Essay about Steroid Use in People Everywhere - 745 Words

Anabolic steroids can weaken the body’s defenses against viral infections and cancers, even at doses much smaller than those used by cheating athletes. If they are weakened, viral diseases and tumors may find it easier to take hold in the body, potentially placing those who take steroids for prolonged periods at risk. Athletes have used these drugs for a long time, â€Å"Dr. Weatherby said, But now for the first time we were able to show that androgenic anabolic steroids have a seriously detrimental effect on a specific part of the immune system.† Steroids have the ability too help you gain muscle and/or body fat. â€Å"There was a young man in high-school named Chris Wash who managed to go from a fatty 180 pounds to a big and bulky 230 pounds with†¦show more content†¦Ã¢â‚¬Å"Knowing that people all over the world (even in sports) who will take illegal drugs to get the â€Å"competitive advantage† against other people† (Schmalts). However even wit h the use of steroids, you will only be as â€Å"big† as their body allows them to be. The full, long term risks of performance enhancing drugs such as steroids and human growth hormone aren’t fully known, but it is known that they can have lifelong implicants, especially when they’re used by teens who are still growing. â€Å"Anabolic steroids, which are synthetic versions of testosterone that can help develop muscle mass† (Stein). If taken by youth, steroids can close crucial growth plates before they are fully developed. That can actually lead to stunned growth, and the effect can be irreversible. â€Å"Steroids also can lead to hypertension and over aggressive behavior, the worst possible thing for already violence prone young males† (Stein). Steroids build the muscle by accelerating protein in the body and increasing free testosterone. Using steroids has large side effects and makes it very hard to grow muscles naturally. The androgenic compon ent deals with secondary male sex traits such as hair growth, sex drive and sperm health. Anabolic/androgenic steroids can also convert a third component, an estrogenic component. Certain steroids can make a male users testicles smaller. Acne is fairly common among anabolic steroidShow MoreRelatedAre Steroids as Bad as We Think?1132 Words   |  5 PagesAre Steroids Bad? Anabolic steroids are one of the most thought about drugs when talking about gaining weight and muscle. Steroids have been around for years and athletes today continue to use these illegal performance enhancing drugs. But are they really that bad for you? Steroids not only have terrible side effects but they are also becoming more and more common around the world today with pro icons using them and the existence of them. People use steroids for many reasons whether it isRead MoreAddiction to Steroids in the Book Drugs and Sports by Rodney G. Peck608 Words   |  3 Pages Steroids used by teens should be control to avoid health problems. In the book â€Å"Drugs and Sports†,on page 13, the author Rodney G. Peck states that â€Å"Experts believe that the disease of addiction can be passed down from parent to child.† He also states that, â€Å" a teen who has a parent with an addiction (or a parent who is recovering from an addiction) may be more likely to become an addict as well. Teens should talk with their parents and not follow their steps to addiction. Drug addiction usuallyRead MoreSport Enhancement Drugs1667 Words   |  7 PagesSteroids in Sports: Exploratory Essay The sports world has changed drastically over the past 10 years. The use of steroids has risen within that amount of time and it has changed the view of sports and the game itself. As a fan of all sports, it interests me why athletes feel like it’s ok or acceptable to take drugs to enhance their performance on the field of play. Athletes are always looking for ways to improve their skills on and off the field. With the use of steroids, athletes everywhere,Read MoreAnabolic Steroid Abuse666 Words   |  3 Pages Anabolic steroid abuse has become a huge concern among high school athletes. There has been a dramatic increase in the number of athletes using performance enhancing drugs in high school, almost double the number since the 1980s. Student athletes feel that steroids give them a competitive edge that they think they need to boost themselves past competition. Athletes, whether they are young or old, professional or amateur, are always looking to gain an advantage over th eir opponents to come awayRead MoreSteroids : A Lifestyle Of Cheating1639 Words   |  7 Pagesclear, beans and hype (Steroids and their). All of these words are slang for the illegal substance known more commonly as anabolic steroids and HGH, or human growth hormone. The controversy surrounding anabolic steroids and HGH in sports has stormed to the forefront of the many problems that plague America today. Anabolic steroids are synthetic chemicals that mimic the effects of the male sex hormone testosterone. Steroids promote increased muscle gain and muscle mass. Steroids are also highly addictiveRead MoreSteriods in Sports Essay1259 Words   |  6 Pageshelp of steroids. There is a current debate of allowing steroids to be legal in sports. Steroids should not be allowed in sports. Some people ask why. This research paper will give those people just a few of the many reasons why it should not be allowed. Through examining dangers of steroid abuse, ethics in sports, and characterist ics of individuals who take and use steroids, it is evident that steroids should not