NRSG370: Clinical Integration – Mental Health – Mr. Jim Gray Case Study Assessment Answer

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Code: NRSG370
Mr. Jim Gray Case Study Assessment Answer
Assignment Task: NRSG370
Jim Gray, 28 years old, severe depression following a suicide attempt – NRSG370
Mr. Jim Gray is a 28-year-old single male admitted to the inpatient city Mental Health unit 5 days after a failed suicide attempt and has been diagnosed with major depressive disorder’. Jim is the son of a grazier from a rural community 3 hour north of Brisbane. The farm has been severely affected by the longstanding drought conditions in the district creating a financial strain on the family and Jim is expected to take over the family farm when his Dad is no longer able to work. NRSG370
You are the nurse assigned to Jim’s care for the afternoon shift. At handover, you were informed Jim did not get up for breakfast again, went to lunch reluctantly only because he was compelled to but ate almost nothing, and returned to his bed immediately afterward. The occupational therapist reported in the progress notes Jim was still choosing not to take part in any activities, including small group games or one-on-one activity. NRSG370
Vital Signs:

Blood pressure 125/75

Temperature 36.3 C

Pulse 66/bpm

Respirations 18/min

Jim has a rope burn mark on his neck caused by the breaking of the rope with which he attempted to hang himself and some minor bruising and broken skin on his arms and legs from the subsequent fall. He was commenced on Venlafaxine and a multivitamin on admission. NRSG370
When you go to introduce yourself to Jim you find him lying on his bed with the covers pulled up high. He appears reluctant to engage in conversation with you. When you address him to introduce yourself, he grunts then mumbles I just want to die and turns over to face the wall away from you. NRSG370

Assessment Task: NRSG370 

Case Study Students will complete a case study which discusses the provision of ethical, legal, evidencebased, holistic person-centered care including the establishment of realistic and relevant goals through the theoretical examination of a particular nursing specialty case study using the Clinical Reasoning Cycle (Levett-Jones, 2018). Make sure to use literature to back up your points
The student is expected to use the Clinical Reasoning Cycle (Levett-Jones, 2018) as a framework to plan and evaluate person-centered care. You are being asked to think through the case scenario and then discuss how data was collected and the type of data collected, identify problems and nursing issues, identify and state the objectives and discuss how care was provided in order to address the issues and evaluate the interventions carried out: (analyze and identify nursing issues/problems/needs, set objectives, discuss the nursing interventions and evaluate the interventions of care carried out). As per lecture notes, students are expected to apply the clinical reasoning cycle to address the case scenario:

Provide an introduction

Consider the person’s situation

Collect, process and present related health information

Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the center of care. 

Establish goals for the priority of nursing care related to the nursing problem/issues identified

Discuss the nursing care of the person; link it to assessment data and history.

Evaluate your nursing care strategies to justify the nursing care provided

Reflect on the person’s outcomes/your learning

Provide a conclusion

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