NURS 223L: PSYCHIATRIC MENTAL HEALTH NURSING CARE PLAN 2024/2025

NURS 223L 1 NURS 223L PSYCHIATRIC MENTAL HEALTH NURSING CARE PLAN Student Date Instructor Patient Initials HE Date of Admission 05/04/24 Legal Status (Vol, 5150, 5250, Conservatorship) Patient consent for treatment Unit Mental Health NURS 223L 2 Allergies None Height/Weight Temp (location) Pulse (location) Respiration Pulse Ox (O2 Sat) Blood Pressure (location) Pain Scale 1-10 (location, character, onset) T 362 HR 91 12-18 breaths per minute O2SAT98% BP 111/60, Pain 0 Psychiatric Diagnosis an d DSM 5 Diagnostic Criterion History of Present Psychiatric Illness Presenting signs & symptoms/ Previous Psychiatric Admission / Outpatient Mental NURS 223L 3 Health Services/5150 Advisement 1. Physical examination and interview to identify symptoms increased anger, restlessness, high impulsivity, use of psychotic substances, becoming detached or isolation from family 2. Blood tests to identify underlying conditions like hypothyroidism 3. The Beck Depression Inventory (BDI) This is a psychological evaluation carried out to record behavioral manifestations It also measures the severity of depression The patient is 14 years old, lives with his aunt and attending high school Previous diagnosis record shows that he is suffering from major depression Lorazepam/ativan 2 mg P O once a day and Fluoxetine/Prozac 20 mg PO every evening The patient is a transgender man, but transitioned from female to male He has severally tried to commit suicide by cutting his wrist, using sharp objects, claiming that he feels that he is not accepted in the society and with most family members, relatives and friends He often does not want to be checked on his private parts, or be touched, unless it is for necessary health reasons NURS 223L 4 Psychopathology of admitting and/or related psychiatric diagnosi s Biophysical and/or related medical diagnosis Description of how this diagnosis relates to your patient With APA citations Erickson’s Developmental Stage Include Rationale Based on the Patient With APA citations Based on the psychiatric diagnosis, major depression disease affects most transgender youths, due to the fact that they become rejected by their own families They develop suicidal thoughts as they consider themselves worthless (Kennis et al , 2020, p 321) According to stage eight of Erickson’s development stages, once a person discovers that his/her life is unproductive, he/she feels guilt, and dissatisfied with life, thus develops despair, that leads to depression and hopelessness as in the case of the patient (Orenstein, & Lewis,