Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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ally determined).Client will verbalize adaptive ways to cope with stress by means 1. Help client gain insight into his or her behaviors. Often these Interventions with ally determined).Defistrategies in response to stress (time dimension to be individu-[Inability to control impulse of violence or aggression][Inability to control impulse to steal][Inability to control impulse to gamble][Inability to control impulse to set fiClient will be able to delay gratifi[Inability to control impulse to pull out own hair][Feeling of intense anxiety and tension that precedes, and is Long-term GoalGoals/ObjectivesShort-term Goal^262 other than impulsive behaviors (time dimension to be individu-relieved by, engaging in these impulsive behaviors]society and that severe consequences will be imposed on those stand that certain behaviors will not be tolerated within the what they have done is wrong.individuals rationalize to such an extent that they deny that individuals who refuse to comply. Client must WANT to^ ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONSelected Rationales cation and use adaptive coping Client must come to under- res]

2 2506_Ch14_256-263.indd Sec1:262 506 Ch 14 256 - 263 .ind 5. Help client identify and practice more adaptive strategies for 4. Work with client to increase the ability to delay gratifi 3. Throughout relationship with client, maintain attitude of “It 2. Talk about past behaviors with client. Discuss behaviors that d Scircumstances were reversed. become a productive member of society before he or she can enlighten the client to the sensitivity of others by promoting of acceptance promotes feelings of dignity and self-worth.self-awareness in an effort to assist the client gain insight into his or her own behavior.Reward desirable behaviors, and provide immediate positive feedback. are acceptable by societal norms and those that are not. Help and encourage repetition of desirable behaviors.is not coping with stressful life situations. be helped.client identify ways in which he or she has exploited others. the maladaptive behavior may be so great that the client is unable to see any other alternatives to relieve stress.Encourage client to explore how he or she would feel if the ec 1 : 262 you, but your Rewards and positive feedback enhance self-esteem behavior, that is unacceptable.” An attempt may be made to The impulse to perform An attitude^ cation. 1 10/1/10 9:36:30 AM 0 / 1 / 10 9 : 36 : 30 AM

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