks)
Here you will be assessed on your ability to form a logical piece of work that contains an introduction, the main body of work (addressing the questions) and a conclusion.
Introduction: The introductory paragraph should introduce the purpose of the paper and provide an overview of the key aspects to be explored within the paper. The introduction should be clear, specific and direct the reader to what you will be addressing, answering or discussing within the assignment. For this assignment only include one (1) reference in the opening sentence that is related to the topic to set up the paper, to provide context, or to make a strong opening statement. No further references should be included within the introduction. (Approximately 100 words)
Main body: The body of the paper (discussion on the five (5) questions) should contain a logical and cohesive development of ideas and your ability to sustain logical discussion will be assessed. The main part (body) of your essay is your discussion on each question. Your discussion (not description) should contain appropriate material (unit content and research) to comprehensively answer each question with regards to the case study.
Conclusion: The concluding paragraph should provide a comprehensive and strong summation of the key points discussed from each of the questions. The conclusion should also reflect the student’s position and provide clear insights into the issue (as identified within the questions).
(Approximately 200 words)
13. Please note: as of 1/2019, an ECU coversheet is not required for assessment submissions.
14. A title page IS required; a table of contents is NOT required.
15. Do not use footers or headers.
16. 2.0-line (double) spacing is required for this assignment.
17. Please refer the 2019 SNM Presentation and Assignment Guide for additional information re formatting.
18. You are required to present your assignment in order of the questions.
19. You should highlight the question being answered, for example; Question 1: … or you can ‘cut and paste’ the question into the body of your paper, and your discussion then follows below.
20. Answering the questions in order and identifying the question will provide structure to your paper and clearly identify the question you are answering.
21. Do not use tables or attach any appendices, as these will not be marked.
MARKING RUBRIC: Application of Critical Thinking (possible 20 marks) __________________________________________________________________________________
22. You will be assessed on your ability to support the discussion you put forward with evidence based to practice and appropriate literature. A direct link made to the case study throughout the discussion should be evident.
23. Your discussion and academic references should be linked to the case study to show direct relevance and your understanding of what is being asked.
24. It is essential that you demonstrate your ability to apply theory to interpret the case study sections using sound reasoning with referenced sentences.
25. Please avoid ‘broad sweeping’ statements.
26. Best practice/latest research to support your writing is required - as such, it is expected that a minimum of ten (10) academic references should be used for this assignment to show wider reading.
27. Direct quotes are acceptable, but should be kept to a minimum and only used in accordance with ECU APA referencing guidelines. Paraphrasing of the literature/reference source is preferred as this also shows your understanding of the literature, how it can be then applied to your discussion and in answering the questions being answered and hence supports critical thinking.
28. Discussion as opposed to description is expected.
MARKING RUBRIC: Referencing (possible 10 marks) __________________________________________________________________________________
29. Academic references (journals (peer-reviewed articles) and textbooks) should be within five (5) years of publication (2014-2019) to support this assignment.
30. Websites – the following websites are acceptable to support your work (outside of the academic references). The World Health Organization, Government websites, Hospital Policy & Procedures.
31. Please note: websites such as Black Dog, Beyond Blue, and the Better Health Channel (for example) will not be accepted.
32. References applied should be within the local (Australian) context.
33. You must comply with the ECU APA referencing guide and ensure all in text and end text references are correct.
34. There is no reason for deviating from these guidelines, as they are available through several links
and the Blackboard site. Please follow these specific assignment instructions.
MARKING RUBRIC: Written Communication Skills (possible 10 marks) __________________________________________________________________________________
As with all written assessment work that you undertake at ECU, you will be assessed for written communication skills (structure and style and technical skills). Poor written communication will detract from the content of the assignment if you are unable to articulate the true meaning you are trying to convey, and marks may not be awarded in this area.
35. Please write in full sentence structure and paragraph format.
36. Please proofread and edit your work thoroughly prior to your final submission.
37. Structure and style: flow, expression, vocabulary and word choice should be appropriate and specific. Correct terminology should also match the level of nursing knowledge and content specific terminology applied.
38. Technical skills: you should make every effort to ensure that you play close attention to the construction of sentences; ensuring spelling; punctuation and grammar are accurate and communicate intended meaning.