be allowed in sports. First I will examine the dangers of steroid abuse. Steroids effectsRead More Use of Performance Enhancing Substances by Athletes is Wrong708 Words   |  3 PagesUse of Performance Enhancing Substances by Athletes is Wrong What would you be willing to do to become a professional athlete? This is a question that demands more than a fleeting thought, because not only will becoming a successful professional athlete bring you millions of dollars, but you will achieve fame, fortune and worldwide recognition. Along with that you will be getting paid a lot to do something that you really love and enjoy. It seems like professional athletes have it all. TheyRead MoreA Lifestyle Of Cheating1512 Words   |  7 Pageshype (Steroids and their). All of these words are slang for the illegal substance known more commonly as anabolic steroids and HGH, or human growth hormone. The controversy surrounding anabolic steroids and HGH in sports has stormed to the forefront of the many problems that plague America today. Anabolic steroids are synthetic chemicals that mimic the effects of the male sex hormone testosterone. According to Fox News,  ¬Ã‚ ¬Ã‚ ¬5% of middle school and high school aged- children have or currently use anabolicRead MoreEssay on Steroids Effects on baseball and the Players1441 Words   |  6 Pages Steroids have taken over the game of baseball and more players are starting to get involved with them. Steroids are a big part of the Major League today in 2014, yet they entered the game of baseball through trainer Curtis Wenzlaff in 1992. Players and the game’s images a re ravaged when they become caught up in steroids. Some of the best players to ever play the game of baseball have been caught up in steroids, including Barry Bonds, Sammy Sosa, and Mark McGwire. Players with this level of skillRead MoreAnabolic Steroids And Steroids Use1525 Words   |  7 Pagesbeans and hype (Steroids and their). All of these words are slang for the illegal substance known more commonly as anabolic steroids and HGH (human growth hormone). The controversy surrounding anabolic steroids and HGH in sports has stormed to the forefront of the many problems that plague America today. Anabolic steroids are synthetic chemicals that mimic the effects of the male sex hormone testosterone. Some athletes seeking increased muscular strength and size abuse anabolic steroids (Ricki Lewis)

Essay about Trifles and the American Experience

â€Å"Trifles† and the American Experience Brian J. Moye English 202 Anne Marie Fowler April 15, 2013 â€Å"Trifles† and the American Experience Susan Glaspell’s one-act play â€Å"Trifles† was written in 1916. It was written based on real events. When Glaspell was a reporter, she covered a murder case in a small town in Iowa. Later, she wrote this short play which was inspired by her investigation and what she observed. Glaspell used irony, symbolism, and setting in her creation of the authentic American drama, â€Å"Trifles†, to express life for women in a male-dominated society in the early nineteen hundreds. Glaspell identifies the inferiority of women by using body language throughout this play. From the very beginning, they are in some†¦show more content†¦At the end of the play the county attorney makes a sarcastic comment to Mr. Hale that at least they found out Mrs. Wright was not going to quilt it, and asked the ladies what they called it. Ms. Hale, holding the bird in her pocket, answered and told him that they called it – knot it (Glaspell, 2011). The title of the play â€Å"Trifles† is a major symbol of how men viewed women in the early nineteen hundreds, something small, and of little value or importance. One of the examples of trifles within the play is the bird in the cage which symbolized Mrs. Wright and the life not only she had to live, but other women faced during this time as well. Women, as well as Mrs. Wright, felt caged in her own homes, and some were not able to associate with their friends. Women had no right to vote, or have a say so as to anything except what went on inside the home as far as cleaning, cooking, sewing, and tending to their children. The stove fire symbolizes Mr. and Mrs. Wrights’ relationship. The fire had gone out of their relationship. The stove fire going out made the house freezing cold, and caused the jars of preserves she had worked so hard on, to crack and break. These jars represented the warm and caring life that Mrs. Wright longed for. When the house turned cold, as did her relationship, the jars would crack and break, just as Mrs. Wright’s emotions, leading her to murder her husband. All of the jars wereShow MoreRelatedSusan Glaspell s A Jury Of Her Peers995 Words   |  4 Pagestreated as second class citizens to men. Susan Glaspell wrote the play â€Å"Trifles,† in 1916, which portrayed how women’s lives were seen as less significant throughout American society. The following year, Glaspell wrote the short story â€Å"A Jury of Her Peers,† which was essentially a longer and more detailed version of â€Å"Trifles.† The stories are alike in many societal imp lications, since â€Å"A Jury of Her Peers† was based off of â€Å"Trifles.