Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^240) 4. Obtain verbal or written contract from client agreeing not 5. Help client recognize when anger occurs and to accept 7. Remove all dangerous objects from client’s environment 6. Act as a role model for appropriate expression of angry feel- 8. Try to redirect violent behavior by means of physical outlets^ ideation occurs. (e.g., sharp items, belts, ties, straps, breakable items, smok-individual provides some relief to the client. A contract gets the subject out in the open and places some of the responsibil-ity for his or her safety with the client. An attitude of accep-tance of the client as a worthwhile individual is conveyed.cal exercise is a safe and effective way of relieving pent-up those feelings as his or her own. Have client keep an “anger notebook,” in which feelings of anger experienced during a 24-hour period are recorded. Information regarding source of anger, behavioral response, and client’s perception of the ing materials). and suggest alternative behavioral responses for those iden-tififor the client’s anxiety (e.g., punching bag, jogging). to harm self and to seek out staff in the event that suicidal ings and give positive reinforcement to client for attempting to conform. viewed as the result of anger turned inward on the self.because suicide and other self-destructive behaviors are often situation should also be noted. Discuss entries with client ● ed as maladaptive.^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONIt is vital that the client express angry feelings, Client safety is a nursing priority.Disc ussion of suicid al feelings with a t r us ted Physi-
2506_Ch13_236-255.indd Sec1:240 2506 Ch 13 236 - 255 .ind10. Staff should maintain and convey a calm attitude to client. 9. Be available to stay with client as anxiety level and tensions^ 13. Use of mechanical restraints or isolation room may be re-12. Administer tranquilizing medications as ordered by physi- 11. Have suffi^ d Secian or obtain an order if necessary. Monitor client response for effectiveness of the medication and for adverse side ef-fects. members to client.anxiolytics or antipsychotics can induce a calming effect on the client and may prevent aggressive behaviors.feeling of security and may help to prevent rapid escalation quired if less restrictive interventions are unsuccessful. Follow policy and procedure prescribed by the institu-tion in executing this intervention. The Joint Commission of anxiety.to client if necessary.begin to rise. control over the situation and provides some physical secu-rity for staff.tension.Anxiety is contagious and can be transmitted from staff c 1 : 240 Short-term use of tranquilizing medications such as cient staff available to indicate a show of strength Presence of a trusted individual provides a This conveys to the client evidence of 1 10/1/10 9:36:15 AM 0 / 1 / 10 9 : 36 : 15 AM