Character Analysis
John Nash is brilliant, shy, and cocky. He is detached away in his private world, but very loving and accommodating. His complication and alienated character portray him as awkward, difficult to understand, and with many facial facets. He is also arrogant. His partner and wife, Alicia Nash, is a patient and loving person. She is also very patient, protective, and devoted. Nash is willing to do anything to help John overcome his situation (Goldsman & Nasar, 2002). She is trusting and believed in John's abilities. John's Doctor, Rosen, is dedicated to his work and gives his best in diagnosing and treating John.
John's Delusions/Hallucinations
John speaks less, but with a lot of emotions and emphasis. His hallucinations started when he joined Harvard University. He has delusions about his imaginary roommate, Charles, together with Parcher, an imaginary supervisor. While giving a speech while giving a talk on mathematical research, John sees men dressed in suits walking in the lecture hall. According to his mind, they are Soviet spies who have been instructed to arrest him. His delusions make him run out of the room and are soon captured by his supposed soviet detectives. However, in reality, these are men sent to take him for medication. John’s hallucinations also make him believe that he is assigned tasks with the Department of Defense as William Parcher. According to his mind, John is tasked with breaking a secret code and is expected to deliver his results in top-secret mail (Goldsman & Nasar, 2002). During his medications that include insulin injection, John is very violent. Another scene that depicts is delusions are captured while bathing the baby. John leaves the baby in the bath and takes up an imaginary argument. A tackle ensures, and "Parcher" draws out a gun. John, in his hallucinations, tries to save Nash as he believes that everything is real. As he runs out, John realizes that all the experience is unreal, and he gradually comes back to reality.
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Treatment
John was ordered to take shock insulin injections, a medication for the treatment of his disorder. The therapies required physical restraint, and he was always under the watch of doctors and nurses.
How Alicia and her family handled John's Situation
Alicia was brave, patient, and ready to help John. Together with her family, they were very understanding and accorded John all the help he needed. They stand by John all through his treatment and later as he gained his mental state.
Section Two
Priority nursing Diagnoses for John
John's unique character and erratic behavior required a psychotic therapy, and a series of observation that would reveal his personality disorder. The diagnoses required the use of DSM V and aimed at identifying unique and disturbing character patterns in addition to fantasy tendencies that deviated from normalcy.
Goal
John's long-term goal will be to understand that his condition (hallucinations) was due to his personality disorder, and he is expected to show ways of interrupting the symptoms. The second goal is to adhere to the medication prescribed to improve the identified positive signs. The first intervention would be to ensure that his safety and those of others around him is upheld. The patient is supposed to be helped with his anxiety status to reduce the level. He is to be encouraged to express the emotions (Goldsman & Nasar, 2002). The second nursing intervention is to develop a healthy therapeutic relationship with the patient (John) to help him adhere to the medication by encouraging him to take his medication daily and as recommended.
Long Term Goals for John
The first long term goal for John is to engage more with the community and show proper social limits and engagement with his colleagues. The second important goal is to have a daily discussion with his wife and his healthcare provider on his delusions and hallucinations.
Support Groups
The best and most appropriate support group for John includes family support groups and medical support groups. These two groups understand his disorder well and can provide the necessary motivation and encouragement to overcome his anxiety. For example, the medical support group can help him adhere to is medication and recommended social life per the diagnosis and treatment plan.
Reference
Goldsman, A., & Nasar, S. (2002). A beautiful mind: the shooting script. Retrieved November 18, 2019, from https://www.amazon.com/Beautiful-Mind-Russell-Crowe/dp/B00ENYKBD0.
