Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

4. Initially, fulfi 5. Gradually withdraw attention to physical symptoms. Minimize 6. Explain to client that any new physical complaints will be 7. Encourage client to verbalize fears and anxieties. Explain 9. Give positive reinforcement for adaptive coping strategies. 8. Help client observe that physical symptoms occur because 10. Help client identify ways to achieve recognition from oth-client’s safety.time given in response to physical complaints. the need for attention through maladaptive behaviors.response will discourage repetition of undesirable behaviors.ognition from others enhances self-esteem and minimizes referred to the physician, and give no further attention to them. Be sure to note physician’s assessment of the com-plaint. behaviors.taken into consideration. Failure to do so could jeopardize Positive reinforcement encourages repetition of desired Failure to do this may cause client to become extremely that attention will be withdrawn if rumination about physi-cal complaints begins. Follow through.anxious, with an increase in maladaptive behaviors.of limit setting, change will not occur.ers without resorting to physical symptoms. of, or are exacerbated by, specifitive coping responses to these stressors.The possibility of organic pathology must always be ll client’s most urgent dependency needs. c stressors. Discuss alterna-Somatoform Disorders Without consistency Lack of positive Positive rec-●^183

2506_Ch09_176-190.indd Sec1:183 2506 Ch 09 176 - 190 .indd 12. Provide instruction in relaxation techniques and assertive-Outcome CriteriaDefi 1. Client is able to demonstrate techniques that may be used in S● 2. Client verbalizes an understanding of the relationship^ 11. Discuss how interpersonal relationships are affected by e^ c 1 between emotional problems and physical symptoms.of physical symptoms. response to stress to prevent the occurrence or exacerbation DISTURBED BODY IMAGE nition::perceived by others.alienates others. situations.self-esteem, which facilitate adaptive responses to stressful client’s narcissistic behavior. Explain how this behavior ness skills. 183 Confusion in mental picture of one’s physical self.These approaches decrease anxiety and increase Client may not realize how he or she is 1 10/1/10 9:35:18 AM 0 / 1 / 10 9 : 35 : 18 AM