Mental Status Examination The case presented involves Jayan, a 27-year-old Aboriginal male who has been brought into a psychiatric unity by the community nurse. A brief analysis of his life shows a person living with mental illness, and this can be depicted in many instances, including personal confessions on the aspect of suicide

Mental Status Examination The case presented involves Jayan, a 27-year-old Aboriginal male who has been brought into a psychiatric unity by the community nurse. A brief analysis of his life shows a person living with mental illness, and this can be depicted in many instances, including personal confessions on the aspect of suicide

Mental Status Examination
The case presented involves Jayan, a 27-year-old Aboriginal male who has been brought
into a psychiatric unity by the community nurse. A brief analysis of his life shows a person living
with mental illness, and this can be depicted in many instances, including personal confessions
on the aspect of suicide. A mental status examination for Jayan is, therefore, vital to determine
the severity of his mental illness condition.Holistic Assessment of A person’s situation.

A mental status examination is often defined as an assessment of the behavioral patterns
of a patient while still evaluating their cognitive functioning. A mental status examination also
involves an overall description of the consciousness, general behaviour, mood, and effect of the
individual being subjected under the process (Giger, 2016).Holistic Assessment of A person’s situation. Regarding the subject in this case
study, Jayan, a mental status examination should, therefore, take into consideration all the
presented aspects. The appearance and general behaviour of Jayan in the case study portray him
as having; unkempt hair, wearing a cowboy hat, dusty jeans and also worn out riding boots. His
general appearance shows that he has not been taking care of himself and, thus, might be going
through something. His speech and motor activity are depicted in the case study, when he speaks
to the community nurse in monosyllables, hence showing disinterest in the topic presented. Holistic Assessment of A person’s situation.An
evaluation of his affect and mood shows that Jayan is most probably depressed. The patient’s
thoughts and perceptions are also misoriented and this is evident in the instance where he gave
the community nurse an account of a previous suicidal act by his cousin Michael, citing that his
cousin found a way out (Tranter, 2019). An evaluation of the subject’s attitude and insight also
portrays the aspect of helplessness; hence, the nurse’s assumption that the individual is highly
susceptible to suicide (Tranter, 2019).Holistic Assessment of A person’s situation.
HOLISTIC ASSESMENT 3
Clinical Formulation
A clinical formulation for mental health nursing practice involves typically the aspect of
assessing findings, interpreting them, explaining them. The clinical examination on the subject
presented in this case study will include the consideration of the 5P’s of the clinical formulation.
These 5p’s include; presenting, precipitating, predisposing, perpetuating, and protective factors
(Santos, 2018).Holistic Assessment of A person’s situation.
• Presenting
With reference to the given case study, the presenting Factors include aspects of
helplessness and loss of hope and meaning for life. The subject, Jayan, is fighting for his
relationship with Tess, who has traveled to a different city to study. His fear of losing
Tess, therefore, can be presented as an existing problem for Jayan. Symptoms evident
include the suicidal thoughts presented during his interview with the community nurse
(Santos, 2018).Holistic Assessment of A person’s situation.
• Precipitating
Precipitating involves the factors which would have triggered the individual’s behaviour.
In the case of Jayan, his behaviour was most likely triggered by the travelling of his
girlfriend Tess. The love Jayan has for Tess is evident as he is seen to have a tattoo of her
name on his fingers of his right hand. His fingers on the left hand also have a tattoo of the
name LOVE, depicting his value for love and especially the love he has for Tess. Holistic Assessment of A person’s situation.The
long-distance relationship, according to Jayan, creates some uncertainty, and he is even
inquisitive regarding the move Tess made when she decided to travel to Brisbane to study
two months ago. This uncertainty, thus, justifies his fears as he is not ready to lose his
girlfriend Tess (Santos, 2018).Holistic Assessment of A person’s situation.
HOLISTIC ASSESMENT 4
• Predisposing
Predisposing factors include any factors which would have contributed to an individual’s
current problem over their lifetime. In the presented case study, there are aspects of
racism and stigma present in the early life of Jayan. As an aboriginal, instance of racial
discrimination by other children in school are evident, and this can be categorically
presented as a factor