- Client verbalizes honest feelings about life situations over 3. Client is able to verbalize system for problem solving as 5. Identify ways in which client can achieve. Encourage partici-Defi●[Impaired cognition fostering negative perception of self and [Underdeveloped ego; punitive superego][Withdrawal into the self ]Outcome Criteria 1. Client verbalizes choices made in a plan to maintain control DefiPossible Etiologies (“related to”) (^) the environment] able behaviors. which he or she has no control.ment enhances self-esteem and encourages repetition of desir-required for adequate role performance.for participation, as well as for achievement. DISTURBED THOUGHT PROCESSESpation in these activities, and provide positive reinforcement over his or her life situation. ning Characteristics (“evidenced by”) nition: Disruption in cognitive operations and activities. Mood Disorders: Depression Positive reinforce-●^139
[Delusional thinking]Long-term GoalHypovigilance[Altered attention span]—distractibilityEgocentricity[Impaired ability to make decisions, problem solve, reason][Negative ruminations] Goals/ObjectivesShort-term GoalClient will recognize and verbalize when interpretations of the environment are inaccurate within 1 week.Inaccurate interpretation of environmentBy time of discharge from treatment, client’s verbalizations will refl 1. Convey your acceptance of client’s need for the false belief, distorted ideation.Interventions with ect reality-based thinking with no evidence of delusional or while letting him or her know that you do not share the delusion. you accept the delusion as reality.A positive response would convey to the client that Selected Rationales
2 2506_Ch06_125-144.indd 0139 506 Ch 06 125 - 144 .indd 0139 1 10/1/10 9:34:36 AM 0 / 1 / 10 9 : 34 : 36 AM