Psychiatric Nursing

I. Problem Identification and Prioritization

Nursing Diagnosis Rank Justification

Impaired social interaction 1 According to Maslow's

related to insufficient skills to hierarchy of needs, impaired
enhance mutuality as evidenced social interaction falls under
by impaired social functioning safety and security needs
because he claimed that others
were bullying him when he was
inside the institution. He
mentioned the fact that he does
not have any other friend
besides Corrales. Since the
patient does not reveal much
about his private life, he gives
off the impression of being a
private person (Hopper, 2020).

Interrupted family processes According to Maslow's

related to changes in interaction 2 hierarchy of needs, interrupted
with community as evidenced by family processes fall under love
change in communication and belonging needs. Since the
pattern and history of physical patient has a history of child
abuse abuse, it may affect how he
communicates. The patient has
disorganized speech and appears
mysterious most of the time
(Hopper, 2020).

Impaired mood regulation 3 According to Maslow's

related to impaired social hierarchy of needs, impaired
functioning as evidenced by mood regulation falls under
irritability and impaired esteem needs since the client has
concentration trouble functioning socially and
is frequently irritated. He has
difficulty concentrating on one
task at a time and is quickly
distracted by other things. His
mood also shifts from time to
time, and he gets easily
aggravated (Hopper, 2020).
 Disturbed sensory perception 4 According to Maslow's
related to excessive hierarchy of needs, disturbed
environmental stimuli as sensory perception
evidenced by impaired falls under self-actualization
communication needs, wherein his actions are
inappropriate with his words. It
is possible that this is the result
of an overabundance of external
stimuli due to the fact that the
ward is overcrowded. Since the
patient is an enigmatic kind of
person, he struggles to express
himself verbally (Hopper, 2020).

Impaired verbal communication 5 According to Maslow's

related to emotional disturbance hierarchy of needs, a lack of
as evidenced by difficulty verbal communication falls
expressing thoughts verbally under self-actualization needs.
Communicating effectively is
difficult for the client because he
cannot put his thoughts into
words. He also has difficulty
maintaining communication and
gets easily distracted (Hopper,
2020).

References
Hopper, E. (2019, February 25). Maslow's hierarchy of needs explained. ThoughtCo.
https://www.thoughtco.com/maslows-hierarchy-of-needs-4582571
 I. Nursing Care Plan

Cues Nursing Analysis Goal Intervention Rationale Evaluation

Diagnosis

Subjective: Impaired social Scientific Analysis: Short-term goal: Effectiveness:

“Wala siinteraction related People who are Within 1.5 hours of Within 1.5 hours of
Corrales lang” to insufficient diagnosed with nursing intervention, nursing intervention,
psychosis are more the patient will be able the patient was able to
skills to enhance
“Hinihipuan nila likely to be socially to participate in group participate in group
ako pag mutuality as isolated than members therapy sessions and therapy sessions and
natutulog ako” evidenced by of any other communicate his communicate his
impaired social diagnostic group, and feelings with the feelings with the nurse.
“Oo parang mas functioning they have smaller nurse.
gusto ko mag social networks than
isa” members of the Objectives: Independent Nursing
general population. 1. Within 30 minutes Intervention: 1. Within 30 minutes
Objective: This seclusion has the of nursing 1. The nurse will assist1. Remotivation therapy of nursing intervention,
- Impaired social potential to have a intervention, the the patient to
is a sort of the patient was able to
functioning negative impact on patient will be able to participate in a
psychotherapy that participate in a
- Dysfunctional the quality of life. participate in a remotivation therapy
focuses on an remotivation therapy
interaction with Being with others remotivation therapy session individual's talents and session.
others may increase paranoid session. potential rather than their Met: ✔
delusions through 1.1 The nurse will ask weaknesses. Its purpose Partially met:__
social anxiety or questions about the is to assist the patient in Unmet:__
feelings of social learning of the patient appreciating their own
threat, particularly in during the remotivation particular strengths and
those with a psychotic therapy session. in recognizing specific
disorder or an characteristics, roles, and
increased qualities that are
vulnerability for exclusive to them
psychosis. If paranoid (Araujo, 2019).
delusions are elevated 2. With 25 minutes of
in the company of nursing intervention,
others, the individual 2. With 25 minutes of 2. People who suffer the patient was able to
could reduce social nursing intervention, 2. The nurse will assist from a variety of medical
contact as a safety the patient will be able the patient to illnesses can benefit participate in a play
behavior to prevent to participate in a play participate in a play from participating in therapy session.
the perceived threat therapy session. therapy session. recreational therapy, Met: ✔
from occurring. If which involves the use of Partially met:__
perceived threat and 2.1 The nurse will ask leisure activities to Unmet:__
distress subsequently questions about what he enhance a person's skills,
decrease, social felt during the activity. capacities, overall health,
withdrawal is and mental well-being
reinforced (Giacco, (Stanborough, 2020).
2020).

