Clinical Assignment (Movie)
Mental Health Issues Observed From the Movie
In the film ‘A Beautiful Mind,’ John Nash experiences Schizophrenia. It is evident through his delusional experiences as he thinks that he had a roommate at Princeton University. He also presumes that he is working for US security to recover nucleus weapons from Russians. He believes that the Russians communicate through Magazines. John experienced disorganize speeches and reduced participation in the daily students’ routine. John also suffered from an anxiety disorder at Princeton University, evidenced by his anxiety about getting a placement and spending much time developing an original idea that he forgot to eat.
After his diagnosis, he was depressed and could not get out of their house to interact with other people. He spent time decoding numbers from magazines to achieve self-worth among his peers. John believed that he could solve his challenges independently, thus rejected treatment and stopped taking his medications. His marriage was falling apart as his wife Alicia was uncomfortable. She decided to take their child to her mother to support caregiving for fear that John could harm the baby. There is evidence that John also had the obsessive-compulsive disorder as he experienced recurring images of three people in his mind, including William-the head of military top secret, his purported roommate, and his daughter.
After his horrific delusional event with William, the head of the military operation, John got traumatized. He kept looking outside through the window to find out if the Russians were after him. In Princeton, John spent most of his time alone and hardly socialized with people. He felt shy to talk to a girl he met at the school pub. It was also evident that there was a substance-induced disorder due to tobacco abuse as John and his friends spent most of their time smoking.
Tentative mental health nursing diagnosis
Impaired Verbal communication; the client’s speech patterns are assessed.
Impaired social interaction; the patient is socially isolated. They are supervised and treated. Distraught Sensory Perception; visual and auditory hallucinations are confirmed.
Potential labs and Expected Result
Evaluating the patient’s behavior and moods are also essential. If the patient has dysfunctional interaction with people or shows discomfort in verbal communications, then he/she may be suffering from impaired interaction. The possible evidence of hopelessness may include suicidal thoughts, sleeping disorders, and social repression. The desired result is to have individuals express feelings and approval of life events. The patient will also show independent problem-solving methods.
Top three Nursing Diagnosis
The risk for own-directed violence; evident by a history of violence and Suicidal thoughts. Impaired social collaboration; evident through changes in the patterns of interactions and discomfort during communication. Spiritual dress, where the patient expresses a profound feeling of guilt, hopelessness, and anger.
Factors from the Film That Support the Above Nursing Diagnosis
From the Movie ‘A Beautiful Mind,’ John expresses violent behavior, especially when he was taken for mental treatment. He fought with his doctors, thinking that they were Russians. John also shows discomfort during social interactions; he thought that people never liked him. After his treatment, John had intense guilty about everything that happened in his life. This feeling hinders him from going out of the house to interact with people.
Nursing Intervention for the Respective Diagnosis
For the first nursing diagnosis, the assigned nurses find out the level of suicide precautions required. He/ she will assess whether there is a high risk, which would require the client to be hospitalized or low risk. In the case of lower risk, the client can be allowed to go home, but he/she will be under supervision from family or friends.
For the Second Nursing Diagnosis, the client is provided with minimal concentration activities, for instance, drawing. Every time the client feels depressed, he/she should be involved with one to one activity with the mental health professional. This helps minimize the level of anxiety.
For the third Nursing Diagnosis, that is, Spiritual Distress, the mental health expert assess the spiritual practices that have offered comfort to the client. The client is encouraged to write journals expressing his/her thoughts.
Measurable Potential Outcomes Related to the Nursing Diagnosis
The coveted outcomes for the Risk for Self-Directed Violence are; the patient will seek assistance whenever he/she experiences self-destructive thoughts. He/she will not cause harm to himself or others around him. The patient may start to work on a constructive plan for his/her future.
The desired outcome for impaired social interaction is; the patient will start holding conversations with family members, friends, and peers. He/she will also take part in some activities during the day.
The coveted outcomes for the Spirit distress are; the patient will feel supported and cared for by others to share his/her thoughts and wants. He/she will feel connected with the inner self. The patient will start writing journals about his/her thoughts.