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Time: 7:00 a.m. You are assigned to

Time: 7:00 a.m. You are assigned to care for Nancy during your shift. The night nurse reports that Nancy has been in bed all shift and is only visible on the unit when its meal time and time to get medication. Nancy has a poor appetite. For breakfast she ate 20%, Lunch0% and dinner 45%. She has been compliant with medications, which include multivitamins, Thiamine, Folic Acid, and Prozac. VS are as follows: BP 100/60, P70, Temp 98.6, and RR 12. Pt denied pain during the night shift. Remained withdrawn with flat affect. Pt is having passive suicidal ideation but denies a plan. Remain on q15min checks for safety. Additional Information Medical History Patient data: Female-Age 50 years. Weight-100 pounds Height 62 inches DOB: 2/03/65 MR#: 12345 Medical history: Type II Diabetes and Alcoholism. Smoking history: No Illicit drug use history: No Alcohol use history: Yes example of a concept map with 2 nursing diagnoses with outcomes, interventions, and evaluation SCIENCE HEALTH SCIENCE NURSING

 
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