39. Non-submission of this 40% assignment makes it difficult to pass the overall unit.
40. Please make note of the assessment due date.
41. If you wish, you can submit your assignment earlier via Turnitin.
42. You are strongly advised not to leave your submission until the last day; rather you work on your assessment starting early and writing/researching as the semester progresses.
43. Submission is through the Turnitin link on Blackboard; instructions and link is accessible under the Assignments tab- assessments- tab.
44. Students have multiple attempts to submit their essay up to the due date and time. After the due date and time, the essay that has been submitted to Turnitin (even if a draft) will be the copy that is marked.
45. Please check you have submitted the correct essay prior to the due date and time. A tip is to save and submit your essay as draft 1, 2, 3 (etc.) then final when checking in Turnitin. This will give the best opportunity for submitting the correct file.
46. A Turnitin similarity percentage (%) report will be generated on submission of your assignment; please note that a report can take up to 24 hours to generate. Please do not just look at the %; download and review your ‘coloured’ sections highlighted throughout your paper. A general tip – the more colour, the more you need to change/paraphrase! Changing and paraphrasing these sections will minimise any potential academic misconduct/plagiarism issues being brought to my attention.
47. Students are strongly encouraged to follow the recommendations as outlined within this assignment guide. Please also refer to the ECU APA Referencing Guide, and the SNM Marking Assessment Rubric (page 8).
Please familiarise yourself with the rules for assignment extensions set out by ECU.
48. Please note also that extension requests will not be accepted beyond Friday October 4th at 16:00 hours AWST and will only be granted on the grounds of “extenuating circumstances”.
CRITERIA High Distinction ( 80%) Excels in all requirements Distinction (70-79%)
Excels in some and exceeds all requirements Credit (60-69%)
Exceeds minimum requirements Pass (50-59%)
Meets minimum requirements Fail (26-49%) Not yet meeting minimum requirements
Well Below Average ( 25%)
Content fully addresses all parts of the assessment item. Thorough exploration of concepts and well-formed ideas, supported by high quality evidence. Able to demonstrate an in-depth understanding of the main concepts. All ideas presented have relevance to the topic. All parts of the assessment item addressed at a good level and supported by quality evidence.
Able to demonstrate a solid understanding of the main concepts. Most ideas presented have relevance to the topic. Most parts of the assessment item addressed at a satisfactory level and supported by adequate evidence. Able to demonstrate an understanding of the main concepts. Most ideas presented have relevance to the topic Assessment item addressed at a superficial level. Minimal evidence to support main ideas. Able to demonstrate an understanding of the main concepts at a basic level. Some ideas presented have relevance to the topic. Does not or poorly addresses assessment item. Insufficient or no evidence to support main ideas. Unable to or poorly demonstrates an understanding of the main ideas or concepts. Ideas are not relevant to the topic. Limited referencing or nor credible sources to support ideas Does not address assessment item. No evidence to support main ideas. Unable to demonstrate an understanding of the main ideas or concepts. No credible sources used to support main ideas.
33-40 28-32 24-27 20-23 11-19 0-10
Excellent demonstration of critical thinking appropriate to level of education. Excellent application of professional practice and/or evidence base to practice in assessment. Direct link made to case study scenario & supported by evidence. Very good demonstration of critical thinking appropriate to level of education. Very good application of professional practice and/or evidence based thinking to assessment item. Literature linked to case study and discussion in most areas. Demonstration of critical thinking appropriate to level of education. Application of professional practice and/or evidence based thinking to assessment item is evident but not fully discussed. Limited demonstration of critical thinking appropriate to level of education. Limited application of professional practice and/or evidence based thinking to assessment item. Poorly demonstrates critical thinking appropriate to required level. Poor application of professional practice and/or evidence based thinking to assessment item
Does not demonstrate critical thinking appropriate to required level. No application of professional practice and/or evidence based thinking to assessment item. Does not demonstrate
critical thinking appropriate to required level. No application of professional practice and/or evidence based thinking to assessment item.
