Data Medical Record Di Rumah Sakit Umum Daerah Tarakan Pada Tahun 2015 (Januari 2015 Sampai Dengan Desember 2015) Yang Mengalami Halusinasi Jumlah 93 Jiwa (37%) Jiwa, Resiko Perilaku Kekerasan Jumlah 72 Jiwa (29%) Jiwa, Defisit Perawatan Diri 10 (4%) Jiwa, Harga Diri Rendah Jumlah 2 (1%) Jiwa, Isolasi Sosial 74 (29%) Jiwa. Laporan Tugas Akhir Ini Bertujuan Untuk Memperoleh Gambaran Nyata Tentang PenerapanAsuhan Keperawatan.
Metode Penulisan Laporan Tugas Akhir Ini Menggunakan Metode Deskriptif Tipe Studi Kasus Melalui Pendekatan Proses Keperawatan Pengkajian,Perumusan Diagnose, Perencanaan, Pelaksanaan Dan Evaluasi.
Hasil Pengkajian Tn. A Ditemukan 4 (Empat) Diagnosa Keperawatan Yaitu; Gangguan Persepsi Sensori : Halusinasi Pendengaran Dan Penglihatan, Isolasi Sosial : Menarik Diri, Resiko Perilaku Kekerasan, Dan Defisit Perawatan Diri: Mandi, Berhias, Dan Makan.
Kesimpulan, Adapun Implementasi Telah Dilakukan Sebanyak 12 Kali Pertemuan, Pada Evaluasi Yang Didapatkan Pada Hari Ketiga Pada Diagnosa Pertama Dilakukan Sampai SP 3 Klien, Diagnosa Keperawatan Kedua Dilakukan Sampai SP 3 Pasien, Diagnosa Keperawatan Ketiga Dilakukan Sampai SP 3 Klien Dan Diagnosa Keperawatan Keempat Dilakukan Sampai SP 3 Klien.

Kata Kunci: Gangguan Persepsi Sensori, Halusinasi Pendengaran, Halusinasi Penglihatan, Asuhan Keperawatan, Diagnosa Keperawatan

Data Medical Record In The General Hospital Of Tarakan In 2015 (January 2015 To December 2015) That Is Experiencing Hallucinations Number Of 93 People (37%) Of The Soul, Risk Behavior Violence Number Of 72 People (29%) People, Deficit Care 10 (4 %) Soul, Low Self-Esteem Number Two (1%) People, Social Isolation 74 (29%) Of The Soul. This Final Report Aims To Gain A Real Picture About PenerapanAsuhan Nursing. The Method Of Writing Final Report Is Descriptive Method Through A Case Study Of The Type Of Nursing Process Approach To Assessment, Diagnosis Formulation, Planning, Implementation And Evaluation. Mr. Assessment Results. A Found 4 (Four), Namely Nursing Diagnoses; Sensory Perception Disorders: Hallucinations Hearing And Vision, Social Isolation: Pull Away, Behavioral Risk Of Violence And Self-Care Deficit: Bathing, Berhias, And Spot. In Conclusion, While The Implementation Has Been Held 12 Meetings, The Evaluation Obtained On The Third Day Of The First Diagnosis Is Done Through SP 3 Client, Nursing Diagnosis Both Performed Until SP 3 Patients, Nursing Diagnoses Third Made Up Of SP 3 Client And Nursing Diagnoses Fourth Done Up SP 3 Client. Keywords: Disorders Of Sensory Perception, Hearing Hallucinations, Hallucinations Vision, Nursing, Nursing Diagnosis