Beautiful Mind Log Answers

Beautiful Mind Log Answers 1. Before he was diagnosed, how do you think John Nash would describe his problem? (1-2 sentences) He may have said things like: I see and hear people that are not really there. I try to dismiss them but it is hard. Charles has become my friend when I didn’t have any. 2. Throughout the movie, what environmental influences do you feel contributed to the intensity of his psychotic episodes?  The stress of college and finding an original topic for his thesis.  He didn’t have friends and didn’t get a placement.  After college, the stress of a new job, marriage and wife expecting a baby 3. Gives examples from the movie that showed: a. Persecutory delusions – He thought the Russians were out to get him. He thought the FBI agent was out to get him b. Paranoia – He felt people were looking at him and talking about him on his date. He thought the Russians were trying to kidnap him. He was dropping letters off and he thought someone was watching him. He thought the Russians were interrupting his speech. c. Delusions of grandeur – He thought he was “the best natural code breaker” recruited by Parcher after he did some work for the government. 4. Had John Nash lived in Florida, do you feel he would have met the legal criteria for the Baker Act? Explain why or why not.  Yes, because he was a danger to himself and others. 5. Describe some of the treatment modalities (Pharmacological and non-pharmacological) used in the movie?  Thorazine - sedative medication to calm him down  Shock therapy with insulin to induce seizures  Antipsychotic medication and later on, “newer medications” 6. Using the Nursing Code of Ethics as a guide, do you feel the treatment modalities used in the psychiatric facility were ethical? Explain why or why not.  Yes because it was the only available treatment at the time…  No because the treatment was dangerous… 7. Give at least 2 specific reasons John stop taking his medications.  There were sexual side effects  They clouded his ability to think  He couldn’t take care of wife or baby 8. At the end of the movie, how does John deal with the hallucinations? He tells them he can no longer talk to them and ignores them. 9. Using your textbook, list (2) priority nursing diagnosis you would use if you were caring for John during his phases of acute psychosis as portrayed in the movie? Why are these your top priories? all on page 471 in Townsend  Risk for violence (he bashed head against window, cut himself and threw desk out of it; Charles tells him to “bash his head and kill himself”; Parcher tells him to take the gun and shoot at the Russians; Parcher insinuates he will let Russians hurt his family; he punches Dr. Rosen; trys to dig implant out of his arm; He almost let baby drown; Parcher tells John to harm his wife  Disturbed thought process (looking for codes that didn’t exist)  Disturbed sensory perception (auditory and visual hallucinations; implant in arm)  Social isolation (couldn’t intact with girl at bar or his friends) 10. How would you feel caring for a patient exhibiting psychotic behavior (be honest)? 11. What safety precautions would you provide if the patient was a danger to self or others? Be descriptive of your interventions for safety. all on page 478 in Townsend Conduct a thorough survey of the environment, looking for items of harm and make sure furniture fixed or light weight and easily movable Maintain low stimulation in the environment – not too hot or cold, soft colors, low sounds, etc. Observe the patient’s behaviors that can indicate escalation to aggression Assess for ideation of violence against self or others and determine if there is a plan Have adequate staff to handle violence and be trained in the art of de-escalation     