John Jones, age 33, has been admitted to the hospital for the third time with a diagnosis of paranoid schizophrenia. John had been taking haloperidol (Haldol) but stopped taking it weeks ago, telling his case manager it was “the poison that is making me sick.” Yesterday, John was brought to the hospital after neighbors called the police because he had been up all night yelling loudly in his apartment. Neighbors reported him saying, “I can’t do it! They don’t deserve to die!” and similar statements. John appears guarded and suspicious and has little to say to anyone. His hair is matted, he has a strong body odor, and he is dressed in several layers of heavy clothing even though the weather is warm. So far, John has been refusing any offers of food or fluids. When the nurse approached John with a dose of haloperidol, he said, “Do you want me to die?” What additional assessment data does the nurse need to plan care for John? Identify the three priorities, nursing diagnoses, and expected outcomes for John’s care with your rationales for the choices. Identify at least two nursing interventions for the three priorities listed in Question 2.
John Jones, age 33, has been admitted to the hospital for the third time with a diagnosis of paranoid schizophrenia. John had been taking haloperidol (Haldol) but stopped taking it weeks ago, telling his case manager it was “the poison that is making me sick.” Yesterday, John was brought to the hospital after neighbors called the police because he had been up all night yelling loudly in his apartment. Neighbors reported him saying, “I can’t do it! They don’t deserve to die!” and similar statements. John appears guarded and suspicious and has little to say to anyone. His hair is matted, he has a strong body odor, and he is dressed in several layers of heavy clothing even though the weather is warm. So far, John has been refusing any offers of food or fluids. When the nurse approached John with a dose of haloperidol, he said, “Do you want me to die?”
- What additional assessment data does the nurse need to plan care for John?
- Identify the three priorities, nursing diagnoses, and expected outcomes for John’s care with your rationales for the choices.
- Identify at least two nursing interventions for the three priorities listed in Question 2.
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