Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(Barré) #1
Client will participate in decision making regarding own care Passivity 1. Encourage client to take as much responsibility as possible Interventions with treatment, thereby decreasing feelings of powerlessness.Deficontrol of his or her life situation by time of discharge from Verbal expressions of having no control (e.g., over self-care, Client will be able to effectively problem solve ways to take Nonparticipation in care or decision making when opportunities Long-term GoalExpression of doubt regarding role performanceReluctance to express true feelingsApathyDependence on others that may result in irritability, resentment, within 5 days.^138 Goals/ObjectivesShort-term Goalare providedanger, and guiltsituation, outcome)increase his or her feelings of controlfor own self-care practices.^ ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONSelected RationalesProviding client with choices will.

2 2506_Ch06_125-144.indd 0138 506 Ch 06 125 - 144 .ind Examples: 2. Help client set realistic goals. 3. Help client identify areas of life situation that he or she can 4. Help client identify areas of life situation that are not within d 0 solved issues and accept what cannot be changed.ceive the benefiher ability to solve problems. Assistance is required to per-ings related to this inability control. up for failure and reinforce feelings of powerlessness.his or her ability to control. Encourage verbalization of feel-accurately. a. Include client in setting the goals of care he or she wishes^ b. Allow client to establish own schedule for self-care c. Provide client with privacy as need is determined. d. Provide positive feedback for decisions made. Respect 138 client’s right to make those decisions independently, and to achieve.refrain from attempting to inflthose that may seem more logical. activities.Client’s emotional condition interferes with his or ts and consequences of available alternatives in an effort to deal with unre-Unrealistic goals set the client uence him or her toward 1 10/1/10 9:34:36 AM 0 / 1 / 10 9 : 34 : 36 AM

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