Jerry is a 35-year-old man who is studying horticulture part-time at his local TAFE and working part-time for the government in a forestry role. Jerry has had bipolar disorder since his late teens but was only officially diagnosed three years ago. Recently, Jerry has started staying up longer during the night working on his assignments, and for the past five days he has not slept at all. For the past month, Jerry has only been sporadically taking his prescribed medication. Last week Jerry’s neighbours made a complaint to the body corporate in the unit where Jerry lives after he did some gardening in his courtyard at 3 am, followed by mowing the communal areas at 4.30 am. Jerry thinks his neighbours need to ‘chill’ and that he was actually in the middle of a breakthrough that could result in reversing global warming. Jerry believes that his neighbours should mind their own business and stop interfering with his creativity, and he cannot understand why they are confused by his ideas. Jerry believes he is on the ‘verge’ of a major discovery. While he was writing his latest assignment, his research helped him unearth a discovery that will reverse global warming, resulting in him making millions of dollars. When the morning came, Jerry quit his job. Jerry’s major concern now is what will happen if he accidentally reverses global warming too much and the temperature becomes too cool. While he is worried about this, he believes everything will probably be okay, because it all comes down to the word ‘land’ and it will ‘even out’, but he does want to seek clarification on this. Jerry is reassured because people live in Iceland, Greenland, Ireland and Poland and these are all cold climates. It will all balance out because there are equal numbers of countries in warmer climates that have the word ‘land’ in them, too, such as Swaziland, Thailand, New Zealand and the Falklands. Outcomes being ‘even’ is of great importance to Jerry. Jerry’s father Paul visited him a few days ago for dinner and is worried about him. Despite Paul making dinner, Jerry couldn’t sit still long enough to eat it. Jerry doesn’t want to talk about the possibility that he may be unwell again, because, he says, ‘It’s not like last time, Dad.’ Yesterday, Jerry attended the Polish embassy requesting they work with him on his project. He demanded to see the ‘most senior person here’ because they would be the only one who could understand his discovery. Both the Thai and Irish embassies had refused to return his calls. Jerry became upset when a representative from the Polish embassy exports department would not meet with him. Jerry was talking rapidly and loudly, and staff could not follow the topic of his conversation. Jerry became irritated when staff didn’t provide the information he wanted and eventually security was called. Jerry was taken to his local hospital for assessment and later admitted.

1. You have been asked to formulate a risk assessmentfor Jerry. Based on the information in the case study, what risks would you identify? Use the form attached to this tutorial guide.
2. Describe these features of the presentation of mania: pressured speech, disinhibition, punning, grandiose delusions, and second person auditory hallucinations. Provide examples from the video, or from Jerry’s case study.
3. Jerry became irritated and security were called, and he was taken to his local hospital for assessment. What is the difference between ‘voluntary’ and ‘involuntary’ treatmentin the context of mental health act legislation in your state or territory?
4. Treatment for Bipolar Disorder includes antipsychotics, anxiolytics, antidepressants and most commonly mood stabilizers. Investigate the following psychotropic medications known as Mood Stabiliser- Lithium Carbonate, Sodium Valproate, Lamotrigine and Carbamazepine. Consider the importance of effective monitoring, consumer experiences(side effects) and safety factors(e.g. Lithium Toxicity). Discover the other therapeutic use for the last three medications.
5. The mental state examination (MSE) is a formal assessment used in both diagnostics and ongoing assessment. How can the principles of a therapeutic relationshipfacilitate the processof obtaining information through an MSE?
6. Australia’s legal system requires health care clinicians to operate within a ‘least restrictive’ framework. Discuss where this approach is evident in the mental health act legislation in your state.
7. What does the mental health legislation act in your state or territory stipulate about ‘recovery’?
8. How can the mental health nurse apply Bandura’s concept of self-efficacyto support consumers in medication self-management?

Public Policy/Health Informatics

information Governance and Value-Based Healthcare

Describe why an understanding of the relationship between information governance and value-based healthcare is important for healthcare organizations today.

Write a descriptive about lymphocytic leukemia (keep them unidentified) and must be at least 250 words

Choose an ethical area of concern. Consider a real life problem that is timely and presents an ethical dilemma for the healthcare provider or the healthcare industry. This dilemma can be a healthcare related ethical dilemma from a recent magazine, healthcare journal, or reputable newspaper article.

Discuss Communication and give examples of how you personally demonstrate this SLO. Include how you utilize scholarly writing, collaboration, and information management to provide and promote cultural competence and population health.

Explain what Vaughn means when he says that one of the key features of ethics is that they have "normative dominance" and give at least one concrete example of ethics being normatively dominant.

Mr. John is a 55-year-old male, who presents to the A & E department at 4:00 pm with a history of shortness of breath, diaphoresis, severe left-sided chest pains, rating 10/10 on the pain scale, for the past three hours.

Mr. John is a known hypertensive and diabetic patient, who is non-compliant with his medications. He is also overweight. He smokes a pack of cigarettes every day for the past fifteen years. The patient notes that he was admitted to hospital one year ago and was treated for angina pectoris and his father died of an MI at age 65. He is married and is a father of four children.

On admission his vital signs were T 37.9, P 112, R- 32, BP- 156/108, blood glucose- 346mg/dl. He had a physical assessment and various test done and a diagnosis of Acute Myocardial Infarction was made.

identify three nursing diagnosis for this patient?

What is dehydration? What are some conditions that may lead to dehydration? What are the signs and symptoms that an adult patient would exhibit?

Write a short essay that summarizes the health care manager’s role in achieving successful organizational performance.

develop an assessment flow sheet for a Pediatric Assessment.

Please answer questions in a 2 paragraphs and/or bullet point

example of public agencies you can mention (FDA,CDC,NATIONAL INSTITUTES OF HEALTH,DEPARTMENT OF HEALTH AND HUMAN SERVICES )

What is the importance of public health agencies ? What protocols must be followed to ensure safety of community ? must be a paragraph

how does the community benefit from these public health agencies ?

how does the politicians participate in these public health agencies ? / what is the politicians role in funding the public agencies

What are some common infection/ diseases that are lead to when protocol is not met by public agencies / what can happen if protocols is not met by these public agencies

( please use scientific statistics when answering the last question and attach your source )