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.
Penny, age 61 years old, was admitted to the behavioral health center for short-term inpatient treatment following medical evaluation for chest pain, shortness of breath, and experiencing a racing heart rate. An M.I. workup with a negative stress test ruled out an M.I. Initially she was prescribed Wellbutrin and Xanax by her PCP for anxiety attacks. Penny also began seeing an outpatient therapist to help her cope with her anxiety. She has several stressors currently: she is working two full-time jobs to help cover the costs of admitting her older brother to a long-term care facility due to his worsening dementia. Prior to the admission to the long-term care, Penny had been attempting to care for her brother at home but found that he required more care and supervision than she was able to provide She feels tremendous guilt that she had to place her brother in a facility. Additionally, her brother has not managed the transition from home to the long-term care facility well, and there have been several incidences of behavioral problems, which have resulted in the Administrator of the long-term care facility notifying Penny that they may not be able to continue to provide care for her brother. Penny began having difficulty focusing at work and was spoken to by her supervisor about her forgetfulness She became restless and irritable and described periods of apprehension and helplessness to her therapist. Her anxiety attacks worsened over the past 2 weeks, and she had difficulty leaving her house. When Penny did leave the house, she would often experience an attack where she felt unsafe, had difficulty prioritizing and making decisions, and felt like running home where she would be "safe.° Upon entering Penny's room to complete the admission paperwork, Penny is crying, pacing back and forth in her room, and wringing her hands. She repeats over and over, 1 just don't know what to do. I need to get out of here."
What nursing diagnosis would the nurse apply to this patient with the above history and behavior? What nursing interventions should be immediately implemented by the nurse?
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