Question

Fatima is a 35 years old woman, has always been a moderately dynamic person, cheerful and happy, she did have mood swings and temper tantrums. sometimes she become angry, and insults other persons. she enjoyed many activities such as dancing, singing. She loved to dress in expensive clothes with extravagant colors. She was well-liked but had few close friends. there were mental disorders on Fatima's father side of the family. She was married when she was 23 years of age to a man who is 17 years older than her. the marriage lasted three years and after a big blowup, the husband left and moved to Kuwait. He stated that Fatima was selfish and demanding, always wanting her own way. She moved to a new neighborhood and a small apartment. She thought a change might help her adjust to a new life without her husband, but after 3 months she began to complain of anxiety and "nervousness."Her family noticed that she was becoming more hyperactive. They approached her about seeking help, but she responded by throwing glasses and dishes around the apartment. They called the police and with her approval, she was admitted to the psychiatric hospital.

What is your nursing assessment for Fatima? ( subjective and objective data)

Write two nursing diagnosis with two goal? nursing diagnosis should be complete (ex: risk for injury related to ..... as evidenced by .....)

List ten nursing intervention for each nursing diagnosis?

Answer 1

NURSING ASSESSMENT FOR FATIMA :

SUBJECTIVE DATA:

• feeling inadequency
• reports uncontrollable anxiety attacks
• painful or ppersistent increased helplessness
• expresses concerns about changes in life
• fear of unspecified consequences
• hyper activity

OBJECTIVE DATA:

• irritability
• increases blood pressure
• apprehensive
• diminished ability to learn or solve problems
• difficulty for coping

nursing diagnosis :

1. Anxiety related to situational crises as evidence by increased blood pressure

goal: client has to decrease anxiety and coping with the situation ., personal relationships

2. risk of self or other directed violence related to impulsivity as evidence by history of previous violence ,hyper active

goal: client will identify the impulse behavior and demonstrate self control behaviour

NURSING INTERVENTIONS

1.anxiety related to situational crises as evidence by increased blood pressure

• the nurse will assess the patient psychological condition
• the nurse will encourage the patient verbalization
• the nurse teach the coping skills
• nurse ha s to help the patient to develop coping mechanism to help patient from anxiety
• nurse will educate the patient on medication as prescribed by physician
• encourage the patient to explore possible stress and life style changes

2 .risk of self or other directed violence related to impulsivity as evidence by history of previous violence

• the nurse will assess client to identify precipitants of dysfunction mood
• nurse has to develop behavioral management plan
• nurse has to teach cognitive behavioral technniques
• the nurse has to identify stimuli that initiate violance
• tne nurse has to redirect the violent behaviors in to physical activities
• nurse has to emphasize that the client is responsiblle for his behavioure

1. anxiety related to situational crises as evidence by increased blood pressure