Question

Ackley: Nursing Diagnosis Handbook, 12th Edition Lecture Notes Problem-Based Learning/Critical Thinking Case Study-Ms. Ambrose_Insomnia Case Scenario "I don't know how much longer I can keep this up," thought Susan, "these awful nights of not sleeping. I didn't get to sleep last night until 2 AM, and then I had to be up at 5:30 AM for clinical rounds. That's not enough sleep. I feel like I'm stumbling through the day." She said a silent prayer that she would not harm anyone during her clinical shift and continued driving to the hospital. Nursing Assessment Susan Ambrose is a 35-year-old nursing student, a single mother with two children, and she works part-time as a nursing technician at night in the local hospital. Over a period of 6 months, Susan has had increasing problems sleeping. She has had trouble getting also, at times, waking up in the middle of the night. She is feeling exhausted most of the time now and is having trouble functioning and studying for her courses. Her friends tell her to just see her physician for sleeping pills. In addition, she is now in what is thought to be the hardest semester in her nursing program. Her grade is presently a 2.5, but she is used to getting 3.5s and 4.0s. In addition, her youngest child has developed chronic ear infections. sleep at night and to A. ASSESS Identify the significant symptoms by underlining them in the assessment. List those symptoms (those you have underlined) that indicate the client has a health problem. Group the symptoms that are similar. B. DIAGNOSE Select possible nursing diagnoses for this client. 1. Do this by looking at the list of nursing diagnoses in, the book, Ackley/Ladwig Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care or by accessing the ca plan constructor at the EVOLVE SITE and viewing nursing diagnoses listed there Possible nursing diagnoses: Validate the possible nursing diagnoses 2. IT hy Mosby, an imprint of Els

Answer 1

A, Assess
Significant symptoms:
-a single mother with two children
-Nursing student and works part-time as a nursing technician at night
- Problem in sleeping
- Trouble getting sleep at night and waking up in the middle of the night
- Feeling exhausted and trouble functioning and studying.
- Scoring low marks in the nursing program
-her young child illness
Symptoms indicate the client has a health problem:
Patient difficulty getting sleeping problem associated with
-waking up in the middle of the night
-Trouble sleeping at night
- Part-time job as a nursing technician at night
Group the symptoms that are similar:
Difficulty getting sleep can make symptoms like feeling exhausted, trouble functioning and studying, waking up in the middle of the night, scoring less make by poor concentration
B, Nursing Diagnosis:
1, Possible nursing diagnosis:
-chronic stress
- Anxiety
- Ineffective coping mechanism
- Self-concept disturbance
- Impaired gas exchange
2, validate the possible nursing diagnosis:
- Chronic stress due to her studies and part-time job
-anxiety due to her youngest child chronic ear infection
- Ineffctive coping mechanism by scoring low marks, trouble functioning and studying
- Self-concept disturbance as a single mother for two children to take care of the financial burden.