Ateneo de Zamboanga University

Zoo209 A – Psychopathology
Deliverable: Nursing Care Plan on Mr. Jones (1993)
Name: Arnuco, Grant Wynn B.
PLANNING
NURSING
ASSESSMENT IMPLEMENTATION EVALUATION
DIAGNOSIS
OUTCOMES INTERVENTIONS

Subjective Cues: Long term outcome: DEPENDENT: DEPENDENT: Long term outcome:
- “ Im a plane! Im gonna Risk for Injury After two (2) months of 1. Maintain low level of 1. Low level of stimuli in After two (2) months of
swoop down! Im gonna related to nursing interventions, stimuli in client’s client’s environment such nursing interventions, the
fly!” as verbalized by biological and the client will be able to : environment such as as away from bright client was:
Mr. Jones to Mr. neurologic  be free of injury away from bright lights, lights, loud noises, and  free of injury
Howard. imbalances as o cardiac status loud noises, and people. people was mantained. o cardiac status
evidenced by stable Rationale: Help decrease stabled
- “Im a big personality! faulty o well hydrated escalation of anxiety 2. Provided structured o kept well
Im grandiose!” told Mr. judgement (i.e. o skin free of solitary activities with hydrated
Jones to the persecutor risky behaviors) abrasion and 2. Provide structured nurse or aide. o skin was free of
in the court. scrapes solitary activities with abrasion and
 Be free of excessive nurse or aide. scrapes
- “I cant live down here physical agitation and Rationale: Structure 3. High calorie fluids  Free of excessive
anymore.I cant do it. I purposeless motor provide security and were frequently physical agitation and
cant.” as verbalized by activity. focus provided. purposeless motor
Mr. Jones to Dr. Bowen.  Take short voluntary activity.
rest periods during the 3. Provide frequent high 4. Violent behaviour was  Took short voluntary
- Mr. Jones told Dr. day. calorie fluids. redirected to physical rest periods during the
Bowen “I swallowed Rationale: Prevent exercises and other day.
some aspirin.Seventy- serious dehydration. activities.
three heavy-duty,full- Exhaustion and death
strength Tylenol.” Short term outcome: result from dehydration, Short term outcome:
COLLABORATIVE:
 During his college life.
Objective Cues:
- Restlessness
Based on Dr. Bowen’s
observations and told the
persecutor at the court, Mr.
Jones is experiencing the
following:
- Hopelessness
- Despair
- The inability to
experience pleasure,
- The inability to function.
After 2 weeks of nursing lack of sleep and 1. Used of After 2 weeks of nursing
interventions, the client constant physical activity pnenothiazines and interventions, the client:
will be able to: seclusion to minimize
4. Redirect violent physical harm during the  Cardiac status was
 Maintain stable cardiac behavior acute mania phase of the maintained while in the
status while in the Rationale: Physical client. hospital.
hospital. exercise can decrease  Drank 8 oz. of fluid
 Drink 8 oz. of fluid tension and provide 2. Seroquel and every hour throughout
every hour throughout focus. Depakote were the day while on active
the day while on active administered as ordered. manic.
manic. COLLABORATIVE:  Spent time with the
 Spend time with the 1. Acute mania might 3. Signs for lithium nurse in a quiet
nurse in a quiet warrant the use of toxicity were observed. environment 3 to 4
environment 3 to 4 pnenothiazines and times a day between 7
times a day between 7 seclusion to minimize 4. Collaborated with the am to 11 pm with the
am to 11 pm with the physical harm. psychiatrist for additional aid of nursing guidance.
aid of nursing Rationale: Exhaustion teaching regarding the  Was free of dangerous
guidance. and death result from treatment regimen. levels of hyperactive
 Free of dangerous dehydration, lack of motor behavior with
levels of hyperactive sleep, and constant the aid of medications
motor behavior with physical activity. and nursing
the aid of medications intervention within 24
and nursing 2. Administer medication hours.
intervention within 24 such as Seroquel and
hours. Depakote.
Rationale: To promote
pharmacologic regimen.
3. Observe for signs of
lithium toxicity.
Rationale: There is a
small margin of safety
between therapeutic
and toxic doses.

4. Collaborate with the

psychiatrist about the
additional knowledge for
the therapy.
Rationale: Additional
knowledge is needed to
conduct a therapy.