Diagnosis/Clinical Impression: Major Depressive Disorder with Psychotic features Age: 31 y/o Sex: Male

CUES NURSING BACKGROUND GOAL AND NURSING RATIONALE EVALUATION

DIAGNOSIS KNOWLEDGE OBJECTIVES INTERVENTI
ONS
S> “May Disturbed Neurotransmitter After 2 weeks Behave Goal partially
bumubulong- thought dysregulation of nursing met. Within 2
bulong sa’kin. processes interventions, weeks of
Magpakamata related to Abnormal the patient nursing
y na daw major presynaptic will be able to interventions,
ako.”, as depression serotonin function maintain the patient
verbalized by secondary to reality was able to
the patient serotonin Depressive orientation. maintain
dysregulation syndromes reality
O (delusions, Objectives: orientation as
>decreased hallucinations,psyc Patient will: >note >to evidenced by:
ability to grasp hosis) 1. Have occurrence determine the 1.diminished
ideas minimal to no of paranoia ability to auditory and
>inaccurate Disrurbed thought evidence of and concentrate in visual
interpretation processes auditory and delusions, the planned hallucinations
of life’s visual hallucination activities 2.reduced
situation hallucinations s feeling of
>short . > to assess anxiety
attention span >reorient to ability to 3.verbalize
>minimal eye time, place, maintain optimistic
contact and person orientation feeling
as needed 4.socialize
with other
>present >to avoid patients
reality defensive 5.maintain
concisely reactions of compliance to
and briefly the patient his
medications
 >to minimize
2. be able to >create a stimuli that
lessen anxiety therapeutic will lead the
and involving milieu(pleasa patient to
stressful nt, quiet aggressive
event environment behaviors
)
>to assess
3.exhibit >encourage patient’s
feelings of self insight and
significance expression judgment

>to
4. be able to >assess determine
maintain long distractibility ability to
attention and ability to participate in
span solve the plan of
problem care

5. socialize >promote >to build up

with others socialization patient’s
within interaction
individual with others
limitation
6.respond >to attain the
rapidly to >emphasize desired effect
treatment importance of the
regimen and of medication
will show compliance
reduce to
symptoms of medications
illness