can sum1 give me a nursing diagnosis please

  1. i have this homework in psychiatric class clinical....and im so desperate of giving this client a nursing diagnosis with R/T and AEB:

    24 male heroin addict , been clean for 30 days ,,,recently got fired from his job bec of stealing money,,,,he said he wanted to quit because he just found out that his girlfriend was pregnant,,,,,,das all...

    your answers will be very much appreciated!
    thank you!
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  2. 6 Comments

  3. by   cdelacruz71
    Have you tried Anxiety r/t stress, substance abuse, change in economic and/or role status (going to be a new dad) AMB expressed concerns due to change in life events and future
  4. by   justbreathe
    Only a first semester student, so may not know what i'm talking about but also seems like Ineffective Coping related to history of drug abuse, situational crisis, change in role status, lifestyle change, etc. Hope it helps.
  5. by   Doog
    Risk for Impaired family process r/t altered parental responsibilities secondary to chemical impairment
  6. by   cdelacruz71
    Great answer Doog!!! That was what I was trying to think of but been studying for my final my brain was dead and anxiety was the best answer I could think of:smackingf
  7. by   stuend_nurse_from_ma
    How about:

    "Ineffective coping relating to altered body chemistry and intake of mood-altering substances as evidenced by stealing money and inability to obtain steady employment due to new familial responsibilities"?
  8. by   Daytonite
    mg1982. . .you need to review some of the information that is contained in these threads:
    the process of writing any care plan or nursing diagnosis begins with collecting assessment data and grouping it into nursing diagnoses. i'm assuming this is a case scenario and not a real person. you are therefore restricted by the information you have been given. the facts you have are the following:

    • 24 year old male heroin addict
    • clean for 30 days
    • fired from his job because of stealing money
    • said he wanted to quit (his job? what is it he wants to quit?)
    • just found out that his girlfriend was pregnant
    they bring up several questions in my mind.

    first of all, you need to go and look up the signs and symptoms as well as the treatment for heroin addiction and withdrawal. although the patient has been drug-free and has gone through physical detox, he's not out of the woods yet. so, you need to find that information about the long-term treatment and effects of drug addiction and withdrawal. i'd give them to you, but i really am not that familiar with all of them.

    next, you say he was fired from his job for stealing money. that puts him in the criminal justice system. so, he is going to have to deal with that. it also indicates that he probably has financial problems of some sort. if this were a real person, i would have spoken with him about his feelings and anticipation about what was going to happen to him as a result of his crime. most people are usually pretty shook up about the idea of possibly going to prison.

    then, you say he wanted to quit. quit what? the job? he's already been fired from his job. the only thing left that i could think of was that maybe he wants to quit life which means he might be thinking about suicide. that might be a very feasible likelihood with a recently detoxed heroin addict who is now facing criminal charges and a pregnant girlfriend. these are situational life crises. if he doesn't have the skills to cope with these situations then a number of things are likely to happen. he could start reusing heroin again. this is why i recommend that you look at the signs and symptoms of heroin detox and withdrawal. i do know that suicide is a common problem with the addicted crowd (i used to work on a alcohol detox unit). so, i think that suicide might be a very likely possibility to consider here. sometimes when people are considering offing themselves, their initial pleas for help are very vaguely disguised. is is possible that he may have just dropped a bomb like this on you and you missed it? if so, then you've got a more serious problem here which is a threat of him doing harm to himself.

    the problem with the girlfriend being pregnant is a problem, to be sure, but is low in priority to the others. i wouldn't start pulling out family related nursing diagnoses because in this day and age he may not be the father of that baby. it could also be his reason to live, as well as to die.

    my suggestions for nursing diagnoses, in order of priority, are:
    1. hopelessness r/t potential loss of freedom aeb being caught stealing money from his job and learning his girlfriend is pregnant
    2. ineffective coping r/t situational crisis aeb inappropriate solving of financial problems by stealing money
    3. risk for suicide r/t being a young adult male with a history of heroin abuse and statement that he "wants to quit"
    hope this helps you understand more of the critical thinking that needs to go into the nursing process.

    welcome to allnurses!

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