Question

Scenario E - Schizophrenia22 y/o male with no psychiatric history is admitted to the adult inpatient psychiatric unit after his girlfriend called the MET team. She reported he has had not been sleeping for several days and is increasingly paranoid, quitting his job due to the believing they were spying on him. He placed tin foil on all of the windows in their apartment and drowned the plants in water. He refuses to use a cell phone stating they are listening in through the cell phone. Upon assessment he is responding to internal stimuli, and he describes persecutory delusions that god is punishing him and his family is going to be shot by god or tortured by satan if he does not make the “right decisions.” His behavior is erratic and he is disrobing, believing that offering his clothing to the crisis center staff will protect his family. He is disoriented, refusing to eat snacks and juice offered to him, in apparent emotional distress, responding to auditory hallucinations. He denies suicidal thoughts but states, “I will die if that will save them, I would rather die.” He has not been violent. Scenario; F

● Develop a nursing care plan for E○ 3 nursing diagnosis ○ 3 nursing interventions

Answer 1

The nursin diagnosis are,

1,Disturbance in sensory perception auditory and visual, change reaction of stimuli like exaggerated,disorted or diminished

Interventions are,

• closely assess the signs of increasing fear,agitation and anxiety
• Examine the hallucinations are experienced by the patient
• Help the patient to identify times that the hallucinations are most frightening and prevalent

2,Disturbed thought process related to disease condition as evidenced by disruption in congnitive activities and operations.

Interventions are,

• Identify the patients delusions as the patient perception of the enviornment
• Attempt to understand the significance of these beliefs to the client at the time
• Engage the client in reality based activities like craft project,care game etc

3,Impared verbal communications as evidenced by delayed,decreased ,reduced,or absent of response and verbal communicaion

Intervetions are,

• Keep the sound in a low frequency and speak slow manner as much as possible
• Keep the enviornment quiet,calm and free of stimuli as possible
• Use simple or clear words and keep directions in simple manner,

Plz give a thums up