Reference no: EM133251760

Question - Natasha is 20-year-old Aboriginal female who recently moved from Mt Isa in rural Queensland to Brisbane to study social work at university. Natasha did well at school but had been looking forward to moving to the city to study as she had often experienced bullying and racist taunts at school. She has a good relationship with her family who are very supportive of her move and studies.

Natasha's maternal grandmother is a part of the stolen generation, with the effect of this still felt within Natasha's family. Natasha's maternal aunt has depression and her cousin, Lincon, completed suicide two months ago. Natasha experienced a mild depressive episode when she was in grade 12, however was able to resolve her low mood by engaging with a psychologist.

Natasha is currently a voluntary inpatient in the mental health unit. She was brought in by Queensland Ambulance Service after her roommate was concerned over Natasha's increasingly bizarre behaviours. Natasha has started buying gifts for all her classmates, reporting she had recently become an important person who had discovered wealth and had been "chosen to help others". At home Natasha was sleeping for 3-4 hours a night as she reported she had many important projects to complete. Natasha does not have a history of alcohol or other drug use.

Natasha is of slight build, with long brown unkempt wavy hair. She wears a patterned dress and a lot of jewelry and was noted to have changed her outfit several times throughout the day. Natasha has kept a high profile on the ward and is observed to be engaging frequently with staff and co-consumers. Natasha reports her mood as "great, best I've ever felt", her observed emotional reactivity has been observed to be frequently changing between euphoric and dysphoric with minimal stimulus.

Natasha can recall events leading to admission and reports difficulty with the adjustment to the workload of university and connecting with her peers in class and challenges in being away from country. She has reduced her contact with her family since moving to Brisbane as she misses home quite a bit. When talking, she often speaks fast, and at times loudly, with her ideas changing quickly; from university, to visiting home to purchasing presents for her friends and family, to ideas for university assignments and finds it difficult to remain focused on the conversation. Natasha is orientated to time, place and person, denies having any thoughts of hurting herself or others and denies experiencing hallucinations.

Natasha believes she is in hospital to help with her stress from university. She is not aware that her experiences are symptoms of bipolar but has been accepting the medication (sodium valproate) her treating team commenced her on. She continues to believe she has been chosen by the Royal family to help others. This is seen by her giving away her items on the ward to co-consumers and often acting on their needs. Natasha is motivated to complete her degree and commence work as a social worker so she can continue to help those in need.

Develop a nursing plan of care for the individual in the case study.

List 2 priority problems in your nursing plan of care.

For each priority problem, identify and describe one evidence-based (nonpharmacological) nursing intervention to address them. (Each intervention must identify how it will address the priority care area within a recovery orientated framework). - Identify what assessment data would indicate the interventions are positively impacting the individual in the case study.