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Nursing 211

Mental Health Nursing

Clinical Assignment

Case Study

Tom is 17-year-old young man who has been described as a troubled child since the age of seven or eight. He has a long history of fighting with other students, biting his classmates, and stealing from his peers, parents, and siblings. Tom has been caught shoplifting and was prosecuted on two occasions, one of which resulted in his father paying a large fine and the other resulted in six months of probation.

Tom has held a couple of low-paying jobs but was terminated due to aggressive behavior and suspicion of stealing. He consistently denies any wrongdoing, making excuses for his actions, and blames others for his failure. When confronted about his behavior, Tom fails to show remorse for having broken the law and physically or emotionally hurting others.

Most recently, Tom was caught breaking and entering an apartment building. His parents have admitted him to the hospital because they realize they can no longer control his behavior and fear that his recent crime will result in a prison sentence. Tom is diagnosed with antisocial personality disorder.

· Type your answers using a 12-point-font.

· Maintain double-spacing throughout your paper.

· Use proper grammar, spelling, and formatting.

· Read each question carefully and respond accordingly (answers must be specific and clearly stated).

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

· Refer to your weekly schedule for the due date.

Based on the case study, do the following.

Identify three NANDA-approved actual nursing diagnoses and two risk for nursing diagnoses for the client ( write your diagnoses in order of priority ). Actual nursing diagnoses must be a 3-part statement and risk for nursing diagnoses must be a 2-part statement.

1. Based on the #1 priority nursing diagnosis, develop a nursing process using the table provided below . The table will include:

· Three client goals/outcomes specific to the priority nursing diagnosis (must meet the SMART criteria).

· Six evidence-based nursing interventions specific to the achievement of client goals/outcomes.

· Rationales based on evidence for each nursing intervention. With each rationale, include the source (last name of the author, year of publication, and the page number).

Example:

Intervention: Teach the family how to provide physical care for the client (bathing, feeding, and ADLs). Rationale: Improved self-efficacy regarding how to care for loved ones has been shown to decrease caregiver burden (Gonyea, 2015, p. 41).

2. Include a reference page (must be in APA format, 7th edition).

· For this paper, you will have in-text citations (for your rationales) and a reference page with all your sources.

· Save your work in Word Document

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

· A student must receive a grade of 80% or better to pass (a failing grade will result in modifying one’s work or receiving a completely different assignment to make-up). A revised paper or make-up clinical assignment will only receive a maximum grade of 80%.

Nursing Process

Priority Nursing Diagnosis	Client Goals/Outcomes (identify three goals/outcomes that meet the SMART criteria)	Nursing Interventions (identify six nursing interventions; must be evidence-based)	Rationales (each nursing intervention must have an evidence-based rationale)

Case Study Grading Rubric

	Excellent 4	Very Good 3	Fair 2	Poor 0-1
Actual Nursing Diagnosis	NANDA-approved diagnosis appropriate and 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
Actual Nursing Diagnosis	NANDA-approved diagnosis appropriate and written correctly 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
Actual Nursing Diagnosis	NANDA-approved diagnosis appropriate and written correctly 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
Risk Nursing diagnosis	NANDA-approved diagnosis appropriate and written correctly as a 2-part statement	NANDA-approved diagnosis appropriate and written as a 2-part statement (one error)	NANDA-approved diagnosis appropriate and written as a 2-part statement but is not appropriate for the client	Not a NANDA-approved diagnosis
Risk Nursing Diagnosis	NANDA-approved diagnosis appropriate and written correctly as a 2-part statement	NANDA-approved diagnosis appropriate and written as a 2-part statement (one error)	NANDA-approved diagnosis and written as a 2-part statement but is not appropriate for the client	Not a NANDA-approved diagnosis
Prioritization	Appropriate prioritization of client problems	Incorrect prioritization of one client problem	Incorrect prioritization of two client problems	Incorrect prioritization of three client problems or more.
Client Goals/Outcomes for Priority Nursing Diagnosis	Identifies three goals/outcomes specific to nursing diagnosis using the SMART criteria	Identifies three 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	Identifies 6 evidence-based nursing interventions relevant to goals	Identifies 5 evidence-based nursing interventions relevant to goals	Identifies 4 evidence-based nursing interventions relevant to goals	Identifies 3 or more nursing interventions irrelevant to goals
Rationales with in-text citations	Correct rationales based on evidence for 6 interventions	Correct rationales based on evidence for 5 interventions	Correct rationales based on evidence for 4 interventions	3 or more interventions not based on evidence
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	Reference page with 1 error in using APA format	Reference page with 2 errors in using APA format	Reference page with 3 or more errors in using APA format

Total points: 44 Student Points: _______