PTSD Nicole Diaz shadow health Care Plan
Nursing Diagnosis
Table of Contents
Based on Ms. Diaz’s symptoms of fear, nightmares, paranoia, and tobacco use, the most suitable nursing diagnosis is “difficulty coping.” While Ms. Diaz also shows signs of hopelessness and distress, these are primarily linked to her struggles with insomnia and PTSD.
Signs & Symptoms
Ms. Diaz’s relevant signs and symptoms, including fear, nightmares, and tobacco use, indicate a challenge in coping effectively, leading to the nursing diagnosis of “difficulty coping.”
Self-Assessment
Understanding the connection between Nicole’s sense of control and her past experience of military sexual assault and subsequent PTSD diagnosis is crucial. Identifying the root cause of her distress is essential for comprehensive treatment.
Discussion of Care
Explaining the rationale behind the nursing diagnosis involves discussing how difficulty coping impacts various aspects of Ms. Diaz’s well-being, including sleep patterns, fears, and behaviors like tobacco use.
The goal for Ms. Diaz is to consent to her care plan, which involves discussing coping strategies, seeking professional help, and identifying stressors contributing to insomnia and PTSD symptoms.
Explicitly obtaining Ms. Diaz’s consent ensures her active involvement in her healthcare decisions and interventions.
Beginning the education process involves informing Ms. Diaz about the planned interventions and their purpose in improving her mental health.
Intervention & Evaluation
Ms. Diaz demonstrates motivation to improve coping by adopting new strategies and agreeing to involve a mental health provider in her care. She successfully identifies the link between smoking and sleep difficulties and achieves the goal of identifying two constructive coping strategies.
Intervention & Evaluation Rationale
Although Ms. Diaz appears receptive to the care plan interventions, it’s essential to ensure her understanding by having her recap what she has learned, ensuring thorough comprehension.
PTSD Nicole Diaz shadow health Care Plan
Care Plan : 12 of 12 (100.0%)
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 |
| xx | xx | Given Ms. Diaz’s signs and symptoms of fear, nightmares, paranoia, and tobacco use, “difficulty coping” is the most appropriate nursing diagnosis. PTSD Nicole Diaz shadow health Care Plan Although Ms. Diaz does display some hopelessness and distress, they stem from her difficulty coping with insomnia and PTSD. | 1 out of 1 |
Signs & Symptoms
| Student Response | Model Answer | Explanation | Points Earned |
| xx | xx | Ms. Diaz’s relevant signs and symptoms of xxx, and tobacco use are a result of her current, less effective coping skills, which indicate “difficulty coping” as the most appropriate nursing diagnosis. | 0.625 out of 0.625 |
| xx | xx | Ms. Diaz’s relevant signs and symptoms of xxx, and tobacco use are a result of her current, less effective coping skills, which indicate “difficulty coping” as the most appropriate nursing diagnosis. | 0.625 out of 0.625 |
| x | x | Ms. Diaz’s relevant signs and symptoms of xx, and tobacco use are a result of her current, less effective coping skills, which indicate “difficulty coping” as the most appropriate nursing diagnosis. | 0.625 out of 0.625 |
| Tobacco use | Tobacco use | Ms. Diaz’s relevant signs and symptoms of fear, nightmares, paranoia, and tobacco use are a result of her current, less effective coping skills, which indicate “difficulty coping” as the most appropriate nursing diagnosis PTSD Nicole Diaz shadow health Care Plan. | 0.625 out of 0.625 |
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
| Prompt | Student Response | Model Answer | Explanation |
| How is Nicole’s sense of control linked to her past history of military sexual assault and subsequent PTSD diagnosis? | No response submitted | Your nursing diagnosis should always take into account what condition is most serious and urgent, so the patient can receive the greatest benefit from your help. While Ms. Diaz’s difficulties with her diet and overall hopelessness are important, addressing her difficulty coping will have the greatest impact on the patient’s overall distress. | Understanding the link between a patient’s history of trauma and presenting mental health complaints is critical to understanding the patient’s overall health, coping strategies, and daily life. Identifying the “root cause” of the patient’s sense of control will help you understand how to address and treat all symptoms exacerbated by that root cause. |
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
