Lucas Callahan Bipolar Disorder Shadow Health Care Plan

Nursing Diagnosis

Student Response Model Answer Explanation Points Earned
Possibility of harm Possibility of harm The most appropriate diagnosis is “possibility of harm.” At the moment, there are no signs or symptoms indicating impaired thinking or a risk of heart issues for the patient. 0.5 out of 0.5

Signs & Symptoms

Student Response Model Answer Explanation Points Earned
Sleeping less than 3 hours in the last few days Sleeping less than 3 hours in the last few days For Mr. Callahan, “possibility of harm” is the most suitable diagnosis, considering his current manic state. Relevant symptoms include impulsivity, paranoid thoughts, and self-destructive behavior, which put him at risk. Moreover, his high energy and lack of sleep worsen these symptoms, elevating his risk of harm. There’s no current indication of suicidal thoughts or self-harm from Mr. Callahan, so his past suicide attempt doesn’t support the current diagnosis. He isn’t disoriented or experiencing hallucinations either, making these options inappropriate. Additionally, his history of cocaine use doesn’t contribute to the current risk of harm as he’s not under its influence presently. 0.5 out of 0.5

Excessive energy and agitation Excessive energy and agitation Given Mr. Callahan’s situation, “possibility of harm” is the most fitting diagnosis. Symptoms such as impulsivity, paranoid thoughts, and self-destructive behavior align with his current manic state, posing a risk. Moreover, his heightened energy and lack of sleep exacerbate these symptoms, increasing his risk of harm.

There’s no indication of current suicidal thoughts or self-harm, so his past suicide attempt doesn’t support the current diagnosis. He’s not disoriented or hallucinating either, ruling out those possibilities. Additionally, his past cocaine use doesn’t contribute to the current risk of harm as he’s presently sober. Evaluate Mr. Callahan’s readiness for care. . Mr. Callahan, are you prepared to proceed with the care plan? Before implementing interventions, it’s crucial to assess the patient’s readiness to engage in the care plan by evaluating their willingness to listen, learn, and participate.

Based on your presentation today, it seems you’re at risk of harm.

 Intervention & Evaluation
2.5 out of 2.5
Student Response Model Answer Explanation Points Earned
Fully Fully The goal of ensuring Mr. Callahan remained free from harm while awaiting psychiatric evaluation has been completely achieved. The interventions chosen helped reduce his risk of harm and ensured safety for everyone, including staff and other patients. Providing him with writing materials kept him occupied. The physical examination revealed no injuries, confirming goal fulfillment. 2.5 out of 2.5
 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 keeping your patient free from harm until he could be evaluated by a psychiatrist? The aim of preventing harm to the patient until psychiatric evaluation was fully accomplished. The interventions selected effectively reduced the risk of harm. No injuries were detected during the physical examination.

Therefore, the goal was achieved. The objective was to ensure Mr. Callahan remained free from harm until psychiatric evaluation. The chosen interventions successfully mitigated the risk of harm, ensuring safety for both the patient and staff. Providing writing materials kept Mr. Callahan occupied. The physical examination findings confirmed the absence of injuries, thus indicating goal achievement. It’s important to conduct a focused physical exam to verify whether Mr. Callahan has indeed remained free from harm. Trusting the objective data from the exam is crucial for determining goal attainment. Given Mr. Callahan’s manic state, relying solely on his self-report might not be accurate or reliable.

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Lucas Callahan Bipolar Disorder Shadow Health Care Plan