Year Qualified Builder Explained for Students (Easy Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to year qualified builder and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves year qualified builder. A strong answer should include explanation, application, and examples.

Original Question

Ben, a 34-year-old qualified builder, was brought into the Emergency Department by the Police three days ago following an aggressive episode involving his girlfriend outside their house. Ben’s behaviour raised concerns, leading the Police to believe that he was mentally unwell and posed a risk to himself and/or others. As a result, Ben was detained and taken to the local health service, this service is located in rural Victoria. Eg, Grampians Region, Wimmera or Gippsland (You may designate this if relevant to your recovery plan). Ben has a history of depression and borderline personality disorder, with known suicide attempts. His depression has been ongoing since he was 21 years old. Additionally, he has been using substances since the age of 14. His girlfriend informed the police that his substance use had become “much worse” in recent months and that he had “started acting strangely.” Upon admission to the Emergency Department, Ben was found to have a mixture of alcohol, ice (methamphetamine), and cannabis in his system. He was also experiencing a psychotic episode. The healthcare professionals managed his acute symptoms and determined that he is now stable enough to be discharged from the inpatient unit to a community setting. However, given his complex history and current mental state, a comprehensive recovery plan is necessary to support his transition and rehabilitation. Your previous MSE and Risk Assessment contributed to his care and after 4 days, he is to be discharged in the community. You have just started in the community and have requested to continue working with Ben at the Community Mental Health Service. Ben has agreed to this as he is comfortable with you, having previously met you in the Inpatient Unit. He has also been taken off the Mental Health and Wellbeing Act (2022) and is now not subject to any treatment orders. Ben’s Current presentation and information: Ben’s symptoms of psychosis seem to be resolved. He was given the diagnosis of drug induced psychosis. The psychiatrist also questioned his previous diagnosis of borderline personality disorder, as this was mentioned from a previous admission history but didn’t fit his current presentation, and will review this in the community. On discharge from hospital he is prescribed Quetiapine 300mg BD for the psychotic symptoms, is also prescribed Diazepam 5mg TDS relating to Ben’s withdrawal from his methamphetamine and cannabis whilst he was in hospital. Ben previously was on Diazepam at much larger doses due to his withdrawal symptoms. The psychiatrist would like this to be reduced and will review these medications with a view to discontinuing when appropriate. Ben has stated he was worried about this request and is not sure that he should reduce this medication as it has been working well to reduce his withdrawl. When in hospital, Ben also started a SNRI called Desvenlafaxine 50mg Daily. The psychiatrist would like this to be monitored with an increase to 200mg if tolerated (updated), Ben was previously on other antidepressants before admission and stated, “they did nothing for him”. He states he has not had Desvelafaxine before and doesn’t know much about it. Ben still reports his mood as “low” in mood “at times”; he states his girlfriend will leave him and he will lose his job and is embarrassed about how he was brought into hospital. While his girlfriend’s comments and other information gathered don’t support this, these statements may be related to his mood and do not fit delusional content. He reports no auditory hallucinations at this time, he describes what was happening during his admission as scary and not wanting that to happen again and says that the big capsule seemed to have relieved those symptoms but he has numerous effects such as drowsiness, feeling hungry more than usual and feeling “hungover” when waking in the mornin. In conducting a risk assessment he has stated that he has no plans to take own his life, but he does on occasion think about if he could just go to sleep and not wake up as his thoughts “don’t stop” sometimes and he just wants to get away and he is fearful of relapsing and having to go back into hospital. Overall, Ben still reports he isn’t feeling like he is withdrawing from his substance use anymore He currently feels he cannot miss any doses of the Quetiapine and Diazepam, otherwise he may “lose it”. He has also stated he is done with “this drug S#@%” and just wants to get on with his life, but worries as he still has urges to use again here and there and he might relapse and wants to know what he can do about it. Ben has discharged, back to his home with his girlfriend. She has been very supportive during his inpatient stay. but she very is worried about future relapse and what she can do if he does. His mother Cathy has also been supportive to Ben during this time and has volunteered to help where she can, she seems to bring a lot of food with her each time she visits. Ben and his mother have a strained relationship in the past, due to his aggressive interactions when unwell. Ben’s workplace has organised him some sick leave. Ben’s girlfriend has discussed with you that his employer is very supportive around mental health issues and wants him back at work when he is ready. Ben has discussed with you that he is worried about going back to work as he doesn’t think he can do his normal full time job with the medications he is on as they make him drowsy at times and he doesn’t want to have a workplace accident because of it. Introduction: Introduce the person and outline the mental health crisis, reason for admission and the purpose and scope of the recovery plan. The introduction should include an accurate description of the client (e.g., past and present mental health history, current MSE, currently medication, level of substance use and present diagnosis) The recovery plan outlined, with specific reference to what constitutes recovery for this client and specifically what the nurse’s role in his care is.

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