HLTEN510B - Implement and monitor nursing care for consumers with mental health conditions assessment tool

Assessor Resource

HLTEN510B
Implement and monitor nursing care for consumers with mental health conditions

Assessment tool

Version 1.0
Issue Date: May 2024

The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirements

Enrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements

This competency unit describes the skills and knowledge required to contribute to the nursing care and management of consumers with mental illness

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)

Prerequisites

Not Applicable

Employability Skills

This unit contains Employability Skills

Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.



The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:	The individual being assessed must provide evidence of specified essential knowledge as well as skills Observation of performance in a work context is essential for assessment of this unit Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse with qualifications in mental health Observation must include: key features of the Mental Health Act Enrolled/Division 2 nurse's role and responsibilities within the mental health environment rights of the client in a mental health environment nursing management of common mental health disorders, specific medications and support strategies within the defined scope of practice documentation assessment of risk

Context of and specific resources for assessment:	This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible

Method of assessment	Observation in the work place Written assignments/projects Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice Questioning - verbal and writing Participation in supervision/reflective practice activities Role play/simulation Reflective journal To ensure consistence of performance evidence should be collected over time and include a range of different clinical situations

Access and equity considerations:	All workers in the health industry should be aware of access and equity issues in relation to their own area of work All workers should develop their ability to work in a culturally diverse environment In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities

Related units:	This unit is recommended to be assessed in conjunction with the following related units: HLTAP501B Analyse health information HLTEN502B Apply effective communication in complex situations HLTEN509B Apply legal and ethical parameters This competency unit incorporates the content of: HLTEN410B Deliver nursing care to consumers with mental health issues

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title] Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes knowledge of:

Activities of daily living

Application of nursing theory to a mental health context

Basic human, social, psychological, cognitive and physical development

Confidentiality and privacy

Consumer and carer perspectives on mental health care

Cultural factors affecting people with mental health problems

Definition and description of common mental disorders

Documentation principles

Effective communication skills

Emergency actions

Ethical guidelines including confidentiality, duty of care and public liability

Impact of culture and belief systems on mental health and illness

Impact of stigma and discrimination on consumers with mental health issues

Knowledge of different types of common behaviours associated with mental health problems and their effect on consumer needs

Legislation and codes of practice that relate to an Enrolled/Division 2 nurse

Mental Health Act - 'Authorised person'

Organisation policies and procedures for privacy and confidentiality of information

Organisation policies, procedures, guidelines and protocols (i.e. daily living, medication, dealing with changes in wellbeing, sexual harassment, abuse prevention)

Organisation policy and procedures

Organisation's definition of challenging behaviour related to mental health problems

Perspectives of mental health, mental health problems and mental illness

Prevention and management of challenging behaviours including recognising triggers and deflecting them, using active listening and observation skills, ensuring effective communication, seeking expert assistance

Principles of empowerment/disempowerment for people with mental health problems

Principles of non-discriminative practice

Principles of psycho-social rehabilitation

Relevant anatomy, physiology and associated pathophysiology

Relevant legislation related to mental illness

Relevant mental health terminology

continued ...

Essential knowledge (contd):

Relevant occupational safety policies, procedures and guidelines to ensure safe practice

Risk assessment in the mental health context

Supervision and reflective practice

Therapeutic alliance

Understanding of support requirements for people with mental health problems

Understanding of the principles of community development as they may apply to clients with mental health issues

Understanding of work roles or services provided in specific areas (ie. lifespan approach, people from culturally and linguistically diverse groups, Aboriginal and Torres Strait Islanders, alcohol and other drugs abuse)

Understanding the principles of a recovery model in the mental health context

Essential skills:

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes the ability to:

Apply professional standards of practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

state/territory Nurse Regulatory Nurses Act

state/territory Nursing and Midwifery Regulatory Authority standards of practice

scope of nursing practice decision making framework

Apply problem solving skills, including an ability to use tools and techniques to solve problems, analyse information and make decisions that require discretion and confidentiality

Facilitate activities of daily living

Perform nursing interventions such as:

assist with electro-convulsant therapy

assisting with physical care

behavioural observation

counselling

establishment of therapeutic relationships

first aid

group or diversional therapy

pre and post procedure care

prevention and management of aggression

skill building programs

social normalisation programs

social normalisations

Undertake observations:

ability to communicate

aggression - physical or verbal

close/constant

improvements or deterioration in signs/symptoms

level of coherence

level of risk

levels of personal distress and anxiety

orientation to person, place, time

signs of physical injury/distress

continued ...

