Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(Barré) #1

  1. Projection is a major defense mechanism. The individual (^) 13. As agitation increases, symptoms intensify. Unless the client 12. Alterations in sensory perception may occur, and the indi- 6. Sleep patterns are disturbed. Client becomes oblivious to 11. There is an inability to concentrate because of a limited 7. Spending sprees are common. Individual spends large ● 9. Manipulative behavior and limit testing are common in the 8. Usual inhibitions are discarded in favor of sexual and behav-(Interventions are applicable to various health-care settings, such as^148 AND INTERVENTIONS FOR MANIACOMMON NURSING DIAGNOSES attempt to fulfiamounts of money, which is not available, on numerous refuses to accept responsibility for the negative consequences of personal behavior.or weeks.attention span. The individual is easily distracted by even items, which are not needed.feelings of fatigue, and rest and sleep are abandoned for days ioral indiscretions.vidual may experience hallucinations.ity may follow failure in these attempts.is placed in a protective environment, death can occur from exhaustion or injury.the slightest stimulus in the environment.●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION ll personal desires. Verbal or physical hostil-


2506_Ch07_145-160.indd 0148 2506 Ch 07 145 - 160 .indBiochemical dysfunctionPsychological (affective orientation)[Extreme hyperactivity][Destructive behaviors][Anger directed at the environment][Hitting head (hand, arm, foot, etc.) against wall when angry][Temper tantrums—becomes destructive of inanimate objects][Increased agitation and lack of control over purposeless, and Defi● inpatient and partial hospitalization, community outpatient clinic, interacting with the individual’s adaptive and defensive resources home health, and private practice.)Related/Risk Factors (“related to”)d potentially injurious, movements] 0 RISK FOR INJURY 1 nition: 48 A t r is k o f i njur y as a r e sul t o f en v ir onmen t al condi t ions 1 10/1/10 9:34:49 AM 0 / 1 / 10 9 : 34 : 49 AM
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