| Prompt | Student Response | Model Answer | Explanation |
| PTSD Nicole Diaz shadow health Care Plan Explain the rationale behind your nursing diagnosis. | You seem to hav e problems coping with insomnia and anxiety | Nicole, after our conversation, it’s apparent you’re having a difficult time coping with insomnia and anxiety. Coping is the mechanism by which people are able to respond to stressors, manage demands, and maintain well being. When a person has experienced a significant stressor, they use coping mechanisms to maintain balance. Difficulty coping happens when the person is not able to maintain their well-being or manage their demands. These behaviors often are rooted in a sense of loss of control in a situation. This imbalance manifests itself in many ways, but often is linked to difficulty with sleeping, fear, paranoia, nightmares, and behaviors like tobacco use. There are strategies and options available that can help you develop stronger coping tools against that distress. I’m going to walk you through these options now. | If a patient is experiencing psychological distress, make a point to discuss your diagnosis therapeutically, taking the time to thoroughly explain as well as empathize with the patient. |
| Explain your goal for Ms. Diaz and the interventions and data collections through which you will achieve it. | My goal is that you consent to your plan of care PTSD Nicole Diaz shadow health Care Plan | So, we’re going to have a discussion about resources you can use to improve how you cope with your PTSD and insomnia, including relaxation techniques and identifying next-level mental health support. I’m also going to discuss with you how to use new coping mechanisms and positive thought patterns that you can rely on to support your mental health in small, meaningful ways. My goal is that you consent to your plan of care and are able to discuss additional effective coping strategies, voice the importance of seeking help from healthcare professionals during acute phases, and identify the stressors that increase insomnia and PTSD symptoms. | You should communicate the Care Plan to the patient, allowing them to exercise involvement and agency in their own healthcare PTSD Nicole Diaz shadow health Care Plan. |
| Explicitly ask for Ms. Diaz’s consent to the Care Plan. | Do I have your consent to move ahead with this care plan? | Do I have your consent to move ahead with this Care Plan? | A patient must consent to all interventions in their Care Plan. Disagreements are opportunities to provide further patient education and to consider alternative options. |
| Inform Ms. Diaz you will now begin educating her. | I will now begin my interventions PTSD Nicole Diaz shadow health Care Plan | Nicole, if you don’t have any other questions or concerns, we can start discussing your mental health improvement plan. | It’s time to begin your interventions, so let your patient know! |
| Student Response | Model Answer | Explanation | Points Earned |
| cc | PTSD Nicole Diaz shadow health Care Plan | PTSD Nicole Diaz shadow health Care Plan Ms. Diaz is motivated to improve her coping and adopt two new coping strategies into her life. She is agreeable to having a mental health provider as part of her healthcare team to provide her with continued support and guidance. She verbalizes how to recognize the link between smoking and her difficulty with sleep. She fully meets her goal of identifying at least two constructive short-term coping strategies by the end of the visit. | 2.5 out of 2.5 |
Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor.
| Prompt | Student Response | Model Answer | Explanation |
| Did you achieve your goal of having your patient, by the end of her appointment, be able to discuss additional effective coping strategies, voice the importance of seeking help from healthcare professionals during acute phases, and articulate stressors that increase insomnia and PTSD symptoms? | . | Ms. Diaz is motivated to improve her coping and adopt two new coping strategies into her life. She is agreeable to have a mental health provider as part of her healthcare team to provide her with continued support and guidance. She verbalizes how to recognize the link between smoking and her difficulty with sleep. She fully meets her goal of identifying at least two constructive short-term coping strategies by the end of the visit. | Even though the patient may be actively listening to your care plan interventions and instructions, it’s important to have the patient state back what they learned to ensure proper and thorough understanding PTSD Nicole Diaz shadow health Care Plan. |
