Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

Interventions with nipulative behaviors toward others.Client will experience an increase in self-esteem, as evidenced by verbalizations of positive aspects of self and the lack of ma- 5. Discuss how manipulative behavior interferes with forma-Long-term Goal 1. Ensure that goals are realistic. It is important for client to 2. Identify ways in which client is manipulating others. Set 4. Encourage client to talk about his or her behavior, the limits, 3. Explain consequences of manipulative behavior. All staff^304 achieve some insight into his or her situation.achieve something, so plan for activities in which success is likely. and consequences for violation of those limits. tion of close, personal relationships. limits on manipulative behavior. of others’ perception of him or her and of why these behav-a positive outcome cannot be achieved.is required from staff.feelings regarding these circumstances may help the client must be consistent and follow through with consequences in a matter-of-fact manner. effect. Without consistency of follow-through from all staff, aware of the outcomes his or her maladaptive behaviors will unwilling) to limit own maladaptive behaviors, assistance^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONSuccess increases self-esteem.Selected RationalesFrom the onset, client must be Because client is unable (or Client may be unaware Discussion of
2506_Ch16_275-309.indd 0304 2506 Ch 16 275 - 309 .ind8. Help client identify positive aspects of the self and develop^ 7. Encourage client to confront the fear of failure by attending^ 6. Help client identify more adaptive interpersonal strategies. 9. Minimize negative feedback to client. Enforce limit-setting d 0 recognizing their positive attributes. They may also lack problem-solving ability and require assistance to formulate a plan for implementing the desired changes.iors are not acceptable to others.in a matter-of-fact manner, imposing previously established consequences for violations. therapy activities and undertaking new tasks. Offer recogni-tremely threatening to a person with low self-esteem, pos-sibly aggravating the problem. Consequences should convey unacceptability of the behavior but not the person.tion of successful endeavors.Provide positive feedback for nonmanipulative behaviors. Client may require assