Course: NURS 223L
PSYCHIATRIC NURSING CARE PLAN TEMPLATE
Student Date
Instructor Course N222L
Patient Initials Date of Admission Legal Status
11/24/2009 (Vol, 5150, 5250, Involuntary
Patient DOB Unit Progressive unit Conservatorship)
Chronological and
Apparent Age 14yrs Gender Female Ethnicity Black
NKDA
Allergies
Height/Weight Temp (location) Pulse (location) Respiration Pulse Ox (O2 Sat) Blood Pressure Pain Scale 1-10
(location) (location, character,
onset)
4’5 108lb 36.4 Temporal 90 18 99 114/68 2
Psychiatric Diagnosis and DSM 5 Diagnostic Criterion History of Present Psychiatric Illness:
Presenting signs & symptoms/ Previous Psychiatric Admission / Outpatient
Mental Health Services/5150 Advisement
Major Depressive Disorder is a disorder in which a client has a compromised The patient is a 14yrs female black present in the hospital with depression, anxiety,
mood. The client suffers from hopelessness, thoughts of suicide, a plan to and suicidal ideations. The patient still reports feeling depressed and anxious,
commit suicide, anhedonia, etc. This can be a serious illness as the client can end suicidal thoughts are less intense. She reports high anxiety, high social anxiety,
their own life under such vulnerable emotions and feelings. The DSM 5 isolated and guarded, and struggles to express her feelings and emotions. Struggling
Diagnostic criteria state that the client must experience 5 symptoms or more in a with gender dysphoria, she was started on Lexapro and Buspirone and denies any
two-week or longer period. One of the symptoms must be either extreme side effects so far. Sleeping better with hydroxyzine. She thinks staying in the hospital
sadness and despair or a loss of pleasure in things the client once enjoyed doing. has been helpful so far. The patient denies vomiting, abdominal pain, diarrhea,
The client must be in a depressed mood for most of the day. Diminished interest headaches, shortness of breath, and hallucinations.
in activities the client once enjoyed partaking in. Weight loss or weight gain
slowed movement and slowed speech, feeling hopeless, and recurrent thoughts
of suicide (Gulanick, 2016).
Psychopathology of admitting and/or related psychiatric diagnosis Erickson’s Developmental Stage
Biophysical and/or related medical diagnosis Include Rationale Based on the Patient
Description of how this diagnosis relates to your patient With APA citations
With APA citations
Major depressive disorder is a disorder in the brain that occurs when there is The client is currently in Erikson’s 6th stage of development. This is called Intimacy
a chemical imbalance between dopamine and serotonin in the brain. VS Isolation. This stage of the client’s life revolves around making meaningful, loving,
Depression can also be caused by genetics, personality, or environmental and intimate relationships with others. This stage of a person’s life allows them to
factors. (Varcarolis and Halter, 2010) MDD is a common disorder, but it is very share deeper connections with people and explore different relationships with
Page 1 of 12
, Course: NURS 223L
PSYCHIATRIC NURSING CARE PLAN TEMPLATE
serious and if not treated can lead to suicide. Depression can affect a person’s others. They seek a long-term relationship where everyone is committed to one
lifestyle such as their sleeping schedule, their eating habits, their motivation, another. This relationship is formed with someone who is not related to the client.
etc. (Varcarolis and Halter, 2010) This client expressed feelings of sadness, This stage is successfully completed when the client finds themselves in a happy
being lonely, having an unstable family, and being raped. All these factors loving relationship that is headed towards a serious future. If a client avoids intimate
contribute to the client’s depression. He expressed symptoms of depression situations or fears commitment, this stage of life may not be successfully
such as suicidal thoughts, and attempted suicide by physically harming accomplished. If this stage is completed the client will be leading towards the virtue
himself. The client also suffers from a mood disorder and was in the of love. (“Erikson’s Psychosocial Stages of Development”)
depressed stage of her illness.
Page 2 of 12
PSYCHIATRIC NURSING CARE PLAN TEMPLATE
Student Date
Instructor Course N222L
Patient Initials Date of Admission Legal Status
11/24/2009 (Vol, 5150, 5250, Involuntary
Patient DOB Unit Progressive unit Conservatorship)
Chronological and
Apparent Age 14yrs Gender Female Ethnicity Black
NKDA
Allergies
Height/Weight Temp (location) Pulse (location) Respiration Pulse Ox (O2 Sat) Blood Pressure Pain Scale 1-10
(location) (location, character,
onset)
4’5 108lb 36.4 Temporal 90 18 99 114/68 2
Psychiatric Diagnosis and DSM 5 Diagnostic Criterion History of Present Psychiatric Illness:
Presenting signs & symptoms/ Previous Psychiatric Admission / Outpatient
Mental Health Services/5150 Advisement
Major Depressive Disorder is a disorder in which a client has a compromised The patient is a 14yrs female black present in the hospital with depression, anxiety,
mood. The client suffers from hopelessness, thoughts of suicide, a plan to and suicidal ideations. The patient still reports feeling depressed and anxious,
commit suicide, anhedonia, etc. This can be a serious illness as the client can end suicidal thoughts are less intense. She reports high anxiety, high social anxiety,
their own life under such vulnerable emotions and feelings. The DSM 5 isolated and guarded, and struggles to express her feelings and emotions. Struggling
Diagnostic criteria state that the client must experience 5 symptoms or more in a with gender dysphoria, she was started on Lexapro and Buspirone and denies any
two-week or longer period. One of the symptoms must be either extreme side effects so far. Sleeping better with hydroxyzine. She thinks staying in the hospital
sadness and despair or a loss of pleasure in things the client once enjoyed doing. has been helpful so far. The patient denies vomiting, abdominal pain, diarrhea,
The client must be in a depressed mood for most of the day. Diminished interest headaches, shortness of breath, and hallucinations.
in activities the client once enjoyed partaking in. Weight loss or weight gain
slowed movement and slowed speech, feeling hopeless, and recurrent thoughts
of suicide (Gulanick, 2016).
Psychopathology of admitting and/or related psychiatric diagnosis Erickson’s Developmental Stage
Biophysical and/or related medical diagnosis Include Rationale Based on the Patient
Description of how this diagnosis relates to your patient With APA citations
With APA citations
Major depressive disorder is a disorder in the brain that occurs when there is The client is currently in Erikson’s 6th stage of development. This is called Intimacy
a chemical imbalance between dopamine and serotonin in the brain. VS Isolation. This stage of the client’s life revolves around making meaningful, loving,
Depression can also be caused by genetics, personality, or environmental and intimate relationships with others. This stage of a person’s life allows them to
factors. (Varcarolis and Halter, 2010) MDD is a common disorder, but it is very share deeper connections with people and explore different relationships with
Page 1 of 12
, Course: NURS 223L
PSYCHIATRIC NURSING CARE PLAN TEMPLATE
serious and if not treated can lead to suicide. Depression can affect a person’s others. They seek a long-term relationship where everyone is committed to one
lifestyle such as their sleeping schedule, their eating habits, their motivation, another. This relationship is formed with someone who is not related to the client.
etc. (Varcarolis and Halter, 2010) This client expressed feelings of sadness, This stage is successfully completed when the client finds themselves in a happy
being lonely, having an unstable family, and being raped. All these factors loving relationship that is headed towards a serious future. If a client avoids intimate
contribute to the client’s depression. He expressed symptoms of depression situations or fears commitment, this stage of life may not be successfully
such as suicidal thoughts, and attempted suicide by physically harming accomplished. If this stage is completed the client will be leading towards the virtue
himself. The client also suffers from a mood disorder and was in the of love. (“Erikson’s Psychosocial Stages of Development”)
depressed stage of her illness.
Page 2 of 12
