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Government Docs How-To Guides/Manuals Magazines/Newspapers Recipes/Menus School Work + all categories Featured Recent People Authors Students Researchers Publishers Government & Nonprofits Businesses Musicians Artists & Designers Teachers + all categories Most Followed Popular Sign Up | Log In You're looking at our new document page format. Have any thoughts? Leave us your feedback. inShare0Embed Doc Copy Link Readcast Collections CommentsGo Back Download Case Scenario # 7Psychiatric Nursing CareINSTRUCTIONS: For this case scenario, y ou will develop a Nursing Care Planusing SNL, the Standardized Nursing Languages ofNANDA,NOCandNIC(NNN). You will be completing the blank care plan that accompa nies this scenario. J.S. is a 19 year old college freshman, who was referred from the emergencyroom following an overdose of approximately 40 acetaminophen extra strength.He was cleared medically. He had been in outpatient counseling once a weeksince an initial overdose six months ago. Last night the patient was caught shoplifting and was charged with a crime, and now he has a court date pending. H ewas released to his family. Shortly after his return home he ingested the tablet s. He did not tell anyoneuntil he was discovered to be vomiting profusely and ta ken to the emergencyroom by his mother. He told the physician that when he took them he wanted todie. His mood and affect are depressed and blunted. He states h is appetiteand sleep have been poor and he believes he has lost 10 pounds over t he lastmonth. He is anhedonic and his grades are dropping due to inability tocon centrate. He is unable to describe any reason for this. He has thought ofsuicide in spite of intervention. There is no evidence of psychosis or a thought disorde r.Functional Health Patterns Nursing assessment data is organized inFunctional He alth Patterns. FunctionalHealth Patterns can help direct the choice of Nursing D iagnoses. The elevenfunctional health patterns areHealth Perception-Health Manag

ement; Cognitive-Perceptual; Nutritional-Metabolic; Elimination; Activity-Exerci se; Sleep/Rest; Self-Perception/Self-Concept; Role/Relationship; Sexuality/Repro ductive; Coping/Stress/Tolerance; and Value/Belief . TheFunctional Health Pattern that is most relevant for J.S. is: Role/Relationship 2Step 1. Choosing the Nursing Diagnosis (es)The following nursing diagnoses are appropriate for J.S In practice, you mayselect additional nursing diagnoses.Nurs ing Diagnosis: Risk for violence, self-directed Definition:Behaviors in which an individual demonstrates thathe/she can be physically, emotionally, or sexuallyh armful to self. Risk Factors:Age 15- 19, single, mental health (severedepression ),emotional status, suicidal ideationNursing Diagnosis: Ineffective individual c opingDefinition: Inability to form a valid appraisal of the stressors,inadequate choices of practiced responses, and/orinability to use available resourcesDefin ing Characteristics:Lack of goal-directed behavior/resolution ofproblem includin g: sleep disturbance, abuse ofchemicals agents. Decreased use of social support; poor concentration, inadequate problem solving. Nursing Diagnosis: Altered nutri tion, less than body requirementsDefinition: The state in which an individual is experiencing anintake of nutrients insufficient to meet metabolicneeds. Definin g Characteristics:lack of interest in food Related Factors:inability to ingest f ood due to psychologicalfactors While all of these nursing diagnoses are appropri ate, for purposes of thisexercise, lets useRisk for violence, self-directedOn the nursing care plan form, write in the nursing diagnosis, and check therisk factor s (etiology) for J.S. 3Step 2. Choosing the Nursing Outcomes (NOCs)The next step is to select nursing outc omes that can best affect thisnursing diagnosis.Listed below are two appropriate nur sing outcomes for J.S.Nursing OutcomesSuicide Self-restraint Indicators: Seeks he lp when feeling self-destructive Verbalizes control of impulses Refrains from gath ering means for suicide Does not require treatment for suicide gestures or attemp ts. Upholds suicide contractMood Equilibrium Indicators: Exhibits impulse control R eports adequate sleep Exhibits concentration Reports normal appetite Absence of sui cide ideation Shows interest in surroundings Select one of the above listednursing outcomesfor this care planexercise, go to the nursing care plan and check the i ndicators that youthink will best measure your patients progress towards the outc ome that your have chosen. You will need toRATEyour patients current status for ea ch indicator. Now that you have chosen your outcome for J.S., you will need to se lectthe interventions that will best meet this outcome. of 9 Leave a Comment Comment must not be empty. You must be logged in to leave a comment.SubmitCharacters: 400 Comment must not be empty. You must be logged in to leave a comment.SubmitCharacters: ...Nursing Care Plan 1 risk for violence, self directed teaching document Download or Print 51,464 ReadsInfo and Rating Category: Uncategorized. Rating: (7 Ratings) Upload Date: 12/08/2008 Copyright: Attribution Non-commercial Tags: nursingnursing diagnosisrisk for violenceself directedmedicalnursingandhea lthprofessionalsnursingnursing diagnosisrisk for violenceself directedmedicalnur singandhealthprofessionals(fewer) Flag document for inapproriate content

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