Nursing Diagnosis

#1
Priority:

Dead Poet Society

Neal

Nursing Diagnosis
#2
Ineffective relationship
Related to and AEB?

Risk for suicide AEB?

Assessment
Subjective: Conversation with poetry teacher, Im trapped, my
father does not know me, I cant talk to him like this.
Expected Outcome
Patient Neal will discuss
feelings that precipitate
suicide attempts. Need time
ref

Need more subjective data.lots to draw from in 2 hour movie

Objective Data
Mental status exam

Interventions

Interventions
-Ask directly; have you ever thought about hurting
self and do you have a plan?
-Initiate safety protocols, removing anything that will
inflict self-injury throughout the entire stay at the
facility.
-Use warm, caring, nonjudgmental manners until
discharge.
Anything you can teach?

Expected Outcome
Patient will verbalize desire
to work with father towards
heathy communication
skills. Needs time ref

Around peers seems happy, outgoing, loud, able to be self, makes eye
contact.
Looses all sense of happiness when his father is brought up in
conversation, which gets worse when father is present.
Body language: tense, little to no eye contact.
Even at his lowest point he is unable to speak to father about future
plans/goals for self/passions. Extreme pressure to excel in school with
grades and become what his father wants him to be. Communication is
one way, fathers way, feeling of hopelessness from son is observed.
Try reviewing the mental status exam posted in Blackboard to be
sure you havent omitted anything and to help organize this
section. You have noted the change to his mood, affect, eye
contact, and sense of hope when he is with his father versus his
friends well. Good job

-Assess Neal and father; verbal and

nonverbal communication skills.
-Provide safe environment and assist the
patient and father to communicate. How
would you assist? Is there a more specific
intervention you could add here?
-Educate regarding need for family treatment.
R: Only together can they begin to repair
relationship.
Individualize more.do pt and father have
names?

Need to show which data supports each diagnosis. You can color
code or you can write it out in the DX box. IE risk for suicide aeb:
(You wont have a related to for the at risk dx)

Anticipated medications
Lexapro (SSRI) antidepressant

Other: defense mechanisms, coping skills, support system,

housing, income,
???

Anticipated medications
Xanax, antianxiety

Evaluation
Patient will not harm self in hospital. This is a
goal, not an evaluation. And, you still need to
evaluate the goal you set. Did Neal identify
triggers? You can use this as another outcome
goal and then evaluate that here as well.

Evaluation
Patient and father demonstrate improved
communication.

Referenced rational for each intervention.

Diagnosis #1
A. Suicide risk increases if patient has plan. Need page numbers for references Sparks and Taylor, page?
B. Ensure patient safety.
C. To show unconditional positive regard.

Diagnosis # 2
A. Additional info or perspective that patient may not be aware of.
B. To help facilitate positive interaction.
C. Only together can they begin to repair their relationship.
Full References: Sparks & Taylors Nursing Diagnosis reference manual, ninth edition, part VI Psychiatric and mental health.
Need publication date