Mental Health 

Question Answered step-by-step Mental Health Mrs. Mainz, age 56, is brought to the emergency department (ED) by her son Jamie, who is very concerned. Jamie tells the ED nurse, Sumeet, that he found his mother wandering aimlessly in the house, talking to the furniture. She apparently had not eaten in days. Envelopes covered the kitchen table, along with reams of paper with unintelligible writings. An unopened bottle of Clozaril was found in the kitchen. Jamie states that his mother was diagnosed with schizophrenia when she was 28. She usually suffers one occurrence every year, related to discontinuation of her medication. She has lived alone in her home since her husband died 20 years ago. She is assessed by a home support worker weekly. Apparently, her worker left for vacation without informing Mrs. Mainz’s son. Mrs. Mainz has no contact with her neighbours.While in the ED, she displays no eye contact and speaks in a singsong voice. She asks, “Why am I here? There’s nothing wrong with me. I don’t know why that man brought me here; he’s obviously a prison guard and wants to put me in jail.” She states that she is hearing “four or five” voices. “They tell me I’m a bad person and they plan to beat me and take my shoes,” she says, adding, “Sometimes they turn my mother parts around.” At this she pats her abdomen and giggles. Otherwise, her affect is flat, and she demands to be discharged. Nursing Care Plan Nursing Diagnosis (written completely):  1. 2.   The priority is indicated by a *—  The goal for the patient is:—    Interventions Because (rationale)1.  2. 3.  Health Science Science Nursing NURSING 401 Share QuestionEmailCopy link Comments (0)