[Anger; rage] 1. Client will demonstrate adaptive coping strategies for use [Dysfunctional family system][Low self-esteem][Unresolved grief ][Psychic overload][Extended exposure to stressful situation][Lack of support systems][Biological factors, such as organic changes in the brain]Body language (e.g., rigid posture, clenching of fiLong-term Goals[History or threats of violence toward self or others or of 2. Client will verbalize adaptive coping strategies for use when ImpulsivitySuicidal ideation, plan, available means 1. Client will seek out staff member when hostile or suicidal [Increasing anxiety level][Depressed mood]Goals/ObjectivesShort-term Goalsdestruction to the property of others]hyperactivity, pacing, breathlessness, threatening stances)hostile or suicidal feelings occur. when hostile or suicidal feelings occur.feelings occur. Adjustment Disorder sts and jaw, ●^239
2506_Ch13_236-255.indd Sec1:239 2506 Ch 13 236 - 255 .indd 1. Observe client’s behavior frequently. Do this through rou- 3. Determine suicidal intent and available means. Ask direct Interventions with 2. Observe for suicidal behaviors: verbal statements, such as 2. Client will not harm self or others. Sec 1 have to worry herself about me any longer,” and nonverbal very subtle and require keen assessment skills by the nurse.clues regarding their potential behavior. The clues may be exist for the client to execute the plan.swings.behaviors, such as giving away cherished items and mood if the client has developed a plan and particularly if means “I’m going to kill myself” and “Very soon my mother won’t can occur if required to ensure client’s (and others’) safety.do you plan to do it?” suspicious. tine activities and interactions; avoid appearing watchful and questions, such as “Do you plan to kill yourself?” and “How : 239 Clients who are contemplating suicide often give Close observation is required so that intervention Selected RationalesThe risk of suicide is greatly increased 1 10/1/10 9:36:14 AM 0 / 1 / 10 9 : 36 : 14 AM