† However, they also have some notable differences. The most strikingRead MoreTiffles Annotated Bibliography1375 Words   |  6 PagesTrifles Annotated Bibliography Alkalay-Gut, Karen. Jury of Her Peers: The Importance of Trifles. Studies in Short Fiction 21 (Winter 1984): 1-9. In this deeper look into Trifles, Karen goes through the plot and discusses what you should pay more attention too. She describes the symbolism in some of the objects as well as explain the scenes and their little details. Karen finds the difference between male and female perceptions of judgment to be central to the play. She explains that youRead MoreSusan Glaspell s Trifles 1577 Words   |  7 Pagesfeminism are published. One of those is ‘Trifles’ by Susan Glaspell as the American feminist movement addressed feminism at that time (Manuel, 57). There are several factors in Trifles representing the disadvantages of absence of feminism and the importance of feminism such as setting and situation. First, the setting, a first factor, implies the importance of feminism. In Trifles, the main setting is an isolated rural farmhouse. From the line 9 in Trifles, Mr.Hale mentioned the husband as a passiveRead MoreThe Deception of Trifles: Gender Roles in the Play by Glaspell1550 Words   |  7 PagesIn the 19th Century, women had different roles and treated differently compared to today’s women in American society. In the past, men expected women to carry out the duties of a homemaker, which consisted of cleaning and cooking. In earlier years, men did not allow women to have opinions or carry on a job outside of the household. As today’s societies, women leave the house to carry on jobs that allow them to speak their minds and carry on roles that men carried out in earlier years. In theRead MoreSusan Glaspell s Trifles 1732 Words   |  7 PagesSusan Glaspell (1876-1948) was an American-born Pulitzer Prize winning writer of both plays and fiction. Glaspell c ame from humble beginnings and went on to study at Drake University and the University of Chicago. Much of Glaspell s work dealt with the relationships between men and women and the negative effects they have on women. In Glaspell s play Trifles, it is revealed that the operations of patriarchy are just an illusion that men have created to make themselves feel superior to womenRead MoreGender Roles In Trifles By Susan Glaspell1200 Words   |  5 PagesThroughout American history, stereotypes about gender socialization and gender roles have existed in society. During the late 19th to the early 20th century, genders roles began to shift. This is mainly due to the shift as more women took on more professional affairs. Because of this shift, women became less reliant on male dependency, allowing them to be socially equal in the eyes of men. In Susan Glaspell’s play, Trifles makes a moving statement how the gender roles were in the early 20th centuryRead MoreArthur Miller s Dea th Of A Salesman1159 Words   |  5 PagesPeople have different identities because they all make their own over the course of their lives. Identity development is the outcome of different experiences and situations people encounter throughout their lives. Views, beliefs, activities, and conflicts have an impact on how individuals form their identities. People go through life trying to recognize their character traits, the act of which leads them to their identities, but over time can lose the identities they have through society, throughRead MoreAmerican Literature in the Period between 1914-1945887 Words   |  4 PagesMany writers of the period 1914-1945, changed and shaped the American literary landscape by the country’s changing of the manufacturing industries, advancement in technologies and the uprooting of many citizens. This era became committed to steering America back to a prewar way of life. Writers were associated with high modernism, objectivist and confessiona l movement that emerged post World War II. There was a major change socially, politically and culturally emerging multicultural perspectivesRead MoreEffects Of Transcendionalism In American Literature2077 Words   |  9 PagesDuring the pre-American revolutionary war period, the original thirteen colonies confronted economical and societal oppression from Great Britain because of years of salutary neglect and cultural differences between the colonies and the motherland. Taxes imposed onto the American colonies prompted political and, mainly, societal changes as they see fit to change back to their original relationship with Britain and their irritating laws. As conflicts between the colonies and the motherland escalatedRead MoreSusan Glaspells Use of an Unseen Central Character in Trifles1165 Words   |  5 Pages In Trifles by Susan Glaspell, the central character remains unseen for the entirety of the piece. â€Å"The central character - the person whose actions are to be under stood - is absent, thus rendering her all the more a figurative blank space† (Keetley 342). The audience never sees or hears Minnie Wright throughout the piece, and therefor cannot develop an accurate opinion of the outcome of the play, as they are missing vital information about Minnie’s personality. The audience and characters instead

Physical Development of Children - 4170 Words

