Lucas Callahan Bipolar Disorder Shadow Health Care Plan

Lucas Callahan Bipolar Disorder Shadow Health Care Plan

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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 Earne

Risk for injury

Risk for injury

“Risk for injury” is the most appropriate diagnosis. The patient currently does not exhibit any signs and symptoms that suggest he has impaired cognition or is at risk for impaired cardiac function.

0.5 out of 0.5

Signs & Symptoms

Student Response

Model Answer

Explanation

Points Earned

Sleeping 3 hours or fewer in the past few days

Sleeping 3 hours or fewer in the past few days

Because “risk for injury” is the most appropriate diagnosis for Mr. Callahan, the relevant signs and symptoms are those that align with his current manic state and put him at risk for injury, such as his impulse control, paranoid thoughts, and self-destructive behavior. Additionally, his excessive energy and lack of sleep can further exacerbate his other signs and symptoms and increase his risk for injury. Mr. Callahan has not expressed any current suicidal ideation or thoughts of self-harm; therefore, his prior suicide attempt does not support his current diagnosis of “risk for injury.” He is also not currently disoriented or experiencing hallucinations, so these answers would be inappropriate. Additionally, a history of cocaine use would not contribute to his current “risk for injury” as he is not under the influence of any substances at this time.

0.5 out of 0.5

Excessive energy and restlessness

Excessive energy and restlessness

Because “risk for injury” is the most appropriate diagnosis for Mr. Callahan, the relevant signs and symptoms are those that align with his current manic state and put him at risk for injury, such as his impulse control, paranoid thoughts, and self-destructive behavior. Additionally, his excessive energy and lack of sleep can further exacerbate his other signs and symptoms and increase his risk for injury. Mr. Callahan has not expressed any current suicidal ideation or thoughts of self-harm; therefore, his prior suicide attempt does not support his current diagnosis of “risk for injury.” He is also not currently disoriented or experiencing hallucinations, so these answers would be inappropriate. Additionally, a history of cocaine use would not contribute to his current “risk for injury” as he is not under the influence of any substances at this time.

Intervention & Evaluation

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

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