Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

4. Do not reinforce the hallucination. Use words such as “the 7. For some clients, auditory hallucinations persist after the 2. Avoid touching the client before warning him or her that you 5. Try to connect the times of the hallucinations to times of 3. An attitude of acceptance will encourage the client to share 6. Try to distract the client away from the hallucination. voices speaking.” The nurse must be honest with the client so that he or she may CLINICAL PEARL share the perception. realize that the hallucinations are not real.are about to do so. in order to prevent possible injury to the client or others reality.voices” instead of “they” when referring to the hallucination. Words like “they” validate that the voices are real.of the actual situation will help bring the client back to Involvement in interpersonal activities and explanation the content of the hallucination with you. hallucinations may be prevented.and respond in an aggressive manner.nection. from command hallucinations.increased anxiety. Help the client to understand this con- Say “Even though I realize that the voices are real to you, I do not hear any If client can learn to interrupt escalating anxiety, Let the client who is “hearing voices” know that you do not Schizophrenia and Other Psychotic Disorders Client may perceive touch as threatening This is important ●^117

2 2506_Ch05_105-124.indd 0117 506 Ch 05 105 - 124 .indd Defi 0 Outcome Criteria 1. Client is able to recognize that hallucinations occur at times ● 2. Client is able to recognize signs of increasing anxiety and 1 17 alone!”, thereby exerting some conscious control over the radio or watching television helps distract some clients DISTURBED THOUGHT PROCESSESbehavior.acute psychotic episode has subsided. Listening to the an intervention called of extreme anxiety.from attention to the voices. Others have benefiemploy techniques to interrupt the response.the client is taught to say loudly, “Go away!” or “Leave me nition: Disruption in cognitive operations and activities. voice^ dismissal. With this technique, ted from 10/1/10 9:34:20 AM 10 / 1 / 10 9 : 34 : 20 AM