[Verified Answer]: The nurse is caring for Elsa, 61 years…

The nurse is caring for Elsa, 61 years old, who is withdrawn and nonverbal since having a stroke two weeks ago. Prior to having a stroke, the client was connected to her friends and community and was involved in philanthropy work. The nurse is developing a plan of care based on the development of a therapeutic relationship and effective communication. The client demonstrates an inability to verbally communicate. Elsa has been refusing to interact throughout her physical and occupational therapy sessions. Elsa also refuses to interact with her nurse and family. Elsa shows no desire to work on her verbal communication skills. Discharge plans are to send Elsa to a rehabilitation facility when a space becomes available. Vital Signs: BP 120/78, Temp 97.4°F orally, HR 76, Resp. 16, O2 Sat 98% on room air. Labs: Within normal values. Orders: The provider has prescribed occupational therapy, physical therapy, and speech therapy. The provider has also requested a volunteer to sit with Elsa to read to her throughout the week. A consultation has been placed with psychiatry. The psychiatrist has completed a consultation and placed Elsa on an SSRI to help with depression. Based on this clinical scenario, develop a concept map/care plan for this client. The initial response is to include the Admitting Diagnosis, Connect 2 assessment findings for each of the 3 client problems, and expected client outcomes for each of the 3 client problems. Use your Townsend Handbook (Nursing diagnosis in psychiatric nursing: care plans and psychotropic medications) as a resource for this Discussion Forum.