Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^140) 6. Teach client to intervene, using thought-stopping techniques, 3. Use the techniques of 5. Give positive reinforcement as client is able to differenti- 4. Reinforce and focus on reality. Talk about real events and real 2. Do not argue or deny the belief. Use noise or command distracts the individual from the unde-(such as hand clapping) to interrupt unwanted thoughts. repetition of desirable behaviors.therapeutic technique: “I understand that you believe this is true, but I personally fiPositive reinforcement enhances self-esteem and encourages ate between reality-based and non–reality-based thinking. the client or denying the belief serves no useful purpose, as delusional ideas are not eliminated by this approach, and the development of a trusting relationship may be impeded.ping sirable thinking that often precedes undesirable emotions or from long, purposeless, repetitive verbalizations of false ideas.people. Use real situations and events to divert client away when irrational or negative thoughts prevail. accepted by the nurse.by others, while the responsibility for not understanding is techniques reveal to the client how he or she is being perceived fiwhat you mean by that. Would you please explain?”) (^ cationExamples:●^ involves using the command “stop!” or a loud noise ALTERATIONS IN PSYCHOSOCIAL ADAPTATION when communication refl “Is it that you mean... ?” or “I don’t understand nd it hard to accept.” consensual (^) ects alteration in thinking. validationreasonable and Thought stop-Arguing with seeking doubt (^) These as a clari-This

2 2506_Ch06_125-144.indd 0140 506 Ch 06 125 - 144 .ind●Inability to ingest food because of:DefiPossible Etiologies (“related to”)Outcome Criteria 7. Use touch cautiously, particularly if thoughts reveal ideas of 1. Client’s thinking processes refl 2. Cl ient is able to recog n ize negat ive or irrat ional t hought s a nd d 0 behaviors.as threatening and may respond with aggression.IMBALANCED NUTRITION, LESS [Depressed mood] [Loss of appetite]THAN BODY REQUIREMENTSthe environment.persecution. intervene to “stop” their progression. 1 nition: 40 Intake of nutrients insuf fiClients who are suspicious may perceive touch ect accurate interpretation of cient to meet metabolic needs. 1 10/1/10 9:34:37 AM 0 / 1 / 10 9 : 34 : 37 AM