Unit 5-Understanding the promotion of Physical Development of Children and Young People. Task 1 A-LO1.1-Produce a chart or table containing the following below: Define Growth and Development and describe the stages and sequence of physical development in the following stages: Growth-Process of moving from one stage of life to another, it is also an increase in size. Development-Process of growing or developing. Stages | Sequence of Physical Development | 0-3 Years | At birth children start to develop survival and micro reflexes. They learn simple activities like grasping and sucking.At 3 months they learn how to smile and make eye contact. They learn to show that they are enjoying your company. Children learn how to show elements†¦show more content†¦Emotional development is effected by neglect, separation, lack of love (family) and self harm. Social development is effected by lack of self esteem and secondary socialisation. 0-3 years From the stages between 0-3 year’s children are learning their reflexes, about people around them, how to play alongside others etc. During this stage it is very important that all children get every type development without any problems as this may cause harsh conditions for them in the future. Physical development relates to this stage because children are developing in many ways, such as they are learning how to walk, holding objects, learning about activities etc. They learn about their strength’s, so physical development takes a big part in this stage. Intellectual development relates to this stage because at this stage children learn about the power that the mind has. They learn how to smile and make eye contact. They realise who the main people in their lives are. As they see these people all the time their mind remembers each person and knows that they are the main people that will be taking part in his/her life. Language development is related to this stage because language learning starts at birth. They listen to the speech of those close to them, and startle or cry if there is an unexpected noise. EmotionalShow MoreRelatedPhysical And Physical Development Of Children867 Words   |  4 PagesPhysical development of children correlates to other areas of development, for example, fine and gross motor and results in healthy development of the brain. A teacher should observe and assess the development of the learners’ fine-motor coordination and gross-motor developmental milestones during outdoor play. However, children grow at different rates, which is an indication that a child may regress in a skill or reach a milestone earlier than another. Therefore, teachers should use the developmentalRead MoreThe Physical Development Of Children1739 Words   |  7 PagesThis essay consists of a critique of the major theories in relation to the development of children from birth to three years and if they apply to all children’s development. The physical development of children is explored by Freud. His theory displays children at a very young age, showing interest in their own bodies, as he believes they receive pleasure from exploring their genital area. This sexual fixation is started at infancy when the infant takes nourishment and pleasure from suckling milkRead MorePhysical And Cognitive Development Of Children Essay1473 Words   |  6 PagesPhysical and Cognitive Development in the Children In the book Child Development An Active Learning Approach, it states that the sequence of motor milestones happen in the same way for most babies around the world. This fact indicates that motor development is strongly controlled by our genes, which dictates the expected sequence of the development (page 193). In researching the physical development of children I learned that there are two forms of motors skills. Fine motors skills which use smallRead MoreSupport For Children s Physical Development1796 Words   |  8 PagesUnit 166 - Support others to promote children’s physical development in an early years setting Because of research Physical development is part of the three prime areas of learning in the EYFS, joining Communication and Language and Personal, Social and Emotional Development, these three areas are particularly important for the learning development of the under threes, this will Secure the foundations for future success in all aspects of their life and learning. Early year’s providers and practitionersRead MorePhysical and Motor Development in Preschool Children Essay1042 Words   |  5 Pages Children grow faster during the first 3 years, especially during the first few months, than they ever will again. By 5 months, the average baby boys birth weight has doubled to 16 pounds and, by year 1, has nearly tripled to 23 pounds. The rapid growth rate tapers off during the 2nd and 3rd years. A boy typically gains about 5 pounds by his second birthday and 3 and 1/2 pounds by his third, when he tips the scales at 31 and 1/2 pounds. A boys height typically increases by 1 0 inches duringRead More Physical Development of Children in Middle Childhood Essay1765 Words   |  8 Pagestopic considers what the physical development of children in ‘middle childhood (6-10)’ is, and how their physical needs in the learning environment can be accommodated. The key elements taken into consideration would be the development of motor skills for the selected age group and the influences of the specified group. The benefits of physical activity and the consequences of prolonged inactivity, how a student’s development can be facilitated or restricted through development in other areas with theRead MoreThe Emotional, Social And Physical Development Of Young Children2338 Words   |  10 Pages The emotional, social and physical development of young children has a direct impact on their development and adult they will become. Hence, the importance of understanding and the need to invest in very young children to maximize their future well-being is essential. Research in Neurology show that early childhood is a critical period in brain development. Babies begin very early their learning about the world around them, from the prenatal period, prenatal (immediately before and after birth)Read MorePhysical Development in Children Ages 3-71936 Words   |  8 PagesTeaching and