18-20 15-17 12-14 10-11 6-9 0-5
All aspects conform to the structure of the assessment item. Excellent introduction of topic and strong summation of key points in the conclusion that reflects the student’s position and provides clear insights into the issue. Excellent paragraphing and
logical/cohesive development of ideas throughout Complies with ECU SNM
Assignment Writing Guidelines to an excellent standard. Follows all specific assignment instructions as essay brief. Most aspects conform to the structure of the assessment item. Very good introduction of topic and summation of key points in the conclusion that reflects the student’s position and provides clear insights into the issue. Very good paraphrasing and
logical/cohesive development of ideas. Complies with ECU SNM Assignment Writing Guidelines to a very high standard. Follows specific assignment instructions as per essay brief. Most aspects conform to the structure of the assessment item. Introduction adequately introduces topic and summarises key points in conclusion. Paragraphing is evident, and there is a logical/cohesive development of ideas in some of the
assessment item. Complies with ECU SNM Assignment Writing Guidelines. Follows specific assignment instructions as per essay brief Some aspects conform to the structure of the assessment item. Limited introduction of topic and summation of key points in conclusion. Minimal paragraphing and logical/cohesive development of ideas. Specific assignment instructions have not been fully followed – s per essay brief. Limited aspects conform to the structure of the assessment item. Poor introduction to the assessment. Limited paragraphing. Omits or poor summation of key points in conclusion.
Poorly complies with ECU SNM Assignment Writing Guidelines and does not follow specific assignment instructions as per essay brief. The assignment does not conform to the structure of the assessment item. No introduction to the assessment. Poor or nonexistent paragraphing. No logical/cohesive development of ideas. No summation of key points in conclusion.
Does not comply with
ECU SNM Assignment
Writing Guidelines or followed instructions in the assignment brief.
18-20 15-17 12-14 10-11 6-9 0-5
NCS2102 Mental Health & Illness, Semester 2, 2019
Completely adheres to all instruction in the ECU
Referencing Guide. In text and end-text, referencing has no errors. Adheres to instruction in the ECU Referencing Guide. In text, referencing is error free, and/or end-text referencing has very few errors. .Adheres to instruction in the ECU Referencing Guide. In text and/or end-text, referencing has few errors. Mainly adheres to instruction in the ECU Referencing Guide. In
text and/or end-text, referencing has some errors. Referencing poorly follows instruction in the ECU Referencing Guide. In text and/or end-text, referencing has many errors/repeated errors. Referencing does not follow instructions in the ECU Referencing Guide. In text and/or end-text, referencing has multiple/or repeated errors. May have included references in the conclusion.
10 7-9 6 5 3-4 0-2
Style and structure:
Precise and fluent expression, which flows easily. Sophisticated and complex style with structure and paragraphing appropriate for audience and assessment type. Uses a wide-range of highly appropriate vocabulary and discipline-specific terms. Uses varied and complex sentence structure. Almost error-free punctuation and grammar. Technical skills:
Uses varied and complex sentence structure. Almost error-free punctuation and grammar.
Style and structure:
Clear, concise and cohesive expressions with logical flows. Style, structure and paragraphing are appropriate for task,
audience and assessment type. Uses a range of appropriate and accurate discipline-specific vocabulary.
Uses varied sentence structure. Occasional errors in punctuation and grammar. Style and structure:
Well expressed and clearly flows. Style, structure and paragraphing are generally appropriate for audience and assessment type. Uses vocabulary and discipline-specific terms accurately.
Produces mostly error free sentences.
Infrequent errors in spelling and punctuation, which do
not impede understanding.
Style and structure:
Generally flows well. Basic organisation and style show an understanding of
audience and assessment type. Paragraphing may need refinement.
Uses mostly appropriate vocabulary and key disciplinespecific terms.
Produces sentences with some variety and accuracy.
Errors in spelling, punctuation and/ or grammar occasionally impede understanding.
Style and structure:
Lacks flow and may be difficult to follow. Style and /or structure is inappropriate for audience and assessment type. Paragraphing is needed or used incorrectly. Uses limited vocabulary or inappropriate word choices; discipline-specific terms are misused or missing. Technical skills:
Produces sentences, which are repetitive or simplistic, incomplete or run-on.
Errors in grammar, spelling and / or punctuation that interfere with understanding.
Excels in all requirements
Excels in some and exceeds all requirements 6-7
Exceeds minimum requirements 5
Meets minimum requirements 0-4
Not yet meeting minimum requirements
Criteria WRITTEN COMMUNICATION SKILLS
Style and structure:
Flow, expression, paragraphing and structure appropriate to audience and assessment type.
Vocabulary, word choice and use of discipline specific term are appropriate for audience and purpose.
Sentence structure is varied and complex, Spelling, punctuation, and grammar are accurate and communicate intended meaning.
NCS2102 Mental Health & Illness, Semester 2, 2019