Scribd Logo
Upload

Welcome to Scribd!

  • 125 views

    Nursing Diagnosis Template

    Uploaded by

    sdk6972
    The patient presents with three nursing diagnoses: 1) Ineffective individual coping related to delusions 2) Interrupted family processes related to non-adherence to medications 3) Risk for injury related to extreme hyperactivity Nursing strategies include maintaining a calm approach, administering PRN medications, educating the family on the patient's disorder and medications, and providing structure to reduce anxiety. The patient has responded well with decreased delusions and anxiety and increased medication adherence with family support.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Nursing Diagnosis Template

    Uploaded by

    sdk6972
    125 views6 pages
    The patient presents with three nursing diagnoses: 1) Ineffective individual coping related to delusions 2) Interrupted family processes related to non-adherence to medications 3) Risk for injury related to extreme hyperactivity Nursing strategies include maintaining a calm approach, administering PRN medications, educating the family on the patient's disorder and medications, and providing structure to reduce anxiety. The patient has responded well with decreased delusions and anxiety and increased medication adherence with family support.

    Original Description:

    Nursing Diagnosis template for mental health

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The patient presents with three nursing diagnoses: 1) Ineffective individual coping related to delusions 2) Interrupted family processes related to non-adherence to medications 3) Risk for injury related to extreme hyperactivity Nursing strategies include maintaining a calm approach, administering PRN medications, educating the family on the patient's disorder and medications, and providing structure to reduce anxiety. The patient has responded well with decreased delusions and anxiety and increased medication adherence with family support.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    125 views6 pages

    Nursing Diagnosis Template

    Uploaded by

    sdk6972
    The patient presents with three nursing diagnoses: 1) Ineffective individual coping related to delusions 2) Interrupted family processes related to non-adherence to medications 3) Risk for injury related to extreme hyperactivity Nursing strategies include maintaining a calm approach, administering PRN medications, educating the family on the patient's disorder and medications, and providing structure to reduce anxiety. The patient has responded well with decreased delusions and anxiety and increased medication adherence with family support.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 6

    NURSING DIAGNOSIS

    Identify 3 Highest Priority Nursing Diagnosis:

    #1 Nursing Diagnosis
    Supporting data

    Ineffective individual coping related to inadequate level of perception as evidenced by delusions.

    #2 Nursing Diagnosis
    Supporting data

    Interrupted family processes related to non-adherence to medications as evidenced by family in crisis.

    #3 Nursing Diagnosis
    Supporting data

    Risk for injury as evidenced by extreme hyperactivity.

    1
    NURSING DIAGNOSIS #1 include stem, related to, as evidenced by:

    Predicted Behavioral Outcome: The patient will…


    Patient will report an absence of delusions and racing thoughts as a result of medications adherence and environmental structures

    Nursing Strategies: Evidence based Rationale for Strategies: Patient’s Actual Responses (Evaluation):
    1. Maintain a firm, calm, and neutral 1. To avoid escalation 1. Patient
    approach at all times (Varcarolis) has remained
    under
    control with
    no further
    escalation
    2. Administer PRN medications 2. Deescalate manic episodes 2. Patient
    has remained
    under
    control after
    PRN
    medications
    were given
    due to
    hallucination
    s
    3. 3. 3.
    4. 4. 4.
    5. 5. 5.
    6. 6. 6.
    7. 7. 7.
    Evaluation: The patient has remained calm during her hospitalizations. She has complied to medication treatment. The patient
    still remains focused on her mother’s death but shows improvement in her coping skills. The patient reports a decrease in her
    delusions and racing thoughts. The patient represents with a decrease in her anxious behaviors.

    2
    3
    NURSING DIAGNOSIS #2 include stem, related to, as evidenced by:

    Predicted Behavioral Outcome The patient will…


    The patient’s significant other will state they understand the need for medication adherence, and are able to identify three signs that indicate
    possible need for intervention when their family member’s mood escalates.

    Nursing Strategies: Evidence based Rationale for Strategies: Patient’s Actual Responses (Evaluation):
    1. Educate the family about the 1. Support for the patient and their families in 1. Patient has agreed to involve her
    disorder and medications the order to provide a better discharge husband and has begun involving him
    patient is taking environment in team meetings
    2. 2. 2.
    3. 3. 3.
    4. 4. 4.
    5. 5. 5.
    6. 6. 6.
    7. 7. 7.
    Evaluation: The husband has taken part in the patient’s care. The husband has been educated about Bipolar Disorder and the
    medications the patient is taking. The patient and her husband have agreed on a discharge plan that will involve collaboration
    between the both of them and team members. The husband understands the signs and symptoms of mood escalation that would
    prompt him to call the patient’s psychiatrist (Varcarolis).

    4
    NURSING DIAGNOSIS #3 include stem, related to, as evidenced by:

    Predicted Behavioral Outcome: The patient will…


    Respond to the medication within therapeutic levels.
    Nursing Strategies: Evidence based Rationale for Strategies: Patient’s Actual Responses (Evaluation):
    1. Provide structure with the help from a 1. Structure provides focus and security 1. The patient has remained focus on her care
    nurse or mental health worker (Varcarolis) and has participated in the activities
    without disruption
    2. Maintain a low level of stimulation 2. To help reduce anxiety and stress 2. The patient has remained free of stress in
    environments free of stimulation but has
    become anxious during meals and groups
    3. 3. 3.
    4. 4. 4.
    5. 5. 5.
    6. 6. 6.
    7. 7. 7.
    Evaluation: The patient has remained under control and has remained within normal limits of anxious behaviors. The patient has
    remained free of falls and injury.

    KBLSu2016, adaption by DFG- Fall2017

    5
    References

    Varcarolis, E. M. (2016). Foundations of psychiatric mental health nursing. Elsevier.

    You might also like