Essential skills (contd):

Use interpersonal skills, including working with others, empathising with consumer and relatives, using sensitivity when dealing with people and relating to persons from differing cultural, social and religious backgrounds

Use oral communication skills (language competence) required to fulfil job roles as specified by the organisation/service. Advanced oral communication skills include interviewing techniques, asking questions, active listening, asking for clarification from consumer or other persons where appropriate, negotiating solutions, acknowledging and responding to a range of views. The work may involve using interpreters

Use written communication skills (literacy competence) required to fulfil job roles as specified by organisation/service. The level of skill may range from reading and understanding incident reports and case management materials to preparing handover reports for receiving agency staff

Work effectively with consumers with mental health illnesses in both general and specialist environments, and with carers, colleagues and other health care providers



The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

The key features of the Mental Health Act must include:	Objectives Involuntary admission Consumer rights Involuntary review processes Seclusion and restraint Admission procedures Community treatment orders The role of the mental health practitioner Consent Confidentiality Definition of key terms

Health team may include:	Psychiatrist Psychologist Social worker Welfare officers Nursing team Recreation officers Program officers or activity officers Occupational therapist Health workers Drug and alcohol workers General practitioner Consumer advocate Carer Residential care worker

Resources and service providers may include:	Government agencies Non-government agencies 24 hour crisis services Community mental health centres Rehabilitation services Family/carer support services Consumer services Outreach services Psychiatric disability services School counsellors Acute Inpatient

Working with individuals and groups to achieve community development outcomes may include:	Engagement with various structures and patterns of work undertaken by practitioners and community members including: Community service delivery Community projects Community development Community action Community planning Consultative and planning committees Sector development structures

Broad classifications of mental illness must include:	Mood disorders Personality disorders Anxiety disorders Psychoses Organic disorders Mental health

Common terms associated with mental health may include:	Psychology/psychiatry Consumer Reality testing Risk assessment Psychosis Anorexia nervosa/Bulimia nervosa Functional disorders/Organic disorders Restraint/Seclusion Advocacy Recovery Therapeutic relationship Sexual safety Dual diagnosis

Common terms associated with anxiety disorders, personality disorders, psychotic disorders and mood disorders may include:	Antisocial/Avoidant Bipolar disorder Borderline Challenging behaviours Dependent/Depressive Drug induced psychosis Dysthymic disorder Eating disorders Fear Generalized anxiety disorder Hallucinations Histrionic/Narcissistic Major depressive disorder Major depressive episode Manic episode/Hypomanic episode Obsessive -compulsive/Paranoid Obsessive-compulsive disorder Panic disorder Passive-aggressive Post traumatic stress disorder Schizophrenia Social Phobia and specific phobias Substance abuse Suicide ideation

Common diagnoses must include:	Panic disorder Social phobia and specific phobias Obsessive-compulsive disorder Post traumatic stress disorder Depression Bipolar disorder Eating disorder Borderline personality disorder Schizophremia Dementia Delirium Anxiety disorder

Consumer mental health needs may include:	Psychoeducation Emotional support Social support Financial advice Food and clothing Transport Carer support Drug and alcohol counselling Respite care Emergency relief Legal advice Accommodation support Referral to other agencies

Appropriate communication and relationship building processes may include:	Engagement Empathy Non judgemental manner Active listening Acknowledging the person in a pleasant and accepting manner Treating the person as an individual with their own life history, skills and interests Rapport building Warmth Genuineness Respect Limit setting where appropriate Identifying strengths Including consumer and family

Response to consumers in distress and crisis will include:	Identifying and considering specific risk Enlisting support and/or assistance from colleagues or emergency support as appropriate Applying organisation policies and procedures Using calm and calming behaviour Reporting incidents promptly and accurately

Support processes may be informal and/or formal and may include:	Problem solving techniques Evaluation Risk assessment Interviewing techniques Information provision Group work Individual support Working with carers and others Relaxation management Stress management Anger management Coping strategies Counselling and support groups

Nursing observations of the mental health consumer may include:	Appearance/behaviour Speech Sleep Appetite Emotional reactions/mood/ cognition Form of thought/ perception/insight Disturbance in language Risk assessment

Consumer characteristics or behaviour patterns that require documentation may include:	Suicidal ideation Mania Hostile, combative behaviours Delusions, hallucinations Confusion Withdrawn behaviour Depression Aggression Manipulative behaviour Sexually inappropriate behaviour

Ethical concepts may include:	Integrity Confidentiality Advocacy Accountability Respect Safety Non-judgmental attitudes Treatment choices

The classification of medications used in mental health treatments may include:	Mood stabilizers Antidepressants Anti anxiety agents Antipsychotic / neuroleptic drugs Sedatives/hypnotics

Specific adverse effects may include:	Dystonia Akathisia Parkinsonian syndrome Tardive dyskinesia Neuroleptic malignant syndrome Orthostatic hypotension Photosensitivity Toxicity Hypertension / hypotension Weight gain

