1. Nursing care plan
1.1. Psychological aspect
1.1.1. Ineffective Coping
1.1.1.1. increased agitation and withdrawal from social interactions
1.1.2. Psychosis
1.1.2.1. auditory hallucinations and delusional beliefs
1.1.3. Anxiety
1.1.3.1. paranoid thoughts of being followed and harm to self and family
1.2. Social aspect
1.2.1. Social Isolation
1.2.1.1. withdrawal from friends and family interactions, as indicated by refusal to meet with friends
1.2.2. Impaired Social Interaction
1.2.2.1. difficulty in communicating effectively and maintaining relationships with family and friends
1.2.3. Role Conflict
1.2.3.1. changes in family dynamics and responsibilities following her mental health decline
1.3. Physical aspect
1.3.1. Imbalanced Nutrition: Less than Body Requirements
1.3.1.1. decreased appetite and inadequate food intake
1.3.2. Self-Care Deficit
1.3.2.1. lack of motivation and neglect of personal hygiene and grooming
1.3.3. Risk for Injury
1.3.3.1. agitation and potential for aggressive behavior, as evidenced by pushing her mother
1.4. Spiritual aspect
2. Background
2.1. Age
2.1.1. 23 years old
2.2. Family Structure
2.2.1. Parents divorced when Susan was 10 years old
2.2.1.1. Hello
2.2.2. Lives with her mother and younger brother (20 years old) who is studying at a vocational training center
2.2.3. Father has no contact since the divorce
2.3. Personality and Social Life
2.3.1. Described as quiet but has several close friends
2.3.2. Occasionally goes out with friends but has limited interaction with her mother and brother
2.4. Academic Performance
2.4.1. Fair overall but weak in English and Mathematics
2.4.2. Results in the Hong Kong Diploma of Secondary Education Examination were unsatisfactory
2.4.3. Did not want to continue her studies after secondary school
2.5. Employment History
2.5.1. Worked as a clerk from age 19, introduced by her maternal uncle
2.5.2. Work performance described as fair
2.5.3. Often absent from work, citing tiredness
2.6. Leisure Activities
2.6.1. Spends significant time at home playing video games
3. Associate features
3.1. Cognitive Impairments
3.1.1. Difficulties with attention, memory, and executive function
3.1.2. Impaired problem-solving abilites
3.2. Negative Symptoms
3.2.1. Affective flattening
3.2.1.1. Reduced emotional expression
3.2.2. Anhedonia
3.2.2.1. Inability to experience pleasure
3.2.3. Avolition
3.2.4. Social withdrawal
3.3. Mood Disturbances
3.3.1. Increased rates of depression and anxiety
3.3.2. Mood swings and affective instability
3.4. Functional Impairment
3.4.1. hallenges in maintaining
3.4.1.1. relationships
3.4.1.2. employment
3.4.1.3. self-care.
3.5. Substance Use Disorders
3.5.1. alcohol
3.5.2. drug abuse