Eric Ford Focused Exam: Schizophrenia care plan
Nursing Diagnosis
According to the International Council of Nurses (ICN), the diagnosis of “Risk for negative quality of life” is the most suitable for Eric Ford. This diagnosis indicates that Eric faces difficulties in taking care of himself due to his struggles with managing the symptoms of schizophrenia, ultimately affecting his overall quality of life. At present, there are no indications of any violent behavior from Eric.
Signs & Symptoms
Eric exhibits difficulty distinguishing between reality and fantasy, which aligns with the diagnosis of “Risk for negative quality of life.” He experiences distress and finds it challenging to discern his hallucinations and paranoid thoughts as not real. Additionally, he expresses a remote fear of succumbing to his suicidal command hallucinations, further emphasizing his distress.
Eric also experiences distress caused by his hallucinations, contributing to the diagnosis of “Risk for negative quality of life.” His difficulties in recognizing the unreality of his hallucinations and paranoid thoughts add to his distress, highlighting the impact on his quality of life.
Furthermore, Eric shows medication non-adherence, which correlates with the diagnosis of “Risk for negative quality of life.” This behavior reflects his struggle with coping with distress associated with his condition.
Intervention & Evaluation
Eric demonstrates full understanding and commitment to his mental health improvement plan. He accurately articulates the necessary steps, including implementing a safety plan, adhering to medication, enhancing coping skills, maintaining regular psychiatric care, and involving his support system in managing his schizophrenia. Written materials are provided to supplement his plan, ensuring comprehensive support for his mental health at home.
Intervention & Evaluation Rationale
While patient education is beneficial, ensuring patient compliance is crucial. Therefore, it’s essential to confirm that the patient can accurately repeat and agree to their instructions, as seen in Eric’s case. This ensures that the patient is actively engaged in their treatment plan, enhancing its effectiveness.
Eric Ford Focused Exam: Schizophrenia care plan
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 |
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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
| 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.
| 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. |
