Sheridan College NURS26367 Nursing Care Plan: Mental Health and STD

This nursing care plan, developed by a student, addresses the complex needs of two boys experiencing mental health challenges, including potential post-traumatic stress and concerns about their relationship. The plan begins with comprehensive assessment data, encompassing both subjective and objective findings, followed by a detailed NANDA diagnosis. The goals are designed to identify triggers, promote effective coping mechanisms, and ensure patient safety, with both short-term and long-term objectives. Interventions include encouraging open communication, providing relaxation techniques, and administering appropriate medication, supported by strong rationales. The plan also emphasizes the importance of safe sex practices and provides resources for further support, including family involvement and awareness of human rights issues. The evaluation section assesses the effectiveness of the interventions and the patient's progress towards achieving the set goals.

Running Head: NURSING CARE PLAN
MENTAL HEALTH AND STD
1
Nursing Care Plan
Any Student
Sheridan College
Primary Diagnosis: Diagnosis plan concerning mental health and STD
Assessment of
Data Diagnosis Goals Interventions
and Rationale Evaluation
Two doys ,
Robert and Ben
reported that one
of them is
kicked out from
the home, and
another fears to
share to his
friends about
their
The subjective data and the
objective dataevident that the
two boys have
Post-traumatic stress effect.
The analysis of the case study
gives a significant idea about
the probable mental trauma of
Robert and Ben, as one of
them is living in the street, and
another has a history of
Short term
goal:
Identify the
triggers
within a few
days to
design
intervention.
The
psychologica
1a) Encourage
to identify the
difference
between
effective and
ineffective
coping
mechanisms
and
consequences,
1a) The
safety of the
patient is
ensured
The
therapies
are found to
be
successful
in relaxing

MENTAL HEALTH AND STD
2
relationship.The
y stated that
they need
assistance about
getting
information
about safe sex
practice.
bullying. The first mandatory
step is to diagnosis if they
adapt any kind of mental
illness like depression,
suicidal tendencies, anxiety,
and so on. The diagnosis plan
of the two boys is designed as
per the NANDA diagnosis list,
applying the clinical
knowledge, experience, and
understanding of the situation.
The two criteria of the
NANDA diagnosis plan that
kept in mind while designing
the program are the decisional
conflict and the disturbed
personal identity of the two
boys. A series of questions
are asked to both to
understand their mental
conditions, like how they are
feeling, their mood, and
thoughts
(Nandanursingdiagnosislist.or
g, 2020). A Diagnostic and
Statistical Manual of Mental
Disorders (DSM-5) is used as
a reference to understand the
mental illness
(Nandanursingdiagnosislist.or
g, 2020).
As per the assessment ,
Robert has a history of being
bullied, and he is afraid to
accept the relationship openly
in fear of reaction.The
assessment data evident that
he has problem of
trust-building with friends.
l department
of the
hospital will
be informed,
and collected
data will be
provided to
ensure the
mental
health of the
patients
( Potter et
al., 2016)
Demonstrate
techniques that
can provide
relaxation. The
relaxation
techniques is
expected to
reduce their
mental trauma
with a month.
Continuity of
few techniques
such as
positive
outcome and
risk factors.
b) Provide
adequate time
to interact with
the patient to
understand
their feeling.
c) Encourage
Robert to
accept his
emotions and
trust his
friends
2. a)
meditation.
Medication is
an effective
intervention to
reduce
depression and
anxiety. Stress
is directly
related to
depression.
The depression
trigger
enhances the
brain to
produce a
particular
the patient.
The
patients are
found to
start trusting
their
friends,
showing
positive
outcomes of
the
therapies.
They are
found to
start
accepting
their
feelings.

MENTAL HEALTH AND STD
3
will be ensure a
lifelong good
mental health
( Potter et al.,
2016)
signal,
resulting in
depression.
Medication is
found to be
effective in
interacting
with the
reaction of the
brain, reducing
depression.
2.b) breathing
exercise.
Resonant
breathing or
coherent
breathing is
effective in
calming down
the body in a
relaxed state.
2.c) Autogenic
training. The
training work
is associated
with the
physical states
of the stressor.
The physical
states are
stress,
depression, and
anxiety. The
Autogenic
training train
the individual
to control their
reaction of
stress or
mental illness
(Sadigh, 2019).
The nurse
noticed that two
boys are very
scared and not
readiely giving
information.
The have
elevated blood
pressor.
The heart rate is
elevated by 30-
35 points.
They cried many
times deuring
interaction.
Ben and Robert reported that
they need assistance in getting
information about safe sex
practice. The sexually
transmitted infections are most
prevent in same-sex couples,
making Robert and Ben
potential carriers or diseased
person. It is crucial to identify
if any STI infects anyone of
them (de Vries, 2014, pp.181-
188). Urine and genital swab
recommended for them. The
urine test can conform to the
condition of Gonorrhea and
Chlamydia
Blood and the genital swab
test to identify Hepatitis A, B,
HPV, HIV, and Herpes
(Whittles, White, & Didelot,
2020).
1b) The
patient will
start
identifying
the positive
coping
mechanism
and a
negative
coping
mechanism.
The patient
will
eliminate
the negative
coping
mechanism
and acquire
a positive
coping
mechanism.
The patients
will build
full trust in
their
friends,
reciprocate
the
friendship,
and any
other
relationship.
The patient
will be free
of any
inhibition
and start
feeling free
to express
their
feelings.
Verbal
discussion

