Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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5. Performing relaxation exercises to soft music may be helpful Client will be able to fall asleep within 30 minutes of retiring [Excessive yawning and desire to nap during the day][Hypersomnia; using sleep as an escape] Goals/ObjectivesShort-term GoalClient will be able to sleep 4 to 6 hours with the aid of a sleeping medication within 5 days.Long-term Goal6. Limit intake of caffeinated drinks, such as tea, coffee, and and obtain 6 to 8 hours of uninterrupted sleep each night with-out medication by time of discharge from treatment. 4. Assist with measures that may promote sleep, such as warm, 1. Keep strict records of sleeping patterns. 2. Discourage sleep during the day 3. Administer antidepressant medication at bedtime Interventions with problem.prior to sleep.sleep at night.nonstimulating drinks, light snacks, warm baths, back rubs.d ata are impor tant in planning care to assis t client with this does not become drowsy during the day.colas. Caffeine is a central nervous system (CNS) stimulant Selected RationalesMood Disorders: Depression to promote more restful Accurate baseline so client ●^143

2 2506_Ch06_125-144.indd 0143 506 Ch 06 125 - 144 .indd 2. Client is able to fall asleep within 30 minutes of retiring. 1. Client is sleeping 6 to 8 hours per night without medication. 7. Administer sedative medications, as ordered, 8. Some depressed clients may use excessive sleep as an escape. 3. Client is dealing with fears and feelings rather than escaping 0 Outcome 143 that may interfere with the client’s achievement of rest andto achieve sleep until normal sleep pattern is restored.For the client experiencing hypersomnia, set limits on time spent in room. Plan stimulating diversionary activities on a structured, daily schedule. Explore fears and feelings that from them through excessive sleep.sleep is helping to suppress.sleep.^ Criteria to assist client^1 10/1/10 9:34:38 AM 0 / 1 / 10 9 : 34 : 38 AM

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