NURS415 Case Scenario

NURS415 Case Scenario

Group names:

Fai Alharbi 438201917

Rawan Alanazi 43704506

Waad Qahtani 438200610

Lamia al-suroor 438201165

NURS415 Case Scenario

Case II

You are admitting a client to the inpatient unit. The client is in a manic state exhibiting flight of
ideas, loose association, poor appetite, irritability, and rapid mood swings between elation and
crying spells. The client has been unable to sleep for the past three nights and stays awake
pacing the floor

1.Identify at least five questions you will ask during your initial interview.

 Tell me something about the events that took place to your admission to the hospital ?
 Do you feel like you can work all day without needing rest/sleep?
 Do your thoughts jump from place to place that makes it difficult for you to keep track of
them?
 During this period did you feel especially confident, like you were on top of the world?
 Did this feeling of unusually high energy and a decreased need for sleep go on not for
hours or an evening, but for days and days at a time?
 you ever felt that your mood was elevated or "too good" for a series of consecutive days?

2.List three main priorities of care for the client.

Disturbed Thought Processes

Insomnia

Risk for injury directed at others or toward self

3.What are the medication (s) that will probably be prescribed for the client?

-Lithium (class: Antimanic).

NURS415 Case Scenario

-Exact mechanism of action is unknown. Alters cation transport across cell membrane in
nerve/muscle cells; influences reuptake of serotonin/norepinephrine.

-Therapeutic Effect: Stabilizes mood, reducing episodes of mania.

4.If disturbed sleep pattern related to sensory alterations as evidenced by verbal complaints of
difficulty sleeping is one of your nursing diagnoses, identify one short-term outcome and three
nursing interventions for the nursing care plan.

Outcome:

1. after instruction by the nurse, the patient Verbalizes plan to implement bedtime
routines.

Interventions:

1. Encourage daytime physical activities but instruct the patient to avoid strenuous
activities before bedtime.
2. Prevent the patient from thinking about next day’s activities or any distracting thoughts at
bedtime.
3. discourage caffeine or large meal intake 2 hours before the patient goes to sleep.
4. Provide measures to take before bedtime to assist with sleep.

Reference:

Kizior, R. & Hodgson, K. (2020). Saunders Nursing Drug Handbook 2020. United States:
ELSEVIER.
NURS415 Case Scenario

Nursing Care Plan Guidelines2015/2017 Nanda List, retrieved

from :http://thenurseszone.com/nursing-care-plan-ncp/disturbed-sleep-pattern/