Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

Goals/ObjectivesHypervigilanceDepending on chronicity of disease process, choose the most Long-term Goalverbalize that false ideas occur at times of increased anxiety. Possible Etiologies (“related to”)[Inability to trust][Panic level of anxiety][Repressed fears][Stress suffi[By specifi[Possible hereditary factor] DefiShort-term Goal[Delusional thinking (false ideas)][Inability to concentrate]^118 [Altered attention span]—distractibility Inaccurate interpretation of the environment[Impaired ability to make decisions, problem-solve, reason, Inappropriate [non–reality-based] thinking[Inappropriate social behavior (reflrealistic long-term goal for the client:abstract or conceptualize, calculate]^ ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION ed time deemed appropriate], client will recognize and ciently severe to threaten an already weak ego] ecting inaccurate thinking)]

2 2506_Ch05_105-124.indd 0118 506 Ch 05 105 - 124 .indInterventions with^ 2. Do not argue or deny the belief. Use 3. Help client trye to connect the false beliefs to times of in- 2. By time of discharge from treatment, client will be able to 1. Convey your acceptance of client’s need for the false belief, 1. By time of discharge from treatment, client’s speech will re-d 0 creased anxiety. Discuss techniques that could be used to is true, but I personally fitherapeutic technique: “I understand that you believe this approach, and the development of a trusting relationship flpose, because delusional ideas are not eliminated by this with the client or denying the belief serves no useful pur-may be impeded.do not accept the delusion as reality.differentiate between delusional thinking and reality.belief. while letting him or her know that you do not share the 1 ect reality-based thinking. 18 It is important to communicate to the client that you Selected Rationales nd it hard to accept.” reasonable^ doubtArguing as a 1 10/1/10 9:34:20 AM 0 / 1 / 10 9 : 34 : 20 AM