Question

Louise is a 20-year-old woman who has been admitted to an acute mental health inpatient ward following an episode of self harming behavior.this is her first contact with mental health services. Louise presents with lacerations to both arms; some are superficial scratches, others, while of varying severity and depth, are not life-threatening. There are also visible scars on her arms from apparently previous incidents of self-harming behaviors. Louise has been admitted via the local accident and emergency department following an initial CRISIS assessment by the hospital Mental Health Liaison Team. Louise had consumed half a bottle of vodka and also admitted to smoking cannabis prior to the incident. She denies having taken an overdose of any type and this is corroborated by normal blood test results. she was originally accompanied there by her mother who did not remain with her. Louise does not appear remorseful for what she has done. She says she is depressed and angry with her parents who 'think she is worthless and do not care about me because i haven't gone to university like my brothers'. She maintains that she doesn't need any help with her problems, claiming that they are down to 'my immaturity, as my parents keep telling me' and that I'll grow out of it with time.

• Provide 3 nursing diagnosis for this patient

• List health assessment priorities for the nursing diagnosis provided

• Explain 2 evidence-based practice intervention for each nursing diagnosis

• Explain Lab work that is required to give a medical diagnosis

Answer 1

Three nursing diagnosis for this patient:

• Depression
• Personality disorder
• Suicidal tendency

The nursing diagnosis depends on the personality characters and ways of real tion to the other people.

Health assessment priorities:

• Any previous history of suicidal behavior.
• Sleep evaluation for sleep dysfunction or abnormalities which leads to comorbid mental illnesses.
• Assessment of all forms of injury.

Evidence- based practice interventions for nursing diagnosis:

• Provision of psychological, pharmacological, psychosocial treatment consedering the toxicity of the prescribed drugs in overdose for associated diseases like Alcohol use disorders, depression, borderline personality disorder
• Care plan is implemented with the collaboration of the patient and the family members.

Lab work that is required to give a medical diagnosis:

Blood test for the alcohol and other drug levels. To confirm the abuse and cross of the limit.