Client will experience no physical injury.Long-term GoalShort-term GoalClient will no longer exhibit potentially injurious movements after 24 hours with administration of tranquilizing medication. 5. Stay with the client Goals/ObjectivesInterventions with 1. Reduce environmental stimuli. Assign a private room, if pos- 2. Assign to a quiet unit, if possible. 3. Limit group activities. Help client try to establish one or two 4. Remove hazardous objects and substances from client’s sible, with soft lighting, low noise level, and simple room decor. impaired. He or she feels more secure in a one-to-one rela-distractible, and responses to even the slightest stimuli are ity is impaired, and he or she may harm self inadvertently. Client safety is a nursing priority.environment (including smoking materials). distracting.exaggerated.close relationships. securitytionship that is consistent over time.In the hyperactive state, the client is extremely as agitation grows and hyperactivity increases.Selected RationalesClient’s ability to interact with others is to offer support and provide a feeling of Mood Disorders: Bipolar Disorders Milieu unit may be too Client’s rational-●^149
(^) 2. Client exhibits no evidence of physical injury obtained while 1. Client is no longer exhibiting signs of physical agitation.Outcome Criteria 7. Provide physical activities as a substitution for purpose-8. Administer tranquilizing medication, as ordered by phy-6. Provide structured schedule of activities that includes estab-^ commonly used include olanzapine, ziprasidone, and experiencing hyperactive behavior.tension.chores, dance therapy, aerobics). less hyperactivity (examples: brisk walks, housekeeping sician. Antipsychotic drugs are commonly prescribed for rapid relief of agitation and hyperactivity. Atypical forms vides a safe and effective means of relieving pent-up aripiprazole. Examples of the typical forms include halo-peridol and chlorpromazine. Observe for effectiveness and evidence of adverse side effects (see Chapter 28).provides a feeling of security for the client.lished rest periods throughout the day. Physical exercise pro-A structured schedule
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