"How Would You Carry Out An Assessment Of Mental Health?"
Undertaking a mental health assessment is usually a central feature of most mental health nursing jobs. When answering this question, applicants should ensure they provide as much detail as possible to demonstrate they have the relevant knowledge.
Any Mental Health Nurse carrying out an assessment must introduce themselves along with anyone else present and state the purpose of the assessment. Mental Health Nurses should also be seeking to gain the individual's consent to the assessment, although they may not always have the capacity to provide this. Depending upon the context, it may also be required to seek their consent to share the assessment with other agencies.
A comprehensive, holistic assessment will examine the psychological, physical, social, intellectual, and spiritual aspects of the individual. The presenting issue, history of the presenting issue, psychiatric history, alcohol and substance misuse history, family and social history, medical history, developmental history, occupational and educational history, cultural history, and spirituality should all form the basis of a nursing assessment.
A mental state examination will also be carried out, and this will usually look at behaviour and appearance, affect, speech, thought content, perceptual disturbances, impulse control, cognition, and insight. If a physical assessment is to be undertaken, this may include taking observations such as bloods, blood pressure, pulse, oximeter reading, height and weight. It may also then be necessary to request further tests through a medical professional.
Within a mental health assessment, it will also be important to give consideration to capacity, and whether there are any specific issues where capacity should be assessed.
The applicant should also demonstrate that they have an awareness of assessment techniques. The Mental Health Nurse should be attentive and use non-verbal communication. Motivational interviewing is a useful tool in helping to elicit answers, and summing up and paraphrasing can be helpful towards the patient. Taking a non-judgemental position is also paramount towards effective engagement.
The interview the only opportunity a Mental Health Nurse will have to sell themselves after the initial application, and if they don’t properly prepare, they may be going up against someone who has.
"What Is Your Understanding Of Risk Management?"
Risk management is a central factor in providing effective care within mental health nursing. Applicants should demonstrate a thorough knowledge of the models of risk assessment as they will be expected to routinely assess risk. They should demonstrate knowledge around risk identification and mitigation, and how this can be managed through safety planning.
The ‘5 P's Model’ (Presenting, Predisposing, Precipitating, Perpetuating, Protective) is often used, and describing this process can be useful in ensuring each aspect of risk formulation is discussed. Applicants should also seek to link in their knowledge of safeguarding if asked a question about risk management.
It may also be useful to discuss elements of Mental Health Law, e.g. Part II and III of the Mental Health Act, and the Mental Capacity Act within the context of risk management.
"This Service Is Currently Expanding; How Would You Manage Working In A Busy And Sometimes Demanding Environment?"
Applicants should be able to demonstrate how they will be able to effectively carry out their role and manage competing priorities.
Many community mental health nursing roles are semi-autonomous, and therefore time management skills are essential. Basic considerations such as using a diary and planning community visits appropriately should be discussed if this question arises in an interview. Delegation of appropriate tasks may also be an option depending upon the role.
Applicants must show that they are proactive in forward planning and confident in the use of technology. Using supervision effectively is also a tool that applicants should identify as a means of support towards managing their workload.
It is important to show enthusiasm throughout the interview, as the interviewers will notice if someone appears disinterested.
"Can You Give An Example Of Managing Conflict Within The Team Or With A Co-Worker?"
This question may be framed in different ways within an interview. Interviewers are essentially looking for the interviewee to demonstrate an understanding of how to work in a respectful and professional manner with others. Applicants should demonstrate that they are able to understand different points of view, are able to act objectively, and that they have emotional awareness.
Within a scenario question such as this (or any others that arise in the interview), it can be useful to use the STAR acronym to frame your answer (Situation, Task, Action, and Result).
About this contributor
Registered Mental Health Nurse
I am a Registered Mental Health Nurse working in NHS Forensic Services as a Clinical Nurse Specialist for the Crown Courts. I hold undergraduate degrees in Nursing and Journalism, a Masters Degree in Law (specialising in Human Rights Law) and a Masters Degree in Clinical Research. I am interested in evidence based practice, social justice and supporting those who are at a disadvantage.
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