Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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  1. Help client recognize the signs that tension is increasing^260 ● 3. The client is able to inhibit the impulse for violence and 2. The client is able to verbalize the symptoms of increasing 1. Anxiety is maintained at a level at which client feels no need DefiOutcome Criteria6. Explain to the client that should explosive behavior occur, (^) tissue damage with the intent of causing nonfatal injury to at tain for aggression.RISK FOR SELF-MUTILATIONstaff will intervene in whatever way is required (e.g., tran-quilizing medication, restraints, isolation) to protect client and others. tension.over the situation and provides a feeling of safety and security.aggression. and ways in which violence can be averted. security.require physical exertion are helpful in relieving pent-up calm attitude provides the client with a feeling of safety and tension and adaptive ways of coping with it.^ nition:●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION At risk for deliberate self-injurious behavior causing This conveys to the client evidence of control Activities that
    2506_Ch14_256-263.indd Sec1:260 2506 Ch 14 256 - 263 .indLong-term GoalGoals/Objectives 1. Client will cooperate with plan of behavior modifi[Central nervous system trauma][Mental retardation]Related/Risk Factors (“related to”)relief of tension.Short-term GoalsClient will not harm self.[Early emotional deprivation][Parental rejection or abandonment][Child abuse or neglect][History of self-mutilative behaviors in response to increasing 2. Client will not harm self. d Sanxiety: hair-pulling, biting, head-banging, scratching]sion ongoing).an effort to respond more adaptively to stress (time dimen-ec 1 : 260 cation in 1 10/1/10 9:36:30 AM 0 / 1 / 10 9 : 36 : 30 AM

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