Eric Ford Focused Exam: Schizophrenia care plan

Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.

Eric Ford Focused Exam: Schizophrenia Care Plan

Care Plan: 13 of 13 (100.0%)

Nursing Diagnosis: 4 out of 4

Diagnosis

Risk for negative quality of life
– Student Response: Risk for negative quality of life
– Model Answer: Risk for negative quality of life
– Explanation: Risk for negative quality of life is the most appropriate diagnosis. The patient’s self-care deficits are because he has trouble coping with the signs and symptoms related to his schizophrenia, which then negatively impacts his quality of life. The patient currently does not exhibit any signs and symptoms that suggest he is at risk for violence.
– Points Earned: 1 out of 1

Signs & Symptoms

Difficulty discerning reality from fantasy
– Student Response: Difficulty discerning reality from fantasy
– Model Answer: Difficulty discerning reality from fantasy
– Explanation: Because “risk for negative quality of life” is the most appropriate diagnosis, the relevant signs and symptoms are those that indicate a difficulty coping with distress. Mr. Ford reports distress and a difficulty with recognizing his hallucinations and paranoid thoughts as unreal; he also expresses a remote fear of giving in to his suicidal command hallucinations.
– Points Earned: 0.6 out of 0.6

Distress caused by hallucinations
– Student Response: Distress caused by hallucinations
– Model Answer: Distress caused by hallucinations
– Explanation: Because “risk for negative quality of life” is the most appropriate diagnosis, the relevant signs and symptoms are those that indicate a difficulty coping with distress. Mr. Ford reports distress and a difficulty with recognizing his hallucinations and paranoid thoughts as unreal; he also expresses a remote fear of giving in to his suicidal command hallucinations.
– Points Earned: 0.6 out of 0.6

Medication non-adherence
– Student Response: Medication non-adherence
– Model Answer: Medication non-adherence
– Explanation: Because “risk for negative quality of life” is the most appropriate diagnosis, the relevant signs and symptoms are those that indicate a difficulty coping with distress. Mr. Ford reports distress and a difficulty with recognizing his hallucinations and paranoid thoughts as unreal; he also expresses a remote fear of giving in to his suicidal command hallucinations.
– Points Earned: 0.6 out of 0.6

Intervention & Evaluation: 2.5 out of 2.5

Fully
– Student Response: Fully
– Model Answer: Fully
– Explanation: Mr. Ford is able to correctly articulate the steps in his mental health improvement plan without errors or omissions. He verbally commits to a safety plan, medication adherence plan, improving his coping skills, maintaining ongoing care with his psychiatrist, and including his support system in the management of his schizophrenia. You provide Mr. Ford with some written materials to help supplement his mental health improvement plan at home. Your goal has been fully achieved!
– Points Earned: 2.5 out of 2.5

Intervention & Evaluation Rationale

Your answer is not automatically evaluated by the simulation but may be reviewed by your instructor.

Prompt
– Did you achieve your goal of having your patient, by the end of his hospital stay, state back and agree to his mental health improvement plan?
– Student Response: Patient can correctly articulate steps in mental health improvement plan.
– Model Answer: Mr. Ford is able to correctly articulate the steps in his mental health improvement plan without errors or omissions. He verbally commits to a safety plan, medication adherence, improving his coping skills, maintaining ongoing care with his psychiatrist, and including his support system in the management of his schizophrenia. Your goal has been fully achieved!

Even though patient teaching on its own can benefit the patient’s health, make sure to ensure patient compliance by having the patient state back and agree to their instructions.

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