Question

Adjustment Disorder

Alice, age 48, underwent a mastectomy of the right breast after her mammogram revealed a lump that proved to be malignant when biopsied. Since her surgery 6 weeks ago, Alice has refused to see any of her friends. She stays in her bedroom, speaks to her husband only when he speaks first, is having difficulty sleeping, and eats very little. She refuses to look at the mastectomy scar, and has refused to see the Reach to Recovery representative who has tried several times to help fit her with a prosthesis. Her husband has become very worried about her and spoke to the family doctor, who recommended a psychiatrist. She has been admitted to the psychiatric unit with a diagnosis of Adjustment Disorder with Depressed Mood. Answer the following questions about Alice Remember to include in-text citations and your references at the end

1. What would be the primary nursing diagnosis for Alice?

2. Describe a short-term goal and a long term-goal for Alice?

3. Discuss a priority nursing intervention in working with Alice.

Answer 1

1)Ineffective coping mechanism related to surgery, disease condition, bodily changes has evidenced by her isolation and refusal to meet anyone

2)short term goal

• To recover from the wound of surgery
• encourage to participate in the support to be provided by reach to recovery representative
• try to make her understand the danger of disease if not treated
• Administration of medication
• MonMobilising the patient encouraging to speak out

Long term goal

• Regular follow up
• making her to understand the need of prosthesis not only to look good but also to feel confident to handle any situation
• prevention of recurring of disease

3)The priority nursing intervention are

• Providing psychological support
• providing diversional therapy
• meeting her nutritional needs
• Making her to participate in activities
• health efucate about disease conditions