Eric Ford Focused Exam: Schizophrenia care plan

Eric Ford Focused Exam: Schizophrenia care plan

Care Plan: 13 of 13 (100.0%)

Nursing Diagnosis
4 out of 4

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Diagnosis

Risk for negative quality of life
Risk for negative quality of life is the most suitable diagnosis. The patient’s struggle with coping with schizophrenia symptoms impacts his self-care, leading to a lower quality of life. There are no signs indicating a risk for violence.
1 out of 1

Signs & Symptoms

Difficulty distinguishing reality from fantasy
Because “risk for negative quality of life” is the most fitting diagnosis, the relevant signs and symptoms involve trouble coping with distress. Mr. Ford finds it hard to differentiate his hallucinations and paranoid thoughts from reality, and he has concerns about acting on his suicidal command hallucinations.
0.6 out of 0.6

Distress caused by hallucinations
Given the diagnosis of “risk for negative quality of life,” the pertinent signs and symptoms point to difficulty managing distress. Mr. Ford is distressed and struggles to recognize the unreality of his hallucinations and paranoid thoughts. He also expresses fear of acting on his suicidal command hallucinations.
0.6 out of 0.6

Medication non-adherence
Since “risk for negative quality of life” is the appropriate diagnosis, the relevant signs and symptoms involve difficulties with distress management. Mr. Ford experiences distress and has difficulty recognizing the unreal nature of his hallucinations and paranoid thoughts. Additionally, he has a remote fear of following his suicidal command hallucinations.
0.6 out of 0.6

Intervention & Evaluation
2.5 out of 2.5

Fully
Mr. Ford effectively outlines the steps of his mental health improvement plan without errors. He commits to a safety plan, medication adherence, enhancing coping skills, consistent care with his psychiatrist, and involving his support system in managing his schizophrenia. Written materials are provided to supplement his home plan. Your goal has been successfully achieved!
2.5 out of 2.5

Intervention & Evaluation Rationale

Your response isn’t automatically evaluated by the simulation, but your instructor may review it.

Prompt Student Response Model Answer Explanation
Did you accomplish your goal of having the patient, by the end of his hospital stay, restate and agree to his mental health improvement plan? Patient can accurately explain the steps in his mental health improvement plan. Mr. Ford accurately explains the steps in his mental health improvement plan without any errors. He commits verbally to a safety plan, medication adherence, improving coping skills, maintaining ongoing care with his psychiatrist, and involving his support system in managing his schizophrenia. Your goal has been successfully achieved!
Even though patient teaching alone benefits the patient’s health, ensuring patient compliance requires having the patient restate and agree to the instructions.

 Nursing Diagnosis

4 out of 4

International classification for nursing practice (ICNP) nursing diagnoses (v2019_06_27) [Data set]. (2019). International Council of Nurses (ICN). https://www.icn.ch/what-we-do/projects/ehealth-icnptm/icnp-download

Diagnosis

 

Student Response	Model Answer	Explanation	Points Earned
Risk for negative quality of life	Risk for negative quality of life	Risk for negative quality of life is the most appropriate diagnosis. The patient’s self-care deficits stem from his 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.	1 out of 1

Signs & Symptoms

 

Student Response	Model Answer	Explanation	Points Earned
Difficulty discerning reality from fantasy	Difficulty discerning reality from fantasy	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 into his suicidal command hallucinations.	0.6 out of 0.6
Distress caused by hallucinations	Distress caused by hallucinations	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 into his suicidal command hallucinations.	0.6 out of 0.6
Medication non-adherence	Medication non-adherence Eric Ford Focused Exam: Schizophrenia care plan	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 into his suicidal command hallucinations. Eric Ford Focused Exam: Schizophrenia care plan	0.6 out of 0.6 Eric Ford Focused Exam: Schizophrenia care plan

 Intervention & Evaluation

2.5 out of 2.5

 

Student Response	Model Answer	Explanation	Points Earned
Fully	Fully	Mr. Ford is able to correctly articulate the steps in his mental health improvement plan without errors or omissions. Eric Ford Focused Exam: Schizophrenia care plan 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!	2.5 out of 2.5Eric Ford Focused Exam: Schizophrenia care plan

 Intervention & Evaluation Rationale

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

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Prompt	Student Response	Model Answer	Explanation
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?	.Patient can correctly articulate steps in mentl health improvement plan.	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! Eric Ford Focused Exam: Schizophrenia care plan	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.