DIRECT-FOCUSED CARE: CONCEPT MAPPING ASSIGNMENT WORKSHEET
NURSING PROCESS TEMPLATE:
The patient is in emergency care due to an overdose on Xanax. The
Assessment (Recognizing Cues) patient's general appearance is flat affect and unkempt appearance. The
patient recently went through a breakup with his former girlfriend who left
Which patient information is relevant? What patient data is most him for another man. He has been out of work for a year due to a back
important? Which patient information is of immediate concern? injury he incurred during a motor vehicle accident. The patient states that
Consider signs and symptoms, lab work, patient statements, H & P, he feels "everything is pointless and he is useless". The patient reports
that he has not been sleeping well and that he took the Xanax to fall
and others. Consider subjective and objective data. asleep and stay asleep. No previous suicide attempts or Hx of self harm.
Patient does have Hx of anxiety and depression.
Analysis (Analyzing Cues) Ineffective stress and coping techniques, depression,
anxiety, suicidal ideation and insomnia. Ineffective stress
Which patient conditions are consistent with the cues? Do the cues and coping techniques support the particular patient's
support a particular patient condition? What cues are a cause for condition (Giddens, 2021). Information that would help to
concern? What other information would help to establish the know is if the patient currently is having suicidal thoughts
significance of a cue? or thoughts of harming himself.
Ineffective stress and coping as evidence by depression, anxiety,
Analysis (Prioritizing Hypotheses) insomnia, suicidal ideation, and suicide attempt. Overall mood and affect
are all signs that explain the diagnosis of ineffective stress and coping
What explanations are most likely? What is the most serious techniques. The important thing would be to keep this patient safe by
explanation? What is the priority order for safe and effective care? assigning a sitter and offering therapeutic communication to provide the
most effective care (Giddens, 2021).
The desirable outcomes for this patient would get him to be able to sleep better, to communicate
Planning (Generate Solutions) about what he is dealing with and why he took a whole bottle of xanax. It would be important for
him to incoorporate at least two effective coping mechanisms to better handle his stress by the time
of his discharge. Alcohol should be avoided as this could added to the ineffective methods of
What are the desirable outcomes? What interventions can achieve coping (Giddens, 2021). Overwhelming stimuli should be avoided such as bright lights, loud noises
these outcomes? What should be avoided? (SMART Planning- specific, or TVs (Giddens, 2021). The patient should be referred or given information on a counselor that
can meet his psychological needs. This should all be attained by the time the patient is discharged.
measurable, attainable, realistic/relevant, time-restricted- Goal
setting)
These interventions should be combined with the involvement of the
Implementation (Take actions) patient, family (if patient permits it), as well as a psychiatrist and the
How should the intervention or combination of interventions be assisted living facility’s staff members. The priority intervention is that
the patient remains safe from self-harm or injury, and that patient is
performed, requested, communicated, taught, etc.? What are the controlling impulses with the help of staff (Giddens, 2021). Another priority
priority interventions? (Mark with asterisk) intervention would be that the patient feels safe and comfortable in his
environment (Giddens, 2021).
Signs that pointed to the patient’s status improving are he remained free
Evaluation (Evaluating Outcomes) from self-harm, he verbalized understanding of the care plan, he
What signs point to improving/declining/unchanged status? What expressed interest in the care plan, he agreed to meet with a psychiatrist,
he did not experience any hallucinations, delusions, or anxiety, and he
interventions were effective? Are there other interventions that stated he felt safe and comfortable (Giddens, 2021). The patient
could be more effective? Did the patient’s care outlook or status incorporates therapy and exercise as two methods of effective coping
improve? mechanisms of stress. The patient participates in therapy. The patient has
started getting 6-8 hours of sleep every night.
