Mental Health Nursing Process Assignments
Pedro Gonzales, a 37-year-old Hispanic man, arrived by
ambulance from a supermarket, where he had fallen. On his arrival
at the emergency department (ED), his breath smelled “fruity.” He
appeared confused and anxious, saying that “they put the evil eye
on me, they want me to die, they are drying out my body … it’s
draining me dry … they are yelling, they are yelling … no, no, I’m
not bad … oh, God, don’t let them get me!” When his mother arrived
in the ED, she told the staff, through an interpreter, that Pedro
has severe diabetes and a diagnosis of paranoid schizophrenia. She
says with frustration, “This happens when he doesn’t take his
medications.
In a group or in collaboration with a classmate, respond
to the following:
1. A number of nursing diagnoses are possible in this
scenario. Given the provided information, formulate at least two
nursing diagnoses and include related to and as evidenced by
as appropriate.
2. For each of your nursing diagnoses, write out one
long-term outcome (the problem, what should change, etc.). Include
a time frame, desired change, and three criteria that will help you
evaluate whether the outcome has been met, not met, or partially
met.
3. What specific needs might you consider when planning
nursing care for Mr. Gonzales?
4. Using the SOAPIE format to formulate an initial
nurse’s note for Mr. Gonzales.
S: Subjective data (patient statement)
O: Objective data (nurse observations)
A: Assessment (nurse interprets S and O and describes either a
problem or a nursing diagnosis)
P: Plan (proposed intervention)
I: Interventions (nurse’s response to problem)
E: Evaluation (patient outcome)
Mental Health Nursing Process Assignments Pedro Gonzales, a 37-year-old Hispanic man, arrived by ambulance from a superm
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