Nursing Care Plan

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Medical Diagnoses: Schizophrenia - Social isolation r/t altered mental status

Nursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders





Social isolation r/t altered mental status AEB client’s statement of, “When I have hallucinations, because of my schizophrenia, I’m not appropriate in public.”



Long Term

Client will participate in activities and programs at level of ability and desire by [Month] 8, [Year] at 1400.

Short Term

Client will identify feelings of isolation by [Month] 14, [Year] at 1400.


Long Term

1: Observe for barriers to social interaction.

Rationale: Causes of social isolation may be different for each individual; adequate information should be gathered so appropriate interventions can be planned (Ackley & Ladwig, pg. 768).

2: Provide positive reinforcement when the client seeks out others.

Rationale: Social support contributes to positive well-being (Ackley & Ladwig, pg. 769).




3: Assess physical and mental status to establish a firm basis for planning social activities.

Rationale: Socialization provides a mode for enhancing a person’s quality of life (A. pg. 769).

Short term:

1: Establish a therapeutic relationship by being emotionally present and authentic.

Rationale: Being emotionally present and authentic fosters growth in relationships and decreases isolation (Ackley & Ladwig, pg. 768).

2: Discuss causes of perceived or actual isolation.

Rationale: The individual’s experience of illness; the circumstances of everyday living that influence quality of life; and emotions, fears, and concerns all have a bearing on the way illness is managed (Ackley & Ladwig, pg. 768).








































Long Term

Evaluation set for [Month] 8, [Year] at 1400. Client has made some progress toward goal. He attended Unity Day held at Dosker Manor but did not stay for more than ten minutes.

Short Term

As of [Month] 14, [Year] client identifies that he is socially isolated because he has limited interactions with others and does not have any hobbies. He also indicates that all of his





family lives out of state.


Long Term

During the assessment of R.S. the nursing student notes that the barriers to social interaction include mental illness, lack of social support, and decreased ability to form relationships due to hallucinations. The nursing student told the client that she thought it was beneficial for him to attend unity day.

Short Term





During the third week of meeting with R.S., the nursing student noted that they had developed a therapeutic relationship. Client and student nurse discussed the causes of isolation and R.S. determined that being socially isolated is keeping him from reaching his maximum potential.






Subjective Data:

Client’s statements of:

“I rarely leave my house unless I go to group therapy or walk to the lake by myself.”

“I don’t have many friends that I speak to.”

“I don’t have any activities that I like to do except walk to the lake.”

Objective Data

Lack of support system; no spouse or children


Lack of eye contact


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