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  • 117 Pysch - The Nursing Process

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    Carrie A
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    The nursing process involves 5 steps for psychiatric-mental health nursing: assessment, diagnosis, planning, intervention, and evaluation. During assessment, the nurse collects subjective and objective data on the client's physical, mental, and social situation. This data is organized into a framework using diagnostic systems like DSM-IV or NANDA. For planning, the nurse sets measurable and prioritized goals for the client based on diagnoses. Interventions like counseling or education are then implemented. Finally, the nurse evaluates if goals were met and interventions were effective, revising the plan if needed.

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    Nursing Process in the Psychiatric Ward

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    117 Pysch- The Nursing Process

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    The nursing process involves 5 steps for psychiatric-mental health nursing: assessment, diagnosis, planning, intervention, and evaluation. During assessment, the nurse collects subjective and objective data on the client's physical, mental, and social situation. This data is organized into a framework using diagnostic systems like DSM-IV or NANDA. For planning, the nurse sets measurable and prioritized goals for the client based on diagnoses. Interventions like counseling or education are then implemented. Finally, the nurse evaluates if goals were met and interventions were effective, revising the plan if needed.

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    39 views2 pages

    117 Pysch - The Nursing Process

    Uploaded by

    Carrie A
    The nursing process involves 5 steps for psychiatric-mental health nursing: assessment, diagnosis, planning, intervention, and evaluation. During assessment, the nurse collects subjective and objective data on the client's physical, mental, and social situation. This data is organized into a framework using diagnostic systems like DSM-IV or NANDA. For planning, the nurse sets measurable and prioritized goals for the client based on diagnoses. Interventions like counseling or education are then implemented. Finally, the nurse evaluates if goals were met and interventions were effective, revising the plan if needed.

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    The Nursing Process The psychiatric-mental health nurse uses the assessment data to

    identify the actual or potential problems. Depending in the nurse's


    The nursing process is a 'systematic and interactive problem-solving
    level of practice and skill, the data are organized into an acceptable
    approach that includes individualized client assessment, planning,
    framework using one or more of the common classification systems.
    implementation, intervention and evaluation' (ANA, 1994, p.45)
    These systems are the North American Nursing Diagnosis
    When applied to psychiatric-mental health nursing, the nursing
    Association (NANDA) Nursing Diagnosis Classification that includes
    process involves these five areas:
    the appropriate psychiatric nursing diagnoses, the fourth edition of
    ASSESSMENT the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV),
    (American Psychiatric Assocation, 1994), and the International
    During the assessment interview and in subsequent interactions, Classification of Diseases (ICD-10).
    the psychiatric mental health nurse collects both subjective and
    objective data, including observations made during the interview. PLANNING
    These may include:
    The psychiatric-mental health nurse develops an individualized plan
     main complaint or problem of care, clearly identifying the interventions that should be used to
     general physical, mental, and emotional health status meet expected outcomes. Each diagnosis should have at least one
     personal and family history corresponding goal. Goals should be measurable, realistic,
     support systems in the family, social group, or community understandable, and prioritized. A time frame should be established
     activities of daily living (ADLs) for both short- and long-term goals. This plan of care is developed in
     health habits and beliefs collaboration with the client, family and other clinicians. It provides
     substance use or abuse continuity of care, reflects current psychiatric nursing practice, and
     use of prescription medications may include both short- and long-term goals.
     interpersonal relationships INTERVENTION
     risk of injury to self and others
     coping patterns Nursing activities or actions are identified and implemented to help
     spiritual beliefs and values the client meet the planned goals. The implementation
     client's interest in changing behaviors interventions may include counseling, milieu therapy, self-care
    activities, health education, health promotion, psychotherapy, and
    and any other factors that may influence the client's ability to case management.
    function and respond to treatment.

    DIAGNOSIS
    EVALUATION

    The nurse determines if the goals and expected outcomes were met
    and if the interventions were effective. IF they were not, the nurse
    should reconsider all steps of the process and consider changes in
    the plan and interventions.

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