a beautiful mind, mental health, Papers of Health psychology

a beautiful mind mental health

Typology: Papers

2021/2022

Uploaded on 03/22/2023

hopezoll
hopezoll 🇺🇸

5 documents

1 / 2

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Name:
A Beautiful Mind
1) What is the DSM-V diagnosis of the main character? How does this character meet this
criteria?
According to the DSM-V5 Schizophrenia is a mental disorder in which there exists
disturbances in thought content and form, perception, affect, language, social activity,
sense of self, volition, interpersonal relationships, and psychomotor behavior
The main character in this film, John Nash meets the criteria by having almost all of the
classic symptoms. Hallucinations, delusions, withdrawing from others, incoherent
speech, reduce daily activities, neglected hygiene, paranoia, lack of interpersonal
relationships, and self harm. People who suffer from schizophrenia start to show the
signs in their 20s just as the character did. He also displayed a lack of emotion which is
very common for this illness.
2) Assess the patient and Include subjective and objective data. (Appearance, thought
processes, emotional state, judgement, etc) Basically, if you were to write a nurses note,
what would you say?
Pt John Nash, is a 29 year old male. Pt is unkempt with a disregard to person hygiene.
He reports having hallucinations of a man and delusions of secret work for the
government and that “the Russians are after me.” His emotional state is unstable with
poor judgment. Pt has scars on arm which came from him cutting out an “identification
number” he thought was implanted there. He often put his hand on his head and
pointed during our conversation. Pt seemed relucent to give any information regarding
his secret work for the government because he believes they are real. His wife reports
that he does not actively participate in society and that he avoids sleep.
3) Discuss your perceptions of what was real and what was a delusion or hallucination?
The hallucinations of his college roommate, Charles and Charles’ niece were
hallucinations. As well as the government man that John reports seeing is a
hallucination. The secret work that he’s doing are delusions.
4) If doing a care plan for this patient, what would one nursing diagnosis be? Name 3
interventions.
pf2

Partial preview of the text

Download a beautiful mind, mental health and more Papers Health psychology in PDF only on Docsity!

Name: A Beautiful Mind

  1. What is the DSM-V diagnosis of the main character? How does this character meet this criteria? According to the DSM-V5 Schizophrenia is a mental disorder in which there exists disturbances in thought content and form, perception, affect, language, social activity, sense of self, volition, interpersonal relationships, and psychomotor behavior The main character in this film, John Nash meets the criteria by having almost all of the classic symptoms. Hallucinations, delusions, withdrawing from others, incoherent speech, reduce daily activities, neglected hygiene, paranoia, lack of interpersonal relationships, and self harm. People who suffer from schizophrenia start to show the signs in their 20s just as the character did. He also displayed a lack of emotion which is very common for this illness.
  2. Assess the patient and Include subjective and objective data. (Appearance, thought processes, emotional state, judgement, etc) Basically, if you were to write a nurses note, what would you say? Pt John Nash, is a 29 year old male. Pt is unkempt with a disregard to person hygiene. He reports having hallucinations of a man and delusions of secret work for the government and that “the Russians are after me.” His emotional state is unstable with poor judgment. Pt has scars on arm which came from him cutting out an “identification number” he thought was implanted there. He often put his hand on his head and pointed during our conversation. Pt seemed relucent to give any information regarding his secret work for the government because he believes they are real. His wife reports that he does not actively participate in society and that he avoids sleep.
  3. Discuss your perceptions of what was real and what was a delusion or hallucination? The hallucinations of his college roommate, Charles and Charles’ niece were hallucinations. As well as the government man that John reports seeing is a hallucination. The secret work that he’s doing are delusions.
  4. If doing a care plan for this patient, what would one nursing diagnosis be? Name 3 interventions.

Nursing Diagnosis: Impaired Verbal Communication related to altered perceptions as evidence by cognitive disturbances through hallucinations/delusions. Intervention: Assess and monitor the patient coherence in speech and cognitive ability to establish baseline and base goals from. Intervention: Ensure that the patient receives antipsychotic medic medications on time with the right dosage in route. Have the patient take the medication in front of you. Intervention: Create an environment that is calm quiet well-lit and conducive to effective communication.

  1. Name 2 medications that may be used for schizophrenia and include side effects/nursing considerations for each. Risperidone - S/E: arrhythmias, orthostatic hypotension, tachycardia, itching skin, dry skin, visual disturbances, constipation, diarrhea, dry mouth, nausea, abdominal pain, decreased libido, Weight gain, weight loss, aggressive behavior, dizziness, headache, increased dreams, increased sleep duration, insomnia, fatigue. Nursing considerations: Monitor patient’s mental status, orientation, behavior and mood before and periodically during therapy. Monitor closely for notable changes in behavior that could indicate the emergence or worsening of suicidal thoughts or behavior or depression. Monitor blood pressure and weight. Monitor for development of neuroleptic malignant syndrome. Aripiprazole - S/E: bradycardia, chest pain, edema, hypertension, orthostatic hypotension, dry skin, sweating, blurred vision, constipation, anorexia, nausea vomiting, weight gain, weight loss, anemia, muscle cramps, neck pain, suicidal thoughts, drowsiness, confusion, depression, fatigue, impulse control disorders, sedation, seizures, tardive dyskinesia. Nursing considerations: assess mental status, orientation, mood, behavior before and periodically during therapy. Assess for suicidal tendencies. Monitor blood pressure and weight during therapy. Monitor for development of neuroleptic malignant syndrome.