Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^158) 6. Help client identify positive aspects about self, recognize 5. Help client recognize consequences of own behaviors and refrain 2. Set limits on manipulative behaviors. Explain to client 4. Provide positive reinforcement for nonmanipulative behaviors. 3. Do not argue, bargain, or try to reason with the client. Outcome CriteriaExplore feelings, and help the client seek more appropriate who will be working with the client. establish own limits, so this must be done for him or her. Unless administration of consequences for violation of limits is consistent, manipulative behavior will not be eliminated.are violated. Limits must be agreed upon by all staff Merely state the limits and expectations. Be sure to follow through with consequences if limits are violated. for own gratifiis essential for success of this interventionis increased, client will feel less need to manipulate others accomplishments, and feel good about them. ity for own behaviors before adaptive change can occur.work to decrease manipulative behaviors.what you expect and what the consequences are if the limits from attributing them to others. ways of dealing with them. self-esteem and promotes repetition of desirable behaviors.“charmer” talk you out of it.^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION cation. Positive reinforcement enhances Ignoring these attempts may Client must accept responsibil-Client is unable to. Do not let this As self-esteem Consistency

2 2506_Ch07_145-160.indd 0158 506 Ch 07 145 - 160 .ind 2. Client accepts responsibility for own behaviors. 1. Client is able to verbalize positive aspects of self.Possible Etiologies (“related to”)[Excessive hyperactivity][Agitation][Biochemical alterations]●impairs functioning Diffi 3. Client does not manipulate others for gratifi[Pacing in hall during sleeping hours]DefiDefid 0 needs. INSOMNIA 1 ning Characteristics (“evidenced by”) nition: 5 culty falling asleep 8 A disruption in amount and quality of sleep that cation of own 1 10/1/10 9:34:52 AM 0 / 1 / 10 9 : 34 : 52 AM