Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

Interventions with 1. Encourage same staff to work with client as much as 6. Mouth checks may be necessary following medication 2. Avoid physical contact. 3. Avoid laughing, whispering, or talking quietly where client 4. Be honest and keep all promises. 5. A creative approach may have to be used to encourage food (^) 7. Activities should never include anything competitive. are being poisoned with their medication and attempt to discard the pills.as a threatening gesture.possiblecan see but not hear what is being said. nurse or therapist are best. often believe others are discussing them, and secretive be-haviors reinforce the paranoid feelings.Activities that encourage a one-to-one relationship with the tablets or capsules. Suspicious clients may believe they promote a trusting relationship.relationship.intake (e.g., canned food and own can opener or family-style meals). threatening to suspicious clients.poisoned and refuse to eat food from the individually pre-pared tray.administration in order to promote development of trusting Suspicious clients may believe they are being Schizophrenia and Other Psychotic Disorders to verify whether client is swallowing the Selected RationalesSuspicious clients may perceive touch Competitive activities are very Honesty and dependability Suspicious clients ●^115
2506_Ch05_105-124.indd 0115 2506 Ch 05 105 - 124 .indd 8. Encourage client to verbalize true feelings. The nurse should 4. Client appropriately interacts and cooperates with staff and 0 3. Client eats food from tray and takes medications without 1. Client is able to appraise situations realistically and refrain^ 2. Client is able to recognize and clarify possible misinterpreta- 9. An assertive, matter-of-fact, yet genuine approach is least Outcome Criteria 115 ing environment may help client come to terms with long-avoid becoming defensive when angry feelings are directed threatening and most therapeutic. unresolved issues.tions of the behaviors and verbalizations of others.peers in therapeutic community setting.at him or her. not have the capacity to relate to an overly friendly, overly cheerful attitude.evidence of mistrust.from projecting own feelings onto the environment.Verbalization of feelings in a nonthreaten-A suspicious person does 1 10/1/10 9:34:19 AM 0 / 1 / 10 9 : 34 : 19 AM