Initial assessments in mental health nursing: engaging with the patient as a person

Initial assessments in mental health nursing are problem-focused but also seek to see the person behind the patient. Mental health nurses conducting initial assessments need to simultaneously engage with the person on a human level and assess their mental health objectively. This requires multifaceted interpersonal skills developed over time through reflection and self-awareness. This article discusses several important aspects of initial mental health assessments. It highlights the importance of engagement and relationship building; trauma-informed care and validation; and self-awareness and inclusivity. It describes useful tools and techniques and how non-verbal behaviours can enhance interactions with patients. Finally, it details how mental health nurses can engage authentically and make therapeutic use of the self, based on Rogers’ core conditions for therapeutic change.