Bachelors Degree Nursing Program Care Plan For Mental Health
STUDENT NAME: Charlton Ang NURSING COURSE: Mental Health
Assessment
Pt hospitalized for
ingesting a bottle of
Diphenhydramine
Pt appears anxious
AEB delusions of
persecution and
paranoia,
hypervigilance.
Nursing Diagnosis
Risk for SelfDirected Violence
Related to (cause
the nurse can
address)

Previous
attempts of
violence

Suicidal
Plan

Suicidal
behavior
Rev. 12/19– Health Assessment I Team, approved by RN Faculty
Copyright © 2010 Unitek College. All rights reserved
Expected
outcomes/goals
(short term,
maximum 2)

Patient will
seek help
when
experiencing
self-destructive
impulses

Patient will
have a
behavioral
manifestation
of absent
depression
DATE: 06/04/2022 Patient Initials JS
Nursing Interventions
(minimum of 3)



Identify the level
of suicide
precautions
needed.
Check the
availability of
required supply
of medications
needed.
Encourage clients
to express
feelings of anger,
sadness, guilt
and come up
with alternative
ways to handle
feelings of anger
and frustration
Rationale (for nursing
interventions)



A client with a
high-risk requires
constant
supervision and a
safe
environment.
Normally, a
suicidal client’s
medical supply
should be limited
to 3-5 days.
Clients can learn
alternative ways
of dealing with
overwhelming
emotions and
gain a sense of
control over
his/her life.
Evaluation
Have the Goals been
met?
Progressing towards
desired outcome
Rev. 12/19– Health Assessment I Team, approved by RN Faculty
Copyright © 2010 Unitek College. All rights reserved
Assessment
Pt’s speech is mostly
incoherent. Pt tends to
mumble excessively.
Delusions of
persecution, paranoia
and hypervigilance
Consistent reports of
being abducted by
aliens or the FBI
Nursing Diagnosis
Disturbed Though
Process
Related to (cause
the nurse can
address)
Biological/medical
factors
Biochemical/neurophysical imbalances
Persistent feelings of
extreme guilt, fear or
anxiety.
Rev. 12/19– Health Assessment I Team, approved by RN Faculty
Copyright © 2010 Unitek College. All rights reserved
Expected
outcomes/goals
(short term,
maximum 2)
Patient will process
information and make
appropriate decisions
Patient will accurately
recall recent and remote
information
Nursing Interventions
(minimum of 3)
Rationale (for nursing
interventions)
Determine the client’s
previous level of
cognitive functioning
(from family, client, past
medical records)
Establishing a baseline
data allows for evaluation
of client’s progress.
Use simple, concrete
words
Allow the client to have
plenty of time to think
and frame responses
Slowed thinking and
difficulty concentrating
impair comprehension.
Slowed thinking
necessitates time to
formulate a response
Evaluation
Have the Goals been
met?
Progressing Towards
Goal
Bachelors Degree Nursing Program Care Plan For Health Assessment 1
STUDENT NAME: _______________________________ NURSING COURSE: _____________
Rev. 12/19– Health Assessment I Team, approved by RN Faculty
Copyright © 2010 Unitek College. All rights reserved
DATE: ___________ Patient Initials __________