mary nurse.[History of numerous exacerbations of physical illness]Interventions with ize psychological factors affecting his or her medical condition.Possible Etiologies (“related to”)Lack of interest in learning[Severe level of anxiety][Low self-esteem][Regression to earlier level of development]DefiBy t ime of discharge f rom t reat ment, client w ill be able to verbal-[Denial of emotional problems][Statements such as, “I don’t know why the doctor put me on the Long-term Goal 1. Assess client’s level of knowledge regarding effects of psy-[Noncompliance with psychiatric treatment]Inappropriate or exaggerated behaviors (e.g., hysterical, hostile, Client will cooperate with plan for teaching provided by pri-Goals/ObjectivesShort-term Goalagitated, apathetic)psychiatric unit. I have a physical problem.”] ning Characteristics (“evidenced by”)Psychological Factors Affecting Medical Condition Selected Rationales ●^273
2 2506_Ch15_264-274.indd Sec1:273 506 Ch 15 264 - 274 .indd 3. Discuss physical examinations and laboratory tests that have 2. Assess client’s level of anxiety and readiness to learn. 5. Have client keep a diary of appearance, duration, and intensi-S 4. Explore client’s feelings and fears. Go slowly. These feelings ec 1 trusting individual may help the client come to terms with unresolved issues.been conducted. Explain purpose and results of each. ty of physical symptoms. A separate record of situations that the client finecessary for the development of an effective teaching plan.of the unknown may contribute to elevated level of anxiety. parison of these records may provide objective data from which to observe the relationship between physical symptoms and stress.The client has the right to know about and accept or refuse any medical treatment.ing does not occur beyond the moderate level of anxiety.may have been suppressed or repressed for so long that their disclosure may be very painful. Be supportive. chological problems on the body. of feelings in a nonthreatening environment and with a : 273 nds especially stressful should also be kept. An adequate database is Verbalization Learn-Com-Fear 1 10/1/10 9:36:43 AM 0 / 1 / 10 9 : 36 : 43 AM