learning in Schools Assignment 1 Physical Development between the age range of 3-7 years olds Physical development provides children with the abilities they need to explore and interact with the world around them. It is also about improving the skills of coordination, control, manipulation and movement, although the age at which they achieve them may differ from child to child. The physical development of young children must be encouraged through the provision of opportunitiesRead MoreEffects of Technology on the Cognitive and Physical Development of Young Children511 Words   |  2 PagesAs our generations and technological world has vastly began to develop and expand rapidly, a repeated debate of whether technology use for young babies and children is beneficial or harmful to the physical and cognitive development of the child. As research has taken place to determine more answers around this topic, experts and parents from all different generations cast their opinion on the matter. Research in New Zealand states that ‘Almost one in five of the 2-year-olds in the study were alsoRead MoreImportance Of Vaccination On Children s Physical And Cognitive Development1697 Words   |  7 Pagesarticles Qualitative or Quantitative? Bloom, D, Canning, D, Shenoy, E 2012, The effect of vaccination on children s physical and cognitive development in the Philippines , Applied Economics, 44, 21, pp. 2777-2783, Business Source Complete, EBSCOhost, viewed 19 May 2015. 1. Identify the: (i) Title of the article ‘The effect of vaccination on children’s physical and cognitive development in the Phillipines’ (ii) Author(s) of the article (Note: surname will suffice) Bloom, Canning and Shenoy

Interventions If Mse Findings Are Finding †Myassignmenthelp.Com

Question: Discuss About The Interventions If Mse Findings Are Finding? Answer: Introduction Mental State Examination (MSE) is the comprehensive way of observing and describing individual patients state of mind. Mental state examination forms the fundamental assessment for mental disorders, especially on the symptoms. Mental state examination banks on observations and the use of questionnaires or interview to determine the sound ability of the patient to score on the symptoms of mental disorders. There are key domains that are used to assess or evaluate the patient or client. The appearance of the patient may be emotionally generated that initiating behavior assessment as an element of MSE (Recupero, 2010). The appearance of the patient is another check, for the patient may seem to deviate from the normal behavior showing some mental depression. Other domains that are also used in the evaluation are perception, insight, cognition, thought, and speech. As registered nurse officer, when assessing the patient for mental problems, observation and capacity of the patient to show symptoms of mental health problems forms the basis. Any concerns of the behavior change or misbehavior that may also be identifiable from the dressing or general behaviors are key to mental disorders. In addition, MSE uses other mental health evaluation tools such as depression anxiety stress scale (DASS) to assess anxiety, stress or depression as critical signs of mental problems (Khoury, Lecomte Fortin et al, 2013). The Mental State Examination As a registered nurse, there are critical domains that are used to assess the mental health of the patients. These domains form the foundation or the basis of the mental state examination. The MSE reveals the mental condition that is associated with certain domains and when observed or patient is interviewed the nursing officer can see the mental status of the patient. Some of the main domains that are normally used in evaluation and assessment of patient are appearance, thought, mood and affect, insight, behavior, cognition, perception, and speech (Saks, 2007). Appearance Appearance is a domain that makes use of physical aspects of the patients with a focus on elements such as dressing, age, weight, and height. Clinicians use physical appearance that may include discrepancies between physical appearance and age symbol of chronic poor self-care. Dirty clothes, on the other hand, may show patients suffering from depression as compared to bizarre clothing that may use to show mania condition of the patient. Body weight loss is also another aspect of appearance domain that is used to assess illness or depressive disorder among mental patients (Mohatt, Bennett Walkup, 2014). Behaviour Behaviour domain of mental state examination is used to assess abnormal behaviors that may result from a mental disorder. Behaviors such as gestures, eye contact, gait, and expression are used to assess the abdominal behavior resulting from mental disorders. For instance, the ability of the patient to follow or act according to the instruction shows a particular behavior. This may be used to indicate the mental status of the patient. Secondly, lack of eye contact may be used to indicate depression within patients mental health (Recupero, 2010). Content of Speech Speech or speech content of patient gives the clinician spontaneous speech to assess the speech functioning. Speech reveals the thought content or thought form which are two important aspects of speech functioning used in assessing mental state. Speech content can be used to assess language disorders such as clustering, mutism or stuttering hence effect on the patients mental state. Spontaneity and latency of speech are two important elements of speech functioning that express the state of the mind of the