3 references, 1 must be the textbook psychiatric mental health by shelia I videbeck 7th ed. References must not be more than 5 years old. U.S. information only. Each question must be a subtitle and label which case study. at least 1 paragraph per question.
Case Study 1
James is a 24-year-old male, who is finishing his degree in computer engineering. He is referred to the Positive Coping group that is offered by the college counseling center by his engineering adviser who has grown concerned that James is no longer attending classes. James refuses to shake hands with anyone in the group, awkwardly stating that he has been sick and does not want to pass his germs on to anyone. Initially he stands instead of sitting in one of the chairs that is arranged in a circle for the group. When the group leader politely asks James to take a seat so that all will be comfortable, he ignores the upholstered chairs forming the group circle and instead pulls a hard wooden chair over on which he precariously perches on the edge, careful not to touch his back or his arms to the chair. After the group ends, the group leader asks James to meet with him privately for a few minutes. During their after-group discussion, James admits that he has a problem with being outside around other people. He states, "I don't like to leave my room. There are so many germs out here! People have no idea. Just being around other people coats your skin with germs; you breathe them in, you take them back to your apartment, and then it's a lot of work to get rid of them. That's the reason I can't go to class. The cleaning takes so much time. But, you have to do it, and you have to do it right; otherwise, you're still unclean.'
What education does the group leader need to provide to James? What treatment option(s) might the group leader suggest for James?
Case Study 2
David has been admitted in the Behavioral Health Center with a diagnosis of paranoid schizophrenia. He has had previous admissions to the unit for stabilization of the symptoms associated with paranoid schizophrenia. When the nurse meets David, he tells her that he saw two of the other nurses standing in the hallway looking at him. He said that he was sure they were talking about him. He says that he wants to kill them before they get a chance to harm him.
What two nursing diagnoses would be appropriate for the nurse to consider based on this nurse—patient interaction What would be considered an effective nursing intervention based on the assessment? 3
Sample Solution