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Louise Margaret Tomas SCR200.4710 03/20/2008 LAGUARDIA COMMUNITY COLLEGE Nursing Program NURSING CARE PLAN SCR200 Nursing Actions/ Rationale Nursing Diagnosis Expected Outcomes Implementation (Cite Specific Sources) Evaluation (Number nursing diagnoses in order of priority.) 1-Social isolation r/t Disease process (Schizophrenia) as evidenced by client does not attend group activities and client does not interact with staff. 2-Risk for loneliness r/t client refusal to participate in group activities, and client’s family not visiting often as evidenced by client not attending group activities, staying in her room, and the client stating that her family does not visit. 3-Risk for constipation r/t medications side effects as evidenced by client is taking Abilify. 4-Disturbed sleep pattern r/t inadequate Day time activity and uncomfortable sleep environment as evidenced by client yawning and stating “I feel tired; I want to take a nap for a little bit.’ 5. Self-esteem disturbance related to feelings of inferiority and sense of inadequacy, as evidenced by client stating, “No one loves me. I want to have a family but no one marry me.” 6. Self- esteem disturbance r/t personal identity as evidenced by poor hygiene, uncombed hair and soiled attire. 7. Social Isolation r/t failure to establish trust as evidenced by client was in her room lying down, avoidance of social activities with other residents and she has never been married before and she doesn’t have a boyfriend.