patient (Nutt, King, Saulsbury Blakemore, 2007). Mood and affect The internal emotional state of an individual may be express in terms of mood and is closely related to affect. The mood is expressed in a dynamic external state that directly represents the internal predominant state. Affect is readily confused by mood since the two almost represent similar phenomenon and explains ones state of mind. Mood and affect are directly related to the emotional state of the mind and as nurse examining or observing the mood of the patient has clear indication of the state of mind of the patient (Zhao et al, 2016). Thought Thought domain is another aspect of the mental state examination that shows the patients thinking and is generally evaluated based on the reasonability of the patient. Aggressive, self-harm and obsession are some of the elements that can be used to evaluate the thought domain of patient. For instance, observing the aggression of the patient especially when the patient tries to self-harm is a good indication that the patient has a mental problem that needs care. The thought of the patient is related to mind processing and the ability of the patient to think and therefore, should be used to assess the rational ability of the patient (Varcarolis, 2010) Perception Assessing perception of an individual is another area that shows the mental health status of the patient and forms part of the mental state examination. Perception can be used to detect mental disorder such as psychosis and substance abuse or trauma. Perceptual disturbance can also be used to assess severe anxiety or mood problems. In order to assess perception, symptoms that are indicated by perception examinations are feeling the surrounding is not real or feeling detached from yourself (National Collaborating Centre for Mental Health, 2009). Cognition Cognition is the ability of an individual to process information hence is sensitive to mental disorders. The cognition is also connected to the state of consciousness and assessed based intoxication, drowsy, alert and stuporose. In addition, cognition is also shown the orientation of reality that is expressed person in connection to the ability of the patient to correctly identify place or time. Lastly, cognition is also important for the patients memory functioning, visuospatial processing that is assessed in the ability of the patient to remember or see thing the way they are (Fusar-Poli, et al. 2012). Insight is another important triaging psychiatric decisions that are used to acknowledge or identify mental problems. Insight also encompasses the judgmental ability of the person in a practical dilemma. When assessing insight some signs such as hallucination or suicidal impulses can be used as symptoms. When the patient show signs of loss of insight there is an indication that patient has some mental impairment that results in the inability of the patient to make some rational judgment (Owen Harland, 2007). Anxiety and depression Anxiety and depression are symptoms that can be identified by the domains that are observed. The domains that assessment may show these signs are appearance, mood, speech, and behavior. Firstly, the Anxiety and depression originate from the psychological functioning of a patient and can be reflected in their appearance. The internal emotional state is displayed in the appearance of an individual (Shibayama, 2011). And as for nursing officer, it will be good to note the appearance of the patient, especially in their dressing. Anxiety and depression are evidence of internal emotional disturbance in a patient that can be seen externally in their behavior. The mood of the patient is also connected to their psychological state and can be cheerful or sad. Those patients with severe depression have also speech problem and can express this in the way they speak or refuse to speak (Aspden, 2012). Psychotic disorder symptoms The psychotic disorder is a condition of schizophrenia and can affect the speech, cognition, mood and behavior domains that are used in MSE assessment. This is because the psychotic disorder is signs of schizophrenia that has an effect on such domain mentally. The psychotic disorder has some invisible signs such as hallucinations, disorganized auditory, speech, and behavior. This leaves the patient with abnormal behavior usually observed when assessing the domains of MSE. According to Bennet (2008), a patient with schizophrenia will have a neurocognitive deficit that has an effect on the personal organization and abstract. The disorder may also affect the speech of an individual leading to loss of interest or drive in something. Moreover, the mood of the patient is normally difficult to understand with a mixture of cheerful and sad mood. Therefore, the noncontributory physical examination is recommended as the baseline before any medication is prescribed (Nordqvist, 2016). Findings from the MSE need interventions that are part of nursing care service that needs to given to the patient. Some of the elements that need to be considered on the interventions include person centered care, cultural appropriateness, multidisciplinary team and psychotropic medication. Person centered care Person centered care approach is one of the nursing care approaches that involve the family of the patient in caring for the patient. This follows close in the intervention immediately after the results or findings of the MSE are found to be concerning or positive (National Collaborating Centre for Mental Health, 2009). Cultural appropriateness Cultural