Noreen, age 32, had always been described as “moody.” Dependingon what was happening in her life at the time, she could be verysad and depressed, or very lighthearted and happy. During her“down” times she would feel tired, experience loss of appetite, andsleep a lot. During her “happy” times, she would party a lot, bevery outgoing, and have a remarkable amount of energy. Noreen didwell in college and graduated at age 26 with an MBA. Since thattime, she has been employed in the administration department of alarge corporation, in which she has had several promotions.
Two weeks ago, management was to make the announcement of whowould be fulfilling the position of vice president of corporateaffairs. Noreen and a male colleague, Ted, were vying for theposition. It was a choice position that Noreen desperately wanted.She became very depressed when the announcement was made that Tedhad been chosen. She stayed at home, in bed, and slept a lot forseveral days. On about the fourth day, she got up, feelingexhilarated, and decided to go shopping. She spent over $1000 onclothing. She then decided to have a party for several hundredpeople, ordered the catering, and planned all the details.
Tonight, was the party. Noreen wore a new, very expensive dress,drank a lot of champagne, was very jovial and seductive, andbragged to everyone who would listen that she would soon be gettinga new job, and that the people at her old organization would besorry they had failed to promote her. She left the party with a manshe hardly knew. At 3 a.m., she was picked up by the police underthe grandstand at the local baseball stadium, wearing high-heeledshoes and carrying a half-filled bottle of champagne. She was aloneand speaking very loudly and rapidly, the police brought her to theemergency department, where she was admitted to the psychiatricunit with a diagnosis of Manic and ordered medication: depakinechrono 500mg PO 1*1 and lithium 25mg PO 1*1
1. Write two full nursing diagnoses according to priority to previouscase:
2. Write the appropriate nursing goal and nursing objective for thefirst diagnosis
3. Write three nursing interventions with priority for the firstdiagnosis
