Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

6. Gradually begin to limit the amount of time allotted for 1. Client is able to verbalize signs and symptoms of increasing Outcome Criteria 8. Encourage recognition of situations that provoke obsessive 7. Give positive reinforcement for nonritualistic behaviors. 5. Provide structured schedule of activities for the client, includ- 4. Support client’s efforts to explore the meaning and purpose 2. Client demonstrates ability to interrupt obsessive thoughts^170 level of anxiety.anxiety and intervene to maintain anxiety at manageable level.between emotional problems and compulsive behaviors. Recognition is important before change can occur.constructive activity with which client feels comfortable).ing adequate time for completion of rituals. techniques, relaxation techniques, physical exercise, or other a feeling of security for the anxious client.these thoughts and patterns of behavior (e.g., thought-stopping ritualistic behavior as client becomes more involved in unit activities. thoughts or ritualistic behaviors. Explain ways of interrupting of the behavior. behavior. Positive reinforcement enhances self-esteem and encourages repetition of desired behaviors.ritualistic behaviors with more adaptive ones.^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONAnxiety is minimized when client is able to replace To deny client this activity may precipitate panic Client may be unaware of the relationship Structure provides

2 2506_Ch08_161-175.indd 0170 506 Ch 08 161 - 175 .ind●[Fear of disapproval from others]Lifestyle of helplessnesscantly affect an outcome; a perceived lack of control over a current situation or immediate happening. [Lack of positive feedback][Unmet dependency needs]DefiDefi[Consistent negative feedback] Possible Etiologies (“related to”)Verbal expressions of having no control (e.g., over self-care, situ-d 0 ation, outcome)situations.and refrain from ritualistic behaviors in response to stressful POWERLESSNESS 1 ning Characteristics (“evidenced by”) nition: 70 The perception that one’s own action will not signifi - 1 10/1/10 9:35:05 AM 0 / 1 / 10 9 : 35 : 05 AM