appropriateness is another aspect or factor that can be considered when deciding on the intervention to offer to those patients that the MSE findings are concerning. The culture of the patient plays an important role in the nursing care and their ability to assist mental health patients. An intervention that will immediately require after conduction MSE assessment is cultural understanding where the nursing officer will explore cultural beliefs of the patient to comply with their cultural alienation as an ethical requirement. Understanding the culture is important for a reconciliation of behaviors and mental health putting into consideration the patients culture (Yuhas, 2013). Multidisciplinary team A multidisciplinary team will take immediate care with members such as clinicians, nurses, physicians, pharmacists and laboratory officers. The team will aim as assisting the patient with any medication that may be required or rehabilitation of the patient to restore their mental health to a normal state. As a nursing office, I will involve other medical practitioners in assessing the extent of the mental health problem and the measures needed to correct them. To do this effectively, multidisciplinary team will be the great deal in nursing care (World Health Organization, 2009). Psychotropic medication is a medication that is given to a patient with mental health problems with the view to correct the mental disorders. Psychotropic medication will be recommended especially where the patient MSE findings show the possibility of the patient suffering from depression and anxiety emotional related problems. For instance, the MSE finding may show schizophrenia in the patient which the medication is given for stabilizing and safety of mental health (Freudenreich, 2012). The depression anxiety stress scale (DASS) is a mental assessment tool that focuses on assessing the three main aspects of MSE and these are depression, anxiety, and stress. The scale is designed with 42 items to explore and assess the level of emotional expression that is reflected the depression, stress, and anxiety. Psychometric adequacy standards are utilized in the scale that mainly focuses on symptoms of mental disorders or mental health (National Collaborating Centre for Mental Health, 2009). Depression is scored on the scale that focuses on hopelessness, devaluation of life, dysphoria, anhedonia, lack of interest/involvement, self-deprecation and inertia. Depression follows questionnaires that are filled expressing patients depression is the score. For instance, hopelessness can show the level of depression that patient is going to an extent of devaluating life. The assessment serves to identify elements of depression that will show the emotional disturbance (Murray, Buttner Price, 2012). Anxiety is one of the three points that are scored on the DASS scale which explains or assess the anxiety of patient as a reflection of mental health. Under the anxiety, the scale situational anxiety skeletal muscle effects, autonomic arousal and subjective experience of anxious affect. Anxiety part of the scale still point to the 0.7 thresholds that certify clinical applications, and is still near to the 0.9 identified by research (Khouzam, 2009). Stress is another basic sign of emotional expression of mental health and forms part of DASS scale. Unnecessary stress may indicate that the patient is internally depressed and the result is emotional stress. This stress may also indicate the mental health status of the client (Ost, 2014). Ethical and legal consideration There are some legal and ethical considerations that need to be considered when conducting mental state examination. Patients cultural norms need to be considered, the age of the patient, firstly, patients cultural norms dictate certain appearance or behaviors differently as compared to other culture. This may hind behavioral or appearance assessment of patient where there are cultural disparities between clinician and patient. Secondly, the age of the patient may also vary changing the overall assessments structure. For instance, children behave differently from grown up patients. The legal aspect of the assessment requires clinicians to first seek permission from the patient before conducting examination (Gross Schfer, 2011). The permission is also necessary from the family members of the patient before performing an evaluation or assessments on an individual. In addition, ethical standards also dictate the manner in which the nursing officer should handle the patient since mental health problem may sometimes be aggressive. As a registered nurse, more care is needed for this patient since their level of depression or stress may be concerning and most likely to resist or misbehave while doing an evaluation. Lastly, the ethical standard should consider the speech content as the patient with cognition problems may spew negative utterances (National Collaborating Centre for Mental Health, 2009). The result of the Depression Anxiety and Stress Scale if are concerning there is a need for immediate action to the patient. There are some interventions that will be done to the patient or client that aim at caring for the patient and some of these actions are discussed below. Person centered care Person centered care is an important nursing care that is offered to mental patients especially when the assessment turns positive for mental disorders. Some of the interventions that will be done in the area of person centered care include informing the family members of the