Activities to promote consumer dignity may include:	Communicate with consumer - inform, explain Confidentiality, privacy and respect Facilitate choice where reasonable Provide consistency and consideration Attention to hygiene, grooming and positive self image Provide encouragement Safety and security Inclusion in formal decision-making processes where possible

Therapeutic environment may include:	Non judgmental Safe Consistent Consumer focussed Promotion of independence

Types of therapies may include:	Counselling Group Therapy Pharmacological Electroconvulsive therapy Psychotherapy Cognitive behavioural therapy

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice	Yes	No	Comments/feedback
Explain the concept of mental illness as defined in the Mental Health Act
Identify and apply the key features of the Mental Health Act
Apply an understanding of the history, social, political and economic context of mental health in Australia
Support the rights of the consumer with mental health issues
Apply an understanding of national and state/ territory mental health policies and strategies
Work in a manner that reflects an understanding of the underpinning values and philosophies of mental health care and is consistent with legal obligations
Identify conditions relating to the mental state and behaviour of consumers using broad classifications of mental illness and terms commonly associated with mental health issues
Recognise the signs and symptoms of mental health disorders and respond within the role of an Enrolled/Division 2 nurse
Recognise biopsychosocial effects of mental health disorders
Recognise stereotyping and stigma associated with mental illness and practice in a manner which minimises the effects of negative behaviours and discrimination
Recognise the impact of stigma and discrimination on consumers with mental health issues, and reflect on own attitudes and values
Apply feedback from consumers and carers in adjusting own practice
Participate as a member of the health care team in the management of consumers with mental health issues within the role of Enrolled/Division 2 nurse
Gather, record and document data according to health care environment policy
Participate in multidisciplinary team meetings and liaise with and utilise appropriate resources and service providers, ensuring relevant approaches are used to address individual and group needs
Observe signs and symptoms of changing behaviours and attend to biopsychosocial needs in performing nursing interventions
Participate as a member of the health care team to plan the management of consumers with mental health issues within the role of Enrolled/Division 2 nurse
Apply a community development approach where appropriate within the Enrolled/Division 2 nurse scope of practice to maximise outcomes for individuals and groups
Under supervision of a registered nurse, undertake client assessments using recognised assessment processes
Demonstrate understanding of the consumer's right to contribute to their own care planning
Where appropriate, and where the consumer has given permission, support the participation of carers in treatment planning
Implement nursing interventions of a mental health consumer
Plan, prioritise and implement nursing interventions for a mental health consumer based on the individual care plan in conjunction with multidisciplinary team and with the consumer and, where relevant, the carer
Reflect the individuality and needs of each consumer when undertaking nursing interventions to assist the consumer to meet their holistic needs
Document behaviour patterns or characteristics in the client's care plan
Work in a manner that aims to provide respect and dignity to consumers
Assist the consumer and significant others to participate in therapeutic nursing interventions
Perform nursing interventions in accordance with professional, legal and organisation requirements reflecting non-discriminatory practice
Check consumer understanding of the use and effects of medications used to manage mental health disorders, including specific adverse effects
Identify and explain to consumer methods of drug administration
Recognise emergency situations, act upon, document and report according to organisation policy and procedures
Establish a therapeutic environment within the scope of Enrolled/Division 2 nurse practice
Provide advice and information to groups and individuals as required to ensure they are fully informed about relevant issues and opportunities within a community development approach
Document consumer response to nursing interventions and report to the registered nurse or other appropriate mental health care team member
Comply with the legal responsibilities and duty of care in all nursing interventions
Apply ethical and moral concepts to all clinical interventions
Ensure work practices reflect understanding of the interrelationships of the needs and rights of the individual, the family, the community and society
Identify triggers of problem behaviours and within the scope of Enrolled/Division 2 nursing practice, initiate prevention strategies
Implement de-escalation techniques and negotiation skills as required
Maintain safety of self and others

Forms

Assessment Cover Sheet

HLTEN510B - Implement and monitor nursing care for consumers with mental health conditions

Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTEN510B - Implement and monitor nursing care for consumers with mental health conditions

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date:

Assessor Resource

HLTEN510B Implement and monitor nursing care for consumers with mental health conditionsAssessment tool

Version 1.0 Issue Date: May 2024

Prerequisites

Employability Skills

Evidence Required

Submission Requirements

Assessment Tasks

Observation Checklist

Forms

Assessment Cover Sheet

HLTEN510B - Implement and monitor nursing care for consumers with mental health conditions

Assessment task 1: [title]

Assessment Record Sheet

HLTEN510B - Implement and monitor nursing care for consumers with mental health conditions

HLTEN510B
Implement and monitor nursing care for consumers with mental health conditions

Assessment tool

Version 1.0
Issue Date: May 2024