Question

2. You are conducting an admission interview with Linda, a 47-year-old woman whose husband died from a car accident 2 months ago. She was admitted due to a suicide attempt and states during the interview that she has "nothing to live for." She says that she has been drinking alcohol regularly to "numb the pain" and to help her sleep at night. After the interview, you develop a list of nursing diagnoses, which includes the following:

Dysfunctional Grieving related to lack of adequate support secondary to loss of spouse as evidenced by client's statement of having "nothing to live for."

Ineffective Individual Coping related to substance abuse and inappropriate coping mechanisms as evidenced by client's statement of using alcohol to "numb the pain."

Sleep Pattern Disturbance related to lifestyle disruption as evidenced by client's statement that alcohol is used to assist with sleeping.

a. For each nursing diagnosis, develop appropriate long-term and short-term goals.

b. For each nursing diagnosis, develop appropriate interventions.

c. How will you evaluate if these nursing diagnoses were effective?

d. Where will you document these nursing diagnosis and interventions and why?

Answer 1

1)long term goal

• Making her understand and accept the loss
• Making her aware about the ill-effects of the alcohol when overused
• Creating a proper sleep pattern or routine

Short term goal

• Explain her about the husband status of alive with major injury causing him more pain
• Providing medication to sleep
• Psychological support by an expert
• Diversional therapy.

b) Intervention

• Support and reassure the patient when she talk about the loss
• Administering anti addiction medication to come out of substance abuse.
• Providing calm and quiet environment enhance sleep
• Always have reassuring conversation and optimism in conversation
• Clearing the stimuli for her depression
• Provide spiritual support

c) the evaluation can be done by seeing the outcome of interventions

d) documentation in nursing care plan is to be done to monitor the patient progress and further care.