3. Therapeutic
Situational Analysis: communication has the 3. Within 35 minutes
The patient is 3. Within 35 minutes 3. The nurse will use potential to raise patients' of nursing intervention,
medically diagnosed of nursing therapeutic knowledge and the client was able to
with psychosis and is intervention, the client communication comprehension, enhance express thoughts and
experiencing impaired will be able to express techniques to trust and self-health feelings in an
social interaction. The thoughts and feelings understand the client’s skills, boost adherence, understandable
patient has in an understandable thoughts and feelings. provide comfort, and manner.
insufficient skills to manner. make it easier for Met: ✔
enhance mutuality 3.1 The nurse will ask patients to control their Partially met:__
with others because the client 3 things he emotions, all of which Unmet:__
he verbalized that his enjoyed during the are essential to patients'
co-patients often bully therapy sessions. health and well-being
him. Upon (Amoah, 2019).
communication, he
has difficulty social
functioning, and Long-term goal: Effectiveness:
during activities, he After 3 days of After 3 days of nursing
does seem to have his nursing intervention, intervention, the
world and does not the patient will be able patient was able to
care about his to effectively effectively
surroundings. communicate and communicate and
interact with his peers. interact with his peers.
Met: ✔
 Partially met:__
Objectives: Unmet:__
4. The patient will be 4. When people are able
able to identify to communicate clearly
feelings that led to 4. The nurse will with one another, it not 4. The patient was able
poor social communicate with the only helps them become to identify feelings that
interaction. patient and encourage better at solving led to poor social
him to express his problems, but it also interaction.
thoughts about what led improves their emotional Met: ✔
him to poor social and social well-being. Partially met:__
interaction. The most effective ways Unmet:__
to connect with
somebody who is
struggling with their
mental health are to be a
good listener and to use
language that is helpful
(Ali, 2018).

5. The patient will be 5. Positive social

able to verbalize 3 relationships have a wide
awareness of factors 5. The nurse will range of physical and 5. The patient was able
causing social conduct a health mental benefits, to verbalize 3
interactions. teaching about especially for older awareness of factors
awareness of factors people. They can causing social
causing social improve cognitive skills, interactions.
interactions. mental health, Met: ✔
communication skills, Partially met:__
independence, and Unmet:__
physical health. Social
interaction is especially
good for cognitive
development and the
right environment can
help to develop strong
 language skills,
creativity, empathy,
communication, and
confidence (Messina,
2021).

6. The patient will be 6. Support systems are

able to enumerate 3 critical for anyone to
ways to build an 6. The nurse will have. Many people think 6. The patient was able
effective social conduct a health that it is easier to do to enumerate 3 ways to
support system. teaching about the things alone and that build an effective
importance of having a their own health is social support system.
support system. something only they Met: ✔
should be worrying Partially met:__
about. While it is Unmet:__
important to do some
things on your own,
having a support system
that is there for you
when things get tough is Efficacy:
critical to maintaining The strategies are
your mental and physical suitable for the given
health. To really make time frame.
strides in improving Y: ✔ N: __
yourself or building new
skills you must ensure Appropriateness:
you have the right people The selected
surrounding you. You strategies/interventions
want the right people to were appropriate to the
be there to help and client’s needs.
cheer for you going Y: ✔ N: __
through life (Hood,
2020). Adequacy:
The specific learning
objectives and its
 content were enough to
meet the client’s needs.
Y: ✔ N: __

Acceptability:
The interventions were
acceptable to the
patient.
Y: ✔ N: _

References
Ali, M. (2018, May 4). Communication key ingredient in mental health recovery. MHT.
https://www.mentalhealthtoday.co.uk/blog/therapy/communication-is-a-key-ingredient-in-mental-health-recovery
Araujo, L. (2018, December 16). Remotivation therapy. SpringerLink.
https://link.springer.com/referenceworkentry/10.1007/978-981-287-080-3_269-1#:~:text=Remotivation%20therapy%20is%20a%20form,
unique%20traits%20of%20the%20patient
Giacco, D. (2020, January 29). Helping people with psychosis to expand their social networks: The stakeholders’ views. BioMed Central.
https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-020-2445-4#:~:text=People%20with%20psychosis%20experience%20
more,to%20specifically%20target%20this%20issue
Hood, J. (2020, February 3). The benefits and importance of a support system | Highland springs clinic. Highland Springs.
https://highlandspringsclinic.org/the-benefits-and-importance-of-a-support-system/
Messina, M. (2021, January 12). The importance of social interaction: Dr. Messina & Associates: Clinical psychologists. Dr. Messina &
Associates: Clinical Psychologists: Southlake and Flower Mound, TX.
https://www.drmessina.com/blog/the-importance-of-social-interaction
Stanborough, R. J. (2020, November 24). The Benefits of Recreational Therapy. Healthline.