Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

2. Client is able to recognize thoughts that are not based in 5. Give positive reinforcement as client is able to differenti- 1. Thought processes refl^ 6. Teach client to intervene, using thought-stopping tech-Outcome Criteria 7. Use touch cautiously, particularly if thoughts reveal ideas of 4. Reinforce and focus on reality. Talk about real events and niques, when irrational thoughts prevail. Thought stop-from long, tedious, repetitive verbalizations of false ideas.environment.ate between reality-based and non–reality-based thinking. These techniques reveal to the client how he or she is being Positive reinforcement enhances self-esteem and encourages repetition of desirable behaviors.perceived by others, and the responsibility for not under-standing is accepted by the nurse.reality and intervene to stop their progression. ping involves using the command “Stop!” or a loud noise (such as hand clapping) to interrupt unwanted thoughts. This noise or command distracts the individual from the undesirable thinking, which often precedes undesirable emotions or behaviors.real people. Use real situations and events to divert client persecution. as threatening and may respond with aggression.Clients who are suspicious may perceive touch ect an accurate interpretation of the Mood Disorders: Bipolar Disorders^ ●^155

2506_Ch07_145-160.indd 0155 2506 Ch 07 145 - 160 .indd Electrolyte imbalance[Sleep deprivation][Psychotic process]DefiDefiChange in usual response to stimuliHallucinationsDisorientation 0 ●stimuli [either internally or externally initiated] accompanied by a diminished, exaggerated, distorted, or impaired response to such stimuliPossible Etiologies (“related to”)Biochemical imbalance 1 55 DISTURBED SENSORY PERCEPTION nition: ning Characteristics (“evidenced by”) Change in the amount or patterning of incoming 1 10/1/10 9:34:51 AM 0 / 1 / 10 9 : 34 : 51 AM