18.^110 (Interventions are applicable to various health-care settings, such as Schizophrenia and Other Psychotic DisordersInterventions for Individuals with Common Nursing Diagnoses and inpatient and partial hospitalization, community outpatient clinic, 17. 16.^ home health, and private practice.)^ Regression.d.^ Hallucinations.tions that may involve any of the fiused in psychoses. Childlike mannerisms and comfort tech-visual hallucinations are most common, although olfactory, tactile, and gustatory hallucinations can occur.used in an attempt to provide stability and structure to dis-^ c. niques are employed. Socially inappropriate behavior may be evident.organized thoughts and behaviors.Religiosity.with religious ideas, a defense mechanism thought to be ●Control or InflReference.certain objects or people have control over his or her behavior.^ by the psychotic person to himself or herself.ALTERATIONS IN PSYCHOSOCIAL ADAPTATION The psychotic person becomes preoccupied This is a primary ego defense mechanism All events within the environment are referred Hallucinations are false sensory percep- uence. The psychotic individual believes ve senses. Auditory and
2 2506_Ch05_105-124.indd 0110 506 Ch 05 105 - 124 .ind[Command hallucinations]ally harmful [either to self or to others.][Lack of trust (suspiciousness of others)][Panic level of anxiety][Catatonic excitement][Negative role modeling]ImpulsivityRelated/Risk Factors (“related to”)[Delusional thinking]Body language—rigid posture, clenching of fi●Defi[History or threats of violence toward self or others or of strates that he or she can be physically, emotionally, and/or sexu-[Rage reactions]d 0 hyperactivity, pacing, breathlessness, and threatening stances.destruction to the property of others]OR OTHER-DIRECTED VIOLENCERISK FOR SELF-DIRECTED 1 nition: 10 At risk for behaviors in which an individual demon- sts and jaw, 1 10/1/10 9:34:18 AM 0 / 1 / 10 9 : 34 : 18 AM