MENTAL HEALTH AND STD
4
Long term
goal:
Applying
positive coping
mechanisms
and calculate
the risk factors,
to ensure social
safety and
wellbeing of the
patients within
few days
( Potter et al.,
2016).
1a) Provide
appropriate
and effective
support
systems,
including
housing and
support
groups. The
FCC theory
states that only
treating the
patient is not
enough. The
perfect care
plan needed
intervention to
ensure that all
the family
members are
included in the
care plan. The
case of Ben’s
homelessness
clearly shows
the
unawareness of
his family
about the
emotional
outcomes and
Human right
violation of the
LGBTQ
community.
The human
right of the
LGBTQ
community is
protected
under the
secession 15,
with the
patient will
be more
relaxed,
clear, and
analyzable.
The
intervention
s are
designed
primarily
depending
on the
family-
centered
care theory
(Shields,
2015, pp.
139-144).
Robert and
Ben are will
undergo
therapies,
techniques,
medication
to acquire a
trauma-free
social life.
At the same
time, the
information
they will
gain about
safe sex
practice will
reduce the
probability
of any
sexually
transmitted
diseases on
them.
LGBTQ
community

MENTAL HEALTH AND STD
5
giving them an
equal right to
others
considering
their rights,
and benefits
without facing
any stigma and
discrimination.
The human
rights violation
of the
community can
lead to legal
affairs.
Awareness
about the
human right
and the
LGBTQ is
needed to
reduce the
violation of
human rights.
Creating
awareness
among the
society is a
bright and long
term
intervention to
improve the
position of the
LGBTQ
community in
society
(Lennox, and
Waites, 2018).
The parents
need assistance
in getting
educated about
the above-
discussed
matters.
trouble to
get
information
about safe
sex practice,
leading to
increased
sexually
transmitted
diseases.
The
problem of
unawarenes
s of safe
sex,
LGBTQ
community,
and there
can be
solved if the
topics can
be
incorporate
d in the
academics.
Their
government
should be
more active
in creating
awareness
among the
people
about the
community
and safe
sex, by
organizing
awareness
camp,
providing
resources,
making
strict laws
concerning

MENTAL HEALTH AND STD
6
PFLAG
Canada is an
organization
that helps
people facing
issues related
to sexual
orientation.
The group
educates the
individual,
his/her family,
friends, and
colleagues, as
well as
provides the
resource.
LGBTQ +
Parenting
Connection is a
website that
can help to
gather
information,
support, and
resource to the
LGBTQ
individual and
their parents
(Settlement.org
, 2020).
1b)
Administrate
medicine.
1c) Refer to
further
potential
therapies
needed for the
wellbeing of
the patients.
Robert and
Ben wanted
help in getting
Human
rights of the
community,
and violent
behavior
towards the
community.
However,
the family
and friends
of Robert
and Ben
expected to
be more
aware of the
LGBTQ
community
and their
rights. The
family will
learn about
the massive
outcomes of
being
kicked out
of the home,
and
expected to
support the
relationship
of Ben and
Robert,
taking back
Ben into the
home. The
post-
traumatic
stress
condition is
a result of
previous
experience
of being
bullied in
school.

MENTAL HEALTH AND STD
7
educated about
safe sex
practice. In this
care plan,
Robert and
Ben will be
educated about
safe sex
practices to
prevent any
kind of further
STI. SHORE is
group provide
evidence based
information
about healthy
sex, and follow
the Canadian
Guideline for
Sexual Health
Educating
the youths
about the
need for
protecting
the rights of
the LGBT
community
and the
outcome of
violating
their rights
can improve
the social
condition of
the
community.
References:
de Vries, H.J., 2014. Sexually transmitted infections in men who have sex with men. Clinics in
dermatology, 32(2), pp.181-188. Doi: https://doi.org/10.1016/j.clindermatol.2013.08.001

MENTAL HEALTH AND STD
8
Gegenfurtner, A., & Gebhardt, M. (2017). Sexuality education including lesbian, gay, bisexual,
and transgender (LGBT) issues in schools. Educational Research Review, 22, 215-222.
Doi: https://doi.org/10.1016/j.edurev.2017.10.002
Justice.gov. (2020). Fair Housing Act. Justice.gov. Retrieved 11 March 2020, from
https://www.justice.gov/crt/fair-housing-act-2
Lennox, C. and Waites, M., 2018. Human rights, sexual orientation and gender identity in the
commonwealth. University of London.
Nandanursingdiagnosislist.org. (2020). Nursing Diagnosis List | Nanda Nursing Diagnosis List.
Nandanursingdiagnosislist.org. Retrieved 11 March 2020, from
http://www.nandanursingdiagnosislist.org/
Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2016). Fundamentals of Nursing-E-Book.
Elsevier health sciences.
Sadigh, M. R. (2019). Autogenic training: A mind-body approach to the treatment of chronic
pain syndrome and stress-related disorders. McFarland.
Settlement.org. (2020). Where can I find support groups for lesbian, gay, bisexual, trans, queer
or questioning (LGBTQ+) newcomers?. Settlement.org. Retrieved 11 March 2020, from
https://settlement.org/ontario/health/sexual-and-reproductive-health/sexual-orientation-
and-gender-identity/where-can-i-find-support-groups-for-lesbian-gay-bisexual-trans-
queer-or-questioning-lgbtq-newcomers/
Shields, L. (2015). What is “family-centred care”?. European Journal for Person Centered
Healthcare, 3(2), 139-144.
Whittles, L. K., White, P. J., & Didelot, X. (2020). Assessment of the Potential of Vaccination to
Combat Antibiotic Resistance in Gonorrhea: A Modeling Analysis to Determine
Preferred Product Characteristics. Clinical Infectious Diseases.