Question

In "a beatiful mind film", what are John Nash’s priority problems and appropriate nursing diagnosis to address these problems? What nursing actions should you take to address the client’s priority nursing diagnosis?

Answer 1

In "a beatiful mind film", what are John Nash’s priority problems and appropriate nursing diagnosis to address these problems?

What nursing actions should you take to address the client’s priority nursing diagnosis?

what are John Nash’s priority problems

1. Visual and auditory hallucinations

2. Feeling of hopelessness

3. Feeling of guilt to family members

4. Difficulty with memory and intellectual capacity

5. Low sexual libido

6. Social isolation

7. Ineffective therapeutic regimen management

8. Depressed mood

Appropriate nursing diagnosis to address these problems?

1. Impaired Social Interaction related to Dysfunctional interaction with others/peers inappropriate emotional response as evidenced by

Assess if the medication has reached therapeutic levels.

Keep client in an environment as free of stimuli (loud noises, crowding) as possible.

Avoid touching the client

Structure activities that work at the client’s pace and activity.

Structure times each day to include planned times for brief interactions and activities with the client on one-on-one basis

If client is unable to respond verbally or in a coherent manner, spend frequent, short period with clients.

If client is delusional/hallucinating or is having trouble concentrating at this time, provide very simple concrete activities with client (e.g., looking at a picture or do a painting).

Try to incorporate the strengths and interests the client had when not as impaired into the activities planned.

Useful coping skills that client will need include conversational and assertiveness skills.

Provide opportunities for the client to learn adaptive social skills in a non-threatening environment. Initial social skills training could include basic social behaviors (e.g., appropriate distance, maintain good eye contact, calm manner/behavior, moderate voice tone).

Eventually engage other clients and significant others in social interactions and activities with the client (card games, ping pong, sing-a-songs, group sharing activities) at the client’s level.

· 2. Disturbed Sensory Perception, visual/auditory “related to biochemical factors such as manifested by inability to concentrate, Chemical alterations (e.g., medications, electrolyte imbalances) as manifested by Altered communication pattern, Auditory distortions.

Be alert for signs of increasing fear, anxiety or agitation

Explore how the hallucinations are experienced by the client.

Help the client to identify the needs that might underlie the hallucination. What other ways can these needs be met?

Help client to identify times that the hallucinations are most prevalent and frightening.

Stay with clients when they are starting to hallucinate, and direct them to tell the “voices they hear” to go away. Repeat often in a matter-of-fact manne

Decrease environmental stimuli when possible (low noise, minimal activity).

Keep to simple, basic, reality-based topics of conversation. Help the client focus on one idea at a time.

· 3. Disturbed thought process “related to Chemical alterations (e.g., medications, electrolyte imbalances), Inadequate support systems. As evidenced by Inappropriate non-reality-based thinking

Attempt to understand the significance of these beliefs to the client at the time of their presentation

Explain the procedures and try to be sure the client understand the procedures before carrying them out.

Interact with clients on the basis of things in the environment. Try to distract client from their delusions by engaging in reality-based activities (e.g., card games, simple arts and crafts projects etc).

Do not touch the client; use gestures carefully

Show empathy regarding the client’s feelings; reassure the client of your presence and acceptance

· 4. defensive coping “related to” Perceived lack of self-efficacy/vulnerability as evidenced by” Difficulty establishing/maintaining relationships ,False beliefs about the intention of others.

Explain to client what you are going to do before you do it.

Use clear and simple language when communicating with a suspicious client.

Be honest and consistent with client regarding expectations and enforcing rules

Initially, provide solitary, noncompetitive activities that take some concentration. Later a game with one or more client that takes concentration (e.g., chess checkers, thoughtful card games such as ridge or rummy)

Provide verbal/physical limits when client’s hostile behavior escalates: We cannot allow you to verbally attack someone here. If you cant held/control yourself, we are here in order to help you.