●^ 4. Reinforce and focus on reality. Discourage long ruminations 3. Client is able to refrain from responding to delusional 5. Assist and support client in his or her attempt to verbalize Outcome Criteria 1. Verbalizations refl 2. Client is able to maintain activities of daily living (ADLs) to Defi about the irrational thinking. Talk about real events and real people. thoughts, should they occur. laxation exercises, thought stopping techniques). COMMUNICATIONfeelings of anxiety, fear, or insecurity. IMPAIRED VERBAL ings in a nonthreatening environment may help client come to terms with long-unresolved issues.ent can learn to interrupt escalating anxiety, delusional thinking may be prevented.poseless and useless, and may even aggravate the psychosis.control anxiety (e.g., deep-breathing exercises, other re-his or her maximal ability. nition:Discussions that focus on the false ideas are pur- Decreased, delayed, or absent ability to receive, Schizophrenia and Other Psychotic Disorders ect thinking processes oriented in reality.Verbalization of feel-If the cli-●^119
2 2506_Ch05_105-124.indd 0119 506 Ch 05 105 - 124 .indd [Use of words that are symbolic to the individual (neologisms)][Use of words in a meaningless, disconnected manner (word 0 [Use of words that rhyme in a nonsensical fashion (clang Altered perceptions[Repetition of words that are heard (echolalia)][Does not speak (mutism)][Inability to trust]Possible Etiologies (“related to”)[Panic level of anxiety][Regression to earlier level of development][Withdrawal into the self ][Disordered, unrealistic thinking] Defiprocess, transmit, and use a system of symbols [to communicate]. [Loose association of ideas] 11 salad)]association)] 9 ning Characteristics (“evidenced by”) 10/1/10 9:34:20 AM 10 / 1 / 10 9 : 34 : 20 AM