Question

I need a care plan with nursing interventions with rationales and also outcomes for a 23 year old male patient with diagnosis of altered mental status. Patient is not in touch with reality. Patient sometimes hears voices. Patient is often agitated and paces the halls when not on medication. Patient prescribed haldol.

Answer 1

ANSWER

* Nursing care plan of patient with altered mental status.

ASSESSMENT	NURSING DIAGNOSIS	OUTCOMES OR GOALS	IMPLEMENTATION WITH RATIONALE	EVALUATION
Patient assessment findings * Not in touch with reality. * Agitated. * Heard voices (hallucination)	Altered mental status related to altered thought process.	Make the patient in touch with reality. Maintain normal mental status. Eliminate disturbed thoughts.	Maintain therapeutic communication with the patient by communicate with patient in a calm manner and use non threatening tone to build trust which help in treatment process. Encourage client to talk about real events and instruct to avoid listening to confusing stories to make the client in touch with reality. Educate the client about techniques to stop altered thoughts like thought stopping,distract focus and use of physical activity to eliminate disturbance in thought. Ensure a safe and and non stimulating environment for the patient to maintain normal mental status. Participate family members of patient in treatment process to enhance recovery from altered mental status. Administer antipsychotic drugs as per physicians order to treat mental problems of the patient.	Conduct mental health examination after completing the treatment process. Ask patient about how you feel after treatment.