Patient Information (SBAR, H&P)
The patient is in emergency care due
to an overdose of Xanax. The patient's Main Concept
general appearance is flat affect and (Should be focus of below map)
unkempt appearance. The patient
recently went through a breakup with Stress and Coping
his former girlfriend, who left him for
another man. He has been out of work
for a year due to a back injury he
incurred during a motor vehicle
NURSING PROCESS TEMPLATE:
The patient is in emergency care due to an overdose on Xanax. The
Assessment (Recognizing Cues) patient's general appearance is flat affect and unkempt appearance. The
patient recently went through a breakup with his former girlfriend who left
Which patient information is relevant? What patient data is most him for another man. He has been out of work for a year due to a back
important? Which patient information is of immediate concern? injury he incurred during a motor vehicle accident. The patient states that
Consider signs and symptoms, lab work, patient statements, H & P, he feels "everything is pointless and he is useless". The patient reports
that he has not been sleeping well and that he took the Xanax to fall
and others. Consider subjective and objective data. asleep and stay asleep. No previous suicide attempts or Hx of self harm.
Patient does have Hx of anxiety and depression.
Analysis (Analyzing Cues) Ineffective stress and coping techniques, depression,
anxiety, suicidal ideation and insomnia. Ineffective stress
Which patient conditions are consistent with the cues? Do the cues and coping techniques support the particular patient's
support a particular patient condition? What cues are a cause for condition (Giddens, 2021). Information that would help to
concern? What other information would help to establish the know is if the patient currently is having suicidal thoughts
significance of a cue? or thoughts of harming himself.
Ineffective stress and coping as evidence by depression, anxiety,
Analysis (Prioritizing Hypotheses) insomnia, suicidal ideation, and suicide attempt. Overall mood and affect
are all signs that explain the diagnosis of ineffective stress and coping
What explanations are most likely? What is the most serious techniques. The important thing would be to keep this patient safe by
explanation? What is the priority order for safe and effective care? assigning a sitter and offering therapeutic communication to provide the
most effective care (Giddens, 2021).
The desirable outcomes for this patient would get him to be able to sleep better, to communicate
Planning (Generate Solutions) about what he is dealing with and why he took a whole bottle of xanax. It would be important for
him to incoorporate at least two effective coping mechanisms to better handle his stress by the time
of his discharge. Alcohol should be avoided as this could added to the ineffective methods of
What are the desirable outcomes? What interventions can achieve coping (Giddens, 2021). Overwhelming stimuli should be avoided such as bright lights, loud noises
these outcomes? What should be avoided? (SMART Planning- specific, or TVs (Giddens, 2021). The patient should be referred or given information on a counselor that
can meet his psychological needs. This should all be attained by the time the patient is discharged.
measurable, attainable, realistic/relevant, time-restricted- Goal
setting)
These interventions should be combined with the involvement of the
Implementation (Take actions) patient, family (if patient permits it), as well as a psychiatrist and the
How should the intervention or combination of interventions be assisted living facility’s staff members. The priority intervention is that
the patient remains safe from self-harm or injury, and that patient is
performed, requested, communicated, taught, etc.? What are the controlling impulses with the help of staff (Giddens, 2021). Another priority
priority interventions? (Mark with asterisk) intervention would be that the patient feels safe and comfortable in his
environment (Giddens, 2021).
Signs that pointed to the patient’s status improving are he remained free
Evaluation (Evaluating Outcomes) from self-harm, he verbalized understanding of the care plan, he
What signs point to improving/declining/unchanged status? What expressed interest in the care plan, he agreed to meet with a psychiatrist,
he did not experience any hallucinations, delusions, or anxiety, and he
interventions were effective? Are there other interventions that stated he felt safe and comfortable (Giddens, 2021). The patient
could be more effective? Did the patient’s care outlook or status incorporates therapy and exercise as two methods of effective coping
improve? mechanisms of stress. The patient participates in therapy. The patient has
started getting 6-8 hours of sleep every night.
Patient Information (SBAR, H&P)
The patient is in emergency care due
to an overdose of Xanax. The patient's Main Concept
general appearance is flat affect and (Should be focus of below map)
unkempt appearance. The patient
recently went through a breakup with Stress and Coping
his former girlfriend, who left him for
another man. He has been out of work
for a year due to a back injury he
incurred during a motor vehicle
