Question

Base on the subjective data and objective data develop a nursing care plan with a nursing diagnosis, 1 short term goal, 4 nursing interventions with rationales and an evaluation.

Subjective Data: Patient stated, “I was on the Grand Central platform on my way to meet with the prophet of the church. I’ve been looking for him and him for me for the past three years. We meet missing each other. We talk on the phone.”

Objective Data:Patient is alert and orientated X3.Patient is homeless living in the DHS system and beliefs a prophet will take care of her when she finds him.

Answer 1

Nursing care plan

* Nursing diagnosis ; Disturbed thought process related to homeless living in a hospital.

* Short term goals

           * Avoid disturbed thinking process and provide psychological support

* Nursing interventions

Nursing interventions	Rationale
* Maintain effective communication with the patient.	To provide emotional support and clarify patient doubts.
* Assist in activities of daily living.	To improve health status of patient.
* Maintain a quiet and pieaceful   environment	To maintain normal mental status.
* Avoiding arguing with patient during communication and try to convey informations in a good manner.	To avoid aggravating behavoiurs from the side of patient.

Evaluation

      * Evaluate patient outcomes after above intervention through

                             * Feedbacks from the patient about his beliefs.

                             * Examination of current mental status of patient.