Reference no: EM133566258

Eddie is an 18-year-old student. He lives with his mother Sue, who is 53 years old, and his stepfather Cameron, who is 60 years old. Sue was remarried 9 years ago. Eddie is the youngest of three children and he is the only child to still live in the family home with his mother and stepfather. Eddie is now in Grade 12. He used to like socialising with friends and was fun-loving. Over the past seven months there have been changes in Eddie's behaviour and appearance. Eddie has become disruptive and has started to talk and laugh inappropriately in class. He has also become isolated and did not want to join in any activities at school. Since the beginning of the year, he has had more difficulty concentrating and paying attention to tasks. His school performance began deteriorating and he became frequently tardy. Eddie has not been to school for two months. Eddie has a history of drug use. He started to use marijuana when he was in Grade 9 because the group of friends he was hanging out with also used drugs. Eddie uses amphetamines on a regular basis. He occasionally drinks alcohol and smokes cigarettes.
Eddie was brought to a mental health unit by his parents after he had been noted wandering around the house and talking to himself for over a week. This is his first admission. On admission, Eddie appears suspicious and has unkempt hygiene. He stated he heard voices from a group of two men and a woman. The voices kept telling him that he was "no good" and "everybody hated" him. Sometimes they told him to kill himself and sometimes to kill other people. Eddie also believes that he has special powers, and he is a spy working for the government. Eddie is argumentative and sometimes becomes aggressive. He has a history of aggression and violence.

Identified actual or potential clinical problem - Risk of harm to self or others.

1. For this problem, justify your choice (e.g., with patient's
assessment data in the selected case study and supporting literature)

identify ONE (1) goal for care of the client/consumer.

3. For goal, describe TWO (2) evidence-based nursing interventions you would implement to
meet the goal. For each nursing intervention, justify your choice (e.g.,
with supporting literature).

4. For goal, identify the expected outcomes and describe your evaluation approach (e.g.,
how and when would you evaluate that your interventions have been effective or not?).
Note: Although there may be medical, psychopharmaceutical or psychotherapy interventions initiated for the client/consumer in the case study, the focus of this assessment item is on nursing interventions.