scenario on bipolar disorder

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Nursing 211

Mental Health Nursing

Clinical Assignment

Concept Map

· For this homework, you will use a concept map to address the areas stated below. You may use a concept map template that you find online or create your own map. Your map can be as long as necessary due to plenty of information that must be included. Just make sure that it clearly shows continuity and organization of information.

· Refer to the grading rubric to receive the maximum points.

· Refer to your weekly clinical schedule for the due date.

Based on the ATI Real Life RN Mental Health 3.0, Module on Bipolar Disorder, develop a concept map that would include the following information.

PATHOHYSIOLOGY AND ETIOLOGY OF BIPOLAR DISODER

· Explain the physiological changes in the brain that result in the pathological signs/symptoms of bipolar disorder.

· Identify the etiology or possible causes of bipolar disorder.

CLINICAL MANIFESTATIONS

· Identify the signs/symptoms that Susan exhibits during the manic episode of the disorder.

· Identify the signs/symptoms that Susan exhibits during the depressive episode of the disorder.

NURSING PROCESS

· Formulate two priority nursing diagnoses based on Susan’s S/S during the manic episode – decide, based on your clinical judgment, which two problems must take precedence over the other problems that Susan has (can be two actual nursing diagnoses or one actual and one risk nursing diagnoses ).

- Nursing diagnoses must be included on the current NANDA-I list.

- Actual nursing diagnosis must be a 3-part statement.

- Risk for nursing diagnosis must be a 2-part statement.

· Develop three client outcomes/goals for each nursing diagnosis (must meet the SMART criteria).

· Identify five appropriate nursing interventions for each nursing diagnosis.

MEDICAL MANAGEMENT OF SUSAN

· Medications

- Identify the prescribed medications for Susan including their purposes.

- Include lab values that need to be monitored with each medication that you have identified.

· ECT

- State the purpose of ECT and its mechanism of action.

- Identify the three preop medications (include the purpose for each one).

- Identify the common side effects of ECT.

Client /Family Teaching

· Identify five most significant areas that must be included when teaching the client/family regarding bipolar disorder (do not use the “you” pronoun).

· Decide the organization of the necessary information in your map.

· Make sure all areas are addressed in your concept map.

· Assigned work that is not submitted on time will have a 5-point-deduction per day.

· Student must receive a grade of 80% or better to pass (a failing grade will result in modifying work done or receiving a completely different assignment to make-up).

· A revised paper or make-up assignment will only receive a maximum grade of 80%.

· For this assignment, you can have a separate page for your references.

Concept Map Grading Rubric

(ATI Simulation: Bipolar Disorder Module)

Total points: 60 Student Points: _______

	Excellent 4	Very Good 3	Fair 2	Poor 0-1
Pathophysiology	Clear and accurate explanation of the disease process and etiology	Mostly clear and accurate in the explanation of disease process & etiology	Lacks clarity and/or accuracy in some parts of the explanation on disease process & etiology	Explanation of disease process and etiology mostly unclear or missing
Clinical Manifestations	Identifies accurately client’s signs/symptoms based on diagnosis	Identifies accurately most of client’s sign/symptoms based on diagnosis	Identifies accurately some of client’s signs/symptoms based on diagnosis	Missing most of client’s signs/symptoms based on diagnosis
Medical Management (medications, electroconvulsive therapy)	Thorough and accurate description of client’s medical treatment	Thorough and accurate for the most part in describing client’s medical treatment	Thorough and accurate in describing some parts of client’s medical treatment	Inaccurate and/or missing several components of client’s medical treatment
Nursing diagnosis #1	NANDA-approved diagnosis appropriate and correctly written as a 3-part statement	NANDA-approved diagnosis appropriate and written as a 3-part statement (one error)	NANDA-approved diagnosis appropriate and written as a 3-part statement (two errors)	Not a NANDA-approved diagnosis
Client Goals/Outcomes for Nursing Diagnosis #1	Identifies 3 goals/outcomes specific to nursing diagnosis using the SMART criteria	Identifies 3 goals/outcomes specific to nursing diagnosis using the SMART criteria for the most part (a total of 1-2 errors)	Identifies 3 goals/outcomes specific to nursing diagnosis with missing components of SMART (a total of 3 or more errors)	Identifies goals/outcomes irrelevant to nursing diagnosis
Nursing Interventions for Nursing Diagnosis #1	Identifies 5 appropriate nursing interventions relevant to goals	Identifies 4 appropriate nursing interventions relevant to goals	Identifies 3 appropriate nursing interventions relevant to goals	Identifies 4-5 nursing interventions irrelevant to goals
Nursing diagnosis #2	NANDA-approved diagnosis appropriate and correctly written as a 3-part statement (for actual dx) or 2-part statement (for risk for dx )	NANDA-approved diagnosis appropriate and written as a 3-part or 2-part statement (one error)	NANDA-approved diagnosis appropriate and written as a 3-part statement (two errors)	Not a NANDA-approved diagnosis
Client Goals/Outcomes for Nursing Diagnosis #1	Identifies 3 goals/outcomes specific to nursing diagnosis using the SMART criteria	Identifies 3 goals/outcomes specific to nursing diagnosis using the SMART criteria for the most part (a total of 1-2 errors)	Identifies 3 goals/outcomes specific to nursing diagnosis with missing components of SMART (a total of 3 or more errors)	Identifies goals/outcomes irrelevant to nursing diagnosis
Nursing Interventions for Nursing Diagnosis #2	Identifies 5 appropriate nursing interventions relevant to goals	Identifies 4 appropriate nursing interventions relevant to goals	Identifies 3 appropriate nursing interventions relevant to goals	Identifies 4-5 nursing interventions irrelevant to goals
Prioritization of Problems	Appropriate prioritization of 2 client problems	Incorrect prioritization of one client problem	Incorrect prioritization of two client problems	Identifies problems irrelevant to client’s condition
Client/Family Teaching	Identifies thorough and accurate client/family teaching	Generally thorough and accurate in identifying client/family teaching	Missing some significant parts of client/family teaching	Missing most of the significant parts of client/family teaching
Creativity	Structure used presents a clear & complete picture of ideas/concepts	Structure used presents a clear picture of most ideas/concepts	Structure used presents a clear picture of some ideas/concepts	Poorly constructed and unclear in presenting ideas/concepts
Organization	Ideas/concepts are clearly connected and flowing smoothly from one to another	Ideas/concepts are clearly connected and flowing smoothly in most parts	Some ideas/concepts are connected but quite confusing to follow	Most ideas/concepts are incorrectly connected and/or confusing to follow
Spelling/Grammar	Exhibits mastery in spelling & grammar	Minimal errors in spelling and/or grammar (total of 3 or less)	Some errors in spelling and/or grammar (total of 4-5)	Several errors in spelling and/or grammar (total of 6 or more)
Citations	Reference page in proper APA format (7th edition)	Reference page with 1 error in using APA format (7th edition)	Reference page with 2 errors in using APA format (7th edition)	Reference page with 3 or more errors in using APA format (7th edition)