patient concerning the score of the DASS test. This is basically to utilize the key aspect of family involvement in the care of mental health patient. Secondly, I ensure that the patient gets the necessary care the patient need when the patient needs that care. Cultural appropriateness The cultural factor plays a critical role in mental health care especially when the DASS result is concerning. The manner and way that the patient is treated or care for are important and I would consider the cultural norms of the patient to plan for the care of the mental patient. The multidisciplinary team When the health state of mind of the patient is concerning there is a need for a multidisciplinary team that consists of many different clinical officers who can treat and care for patients. The team that basically consists of nurses, physicians, psychologists, and pharmacists, will counsel or treat the patient and the family. After DASS findings the scale or severity of the mental health will also assist the team to find the right action or medication (World Health Organization, 2009). Psychotropic medication Psychotropic medication will be administered to the patient with the help of clinical officers, physicians or pharmacists. The psychotropic medication aims to try restores or alters the emotional expression that is responsible for depression, stress or anxiety that substantiate mental health problems of the patient (Murray, Buttner Price, 2012). Conclusion In conclusion, the Mental State Examination is an important nursing assessment that can be used to evaluate the mental health of the patient that is showing abnormal behaviors. There is also some domain that is used to assess the mental health of a patient that show some signs or symptoms of mental disorder. Some of these domains are behavior, insight, appearance, speech content, perception, mood and affect, thought and cognition. There are also some other mental health assessment tools that are also used to evaluate the mental health of the patient and this is Depression Anxiety Stress Scale (DASS). Reference Aspden, P. (21 April 2012), "So, what does The Scream mean?" Financial Times. Archived from the original on 14 October 2013. Bennet, S. (2008), Mind and madness in classical antiquity. History of Psychiatry and Medical Psychology: 175197. Freudenreich, O. (3 December 2012), Differential Diagnosis of Psychotic Symptoms: Medical "Mimics". Psychiatric Times. UBM Medical. Retrieved 16 March 2017. Fusar-Poli, P., et al. (Jun 2012), Cognitive functioning in prodromal psychosis: a meta-analysis. Arch Gen Psychiatry, 69 (6): 56271. PMID Gross, D.; Schfer, G. (April 2011), Egas Moniz and the "invention" of modern psychosurgery: A historical and ethical reanalysis under special consideration of Portuguese original sources. Neurosurgical Focus. 30 (2): 810. Khouzam, H.R. (April 2009), Anxiety Disorders: Guidelines for Effective Primary Care. Part 1 2: Treatment". Consultant., 49 (4). Khoury, B, Lecomte, T. Fortin G, et al. (Aug 2013), Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Rev. 33 (6): 76371. Murray, E.D., Buttner, N., Price B.H. (2012), Depression and Psychosis in Neurological Practice. In: Neurology in Clinical Practice, 6th Edition. Bradley W.G., Daroff R.B., Fenichel G.M., Jankovic J. (eds.) Butterworth Heinemann. April 12, 2012. Mohatt, J.; Bennett, S.M.; Walkup, J. T. (2014-07-01), Treatment of Separation, Generalized, and Social Anxiety Disorders in Youths. American Journal of Psychiatry, 171 (7): 741748. National Collaborating Centre for Mental Health (25 March 2009), Schizophrenia: Full national clinical guideline on core interventions in primary and secondary care (PDF). Retrieved 25 November 2009. Nordqvist, C. (August 8, 2016), What Is Schizoaffective Disorder? What Causes Schizoaffective Disorder? Medical News Today. Retrieved March 16, 2017. Nutt, D.; King, L. A.; Saulsbury, W. Blakemore, C. (2007), Development of a rational scale to assess the harm of drugs of potential misuse. The Lancet. 369 (9566): 10471053. PMID17382831 Owen, G Harland, R (2007), Editor's Introduction: Theme Issue on Phenomenology and Psychiatry for the 21st Century. Taking Phenomenology Seriously. Schizophrenia Bulletin 33 (1) pp. 105107 Ost, L.G. (October 2014), The efficacy of Acceptance and Commitment Therapy: an updated systematic review and meta-analysis. Behaviour research and therapy, 61: 10521. PMID25193001 Recupero, P. R. (2010), The Mental Status Examination in the Age of the Internet. Journal of the American Academy of Psychiatry and the Law, 38 (1): 1526. PMID Shibayama, M. (2011), Differential diagnosis between dissociative disorders and schizophrenia. Seishin shinkeigaku zasshi=Psychiatria et neurologia Japonica. 113 (9): 906911. PMID Saks, E. R. (2007), The Center Cannot HoldMy Journey Through Madness. New York: Hyperion. Varcarolis. E (2010), Manual of Psychiatric Nursing Care Planning: Assessment Guides, Diagnoses and Psychopharmacology. 4th ed. New York: Saunders Elsevier. p 109. World Health Organization, (2009), Pharmacological Treatment of Mental Disorders in Primary Health Care (PDF). Geneva. ISBN978-92-4-154769-7. Archived (PDF) from the original on 20 November 2016. Yuhas, D. (2013), Throughout History, Defining Schizophrenia Has Remained a Challenge (Timeline). Scientific American Mind (March 2013). Retrieved 2 March 2013. Zhao, Q.F., et al. (2016), The prevalence of neuropsychiatric symptoms in Alzheimer's disease: Systematic review and meta-analysis". J Affect Disorder (Systematic Review), 190: 26471. PMID26540080