Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^270) Interventions with 1. Ensure that goals are realistic. It is important for client to 2. Minimize amount of attention given to physical symptoms. 3. Promote your acceptance of client as a worthwhile person 4. Ask client to make a written list of positive and negative as- 2. Client will exhibit increased feelings of self-worth by setting ing a decrease in fear of failure.attributes. They may also lack problem-solving skills and negative. Assist client in implementing the plans. Provide self-esteem often have diffiachieve something, so plan activities in which success is likely. Success increases self-esteem.positive feedback for successful change. Client must perceive self as a worthwhile person, separate and apart from the role of client. Develop plans of change for the characteristics viewed as pects about self. Discuss each item on the list with client. require assistance to formulate a plan for implementing the by spending time with him or her. Develop trust through one-to-one interactions, then encourage client to participate in group activities. Support group attendance with your pres-ence until client feels comfortable attending alone. realistic goals and trying to reach them, thereby demonstrat-ing of acceptance by others increases self-esteem.discourage use of undesirable behaviors.^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONSelected Rationales culty recognizing their positive Lack of attention may Individuals with low The feel-
2506_Ch15_264-274.indd Sec1:270 2506 Ch 15 264 - 274 .ind 1. Client verbalizes positive perception of self.6. Allow client to be an active participant in his or her therapy.^ 3. Client sets goals that are realistic and works to achieve those Outcome Criteria 5. Avoid fostering dependence by “doing for” the client. Allow 2. Client demonstrates ability to manage own self-care, make d Sclient to perform as independently as physical condition will goals without evidence of fear of failure.permit. Offer recognition and praise for accomplishments. Promote feelings of control or power by encouraging input into the decision-making regarding treatment and for plan-encourages repetition of desired behaviors.ning discharge from treatment. Provide positive feedback for adaptive responses. desired changes. Positive feedback enhances self-esteem and motes feelings of self-worth.ability to perform self-care activities independently provides a feeling of self-control and enhances self-esteem. Positive re-inforcement encourages repetition of the desirable behavior.independent decisions, and use problem-solving skills.ec 1 : 270 Control over own life experiences pro-The 10/1/10 9:36:42 AM 10 / 1 / 10 9 : 36 : 42 AM