Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^) Outcome Criteria 5. Keep strict records of food and fl 1. Client feeds self without assistance. 3. Client maintains optimal level of personal hygiene by bathing 2. Client selects appropriate clothing, dresses, and grooms self 6. Offer nutritious snacks and fl 7. If client is not eating because of suspiciousness and fears of 8. If client is soiling self, establish routine schedule for toilet- 122 eating, place spoon in his or her hand, scoop some food into it, is necessary to acquire an accurate nutritional assessment.and say, “Now, eat a bite of mashed potatoes (or other food).” Because concrete thinking prevails, explanations must be fulfischedule, as need is determined, until he or she is able to be unable to tolerate large amounts of food at mealtimes and may therefore require additional nourishment at other ing needs. Assist client to bathroom on hourly or bi-hourly provided at the client’s concrete level of comprehension.being poisoned, provide canned foods and allow client to open them; or, if possible, suggest that food be served family-style daily without assistance.servings.daily and carrying out essential toileting procedures without times during the day to receive adequate nutrition.^ ● ll this need without assistance.^ so that client may see everyone eating from the same ALTERATIONS IN PSYCHOSOCIAL ADAPTATION uids between meals. uid intake. This information Client may

2 2506_Ch05_105-124.indd 0122 506 Ch 05 105 - 124 .indimpairs functioning. [Panic level of anxiety][Delusional thinking] [Pacing; other signs of increasing irritability caused by lack of [Repressed fears][Frequent yawning, nodding off to sleep] [DiffiDefi[Awakening very early in the morning]Defi●[Hallucinations]Possible Etiologies (“related to”)d 0 sleep]assistance.INSOMNIA 1 ning Characteristics (“evidenced by”) nition: 2 culty falling asleep] 2 A disruption in amount and quality of sleep that 1 10/1/10 9:34:21 AM 0 / 1 / 10 9 : 34 : 21 AM