Question

Priority Diagnosis/Intervention for:

Abuse/neglect

Suicide

Anxiety

Depression

Bipolar (manic state)

Personality Disorders

ETOH

Drug Abuse

Schizophrenia

Anorexia

Bulimia

Answer 1

· Abuse/neglect

Diagnosis: Risk for abuse or neglect

Intervention:

Ø Assess the abuser for violent behavior or other abusive patterns, use of alcohol or drugs, or other psychosocial problems.

             Rational: Provides information to determine warning signs of child abuse.

Ø Assess behaviour of parents toward the child, including responses to the child’s behavior, ability to comfort the child, feelings etc.

              Rational: Reveals characteristics that may indicate risk for abuse.

Ø Instruct parents in identifying events that
lead to child abuse and in methods to deal with behavior without harming the child.

Suicide

Diagnosis: Risk for suicide

Intervention:

Ø Encourage the client to talk freely about feelings and help plan alternative ways of handling disappointment, anger, and frustration.

Ø Follow unit protocol for suicide regarding creating a safe environment

Ø Keep accurate and thorough records of client’s behaviors

Anxiety:

Diagnosis: Anxiety

Intervention:

Ø The patient should be assured that staff members are present nearby; they can respond to any emergency at the very next moment.

Ø Always keep the doors and curtain open so that patient would not get the feeling of confinement.

Ø Try to maintain a supportive, calm, confident methods to interact with the patients all the times

Ø orient the patients to the environment, routines and equipments.

Ø It’s wise to encourage verbalization of anxiety and fear. Give them good feedback every now then possible.

Ø instruct the patients with some of the best relaxation techniques and also encourage them to take part in different types of diversional activities.

Depression

Diagnosis: Hopelessness related to long-term stress

Intervention:

Ø Provide for patient’s physical needs. Assist with self-care and personal hygiene.

Ø Encourage the patient to talk and express feelings

Ø Encourage to take medication in time with proper rest and sleep.

Bipolar (manic state)

Diagnosis: Risk for injury

Intervention:

Ø Provide frequent rest periods.

Ø Maintain a low level of stimuli in client’s environment e.g., loud noises, bright light, low-temperature ventilation.

Ø Allow the patient to do physical exercise

Personality Disorders

Diagnosis: Chronic Low Self-Esteem

Intervention:

Ø Assess with clients their self perception. Target different areas of the client’s life

Ø Maintain a neutral, calm, and respectful manner, although with some clients this is easier said than done.

Ø Discourage client from making repetitive self-blaming and negative remarks.

Ø Focus questions in a positive and active light; helps client refocus on the present and look to the future.

ETOH

Diagnosis: Anxiety and fear

Intervention:

Ø Determine cause of anxiety, involving patient in the process. Explain that alcohol withdrawal increases anxiety and uneasiness. Reassess level of anxiety on an ongoing basis.

Ø Maintain a calm environment, minimizing noise.

Drug Abuse

Diagnosis: Risk for inury

Intervention:

Ø Providing health teaching for client and family.

Without support and help to understand and cope, many family members may develop substance abuse problems of their own .

Promote coping skills.

Observed the behaviour of the patient and check for any violent actions or suicidal behaviour.

Consult physician, counseller and ensure proper medication are taken by patient.

Schizophrenia

Diagnosis: Impaired Verbal Communication

Intervention:

Ø Identify the duration of the psychotic medication of the client.

Ø Keep environment calm, quiet and as free of stimuli as possible.

Anorexia

Bulimia

· Diagnosis: Imbalanced Nutrition: Less Than Body Requirements.

Intervention:

Ø Supervise the patient during mealtimes and for a specified period after meals (usually one hour).

Ø Identify the patient’s elimination patterns.

Ø Establish a minimum weight goal and daily nutritional requirements.

Ø Provide smaller meals and supplemental snacks, as appropriate.

Ø Provide nutritional therapy within a hospital treatment program