Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

Inability to meet role expectations^194 Client will demonstrate ability to cope with stress (employing Long-term Goal 2. Client will verbalize more adaptive ways of coping in stress-[Low self-esteem][Unmet dependency needs][Regression to, or fi 1. Client will verbalize understanding that he or she is employ-[Inadequate coping skills] DefiShort-term Goal[Dissociating self from painful situation by experiencing:Goals/Objectives[Inappropriate use of defense mechanisms] means other than dissociation).Inadequate problem-solvinging dissociative behaviors in times of psychosocial stress.ful situations than resorting to dissociation.^ ning Characteristics (“evidenced by”)The presence of more than one personality within the Sudden travel away from home with inability to recall Memory loss (partial or complete)Detachment from reality]●individualprevious identity^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION xation in, an earlier level of development]

2506_Ch10_191-200.indd 0194 2506 Ch 10 191 - 200 .ind 4. As anxiety level decreases (and memory returns), use explo- 2. Identify stressor that precipitated severe anxiety. 3. Explore feelings that client experienced in response to the 1. Reassure client of safety and security by your presence. Interventions with 5. Have client identify methods of coping with stress in the d 0 of client care and problem resolution.vere stress. felt is acceptable—indeed, even expected—in times of se-that contribute to chronic anxiety.stressor. Help client understand that the disequilibrium encourage client to identify repressed traumatic experiences mation is necessary to the development of an effective plan past and determine whether the response was adaptive or and assurance of freedom from harm.Presence of a trusted individual provides feeling of security ration and an accepting, nonthreatening environment to circumstances.edge that others may experience these behaviors in similar Dissociative behaviors may be frightening to the client. 194 Client’s self-esteem is preserved by the knowl-Selected Rationales This infor- 10/1/10 9:35:31 AM 10 / 1 / 10 9 : 35 : 31 AM