Clinical Assignment Behavioral Health Visit Three
ITT Technical Institute: Breckinridge School of Nursing
Behavioral Health Hospital has separate units for different types of mental disorders. I was located on the adolescent unit, and was able to choose my own patient. The patient I chose was diagnosed with several disorders. She is fifteen years old, and seems to be recovering well. She has also previously attempted suicide, and acts out with grandiose sexual behavior.
The nursing diagnosis for this patient is increased risk for suicide attempt. The hospital ensures that all appropriate safety measures are met for all patients; therefore, no further measures need to be taken, unless it includes increasing times when rounding is done. The goal for this patient is that she will report improvement in mood and deny suicidal ideations before discharge. This goal is realistic and the therapies that are implemented at the facility will aid in improvement.
Several medications were prescribed to the patient including Prozac, Abilify, Vyvanse, and Nexplanon. Prozac (fluoxetine) has been taken for the past year for borderline personality disorder. She has responded well to this and has not had very many side effects such as dry mouth, and dyspepsia. The patient has been taking Nexplanon since January, and does not want it any longer. She complains about weight gain, which she has gained ten pounds since starting this birth control. She no longer takes Abilify or Vyvanse, because she is noncompliant with her medication regimen.
During the group discussions, I noticed the patient was negative towards herself and others. She would make remarks towards others and facial expressions that implied dislike of the other patients. She did not cooperate much, and did not want to be treated. The patient stated, “I don’t need to be here, because I’m not sick in the head like these other people.” The social worker continued to ask her...