The nurse is caring for Jane, a 16-year-old female, who was admitted to the psychiatric unit with a diagnosis of major depression and suicide attempts. Three months ago, Jane found out that her family was relocating due to her mother’s job and that the family would be moving there at the end of the school year. Jane is currently in grade 10 and wants to graduate with her friends. Jane has been actively involved in high school sports, service projects, and the student council. For the past three months, Jane has become more withdrawn, not sleeping well at night, canceling time with friends and not participating in the activities that she has enjoyed. Jane’s parents have brought her into the emergency department because she told them she wanted to die and had taken some pills. She presents with a flat affect, slumped over in curled-up position, little eye contact, and frequent crying. Jane responds to questions she is asked in a monotone voice, is thin, and does not look rested. Vital Signs: Within expected limits Labs: TSH level, CBC, CMP all within acceptable ranges, toxicology negative, alcohol negative Orders: The provider has prescribed citalopram 20 mg daily, group therapy and activities, and individual cognitive behavioral therapy. Group A Initial response (please put in an outline format): Assessment finding: identify affective, behavioral, cognitive, and physiological symptoms. Identify three client problems (NANDA-approved nursing dx) for Jane along with etiology, and supporting data for each one. What is the priority nursing diagnosis and why? Write three interventions for the priority diagnosis/problem with rationales for each intervention. Write an outcome statement for each of the three client problems. Write using SMART. What teaching would you include for citalopram?
[Answered]: The nurse is caring for Jane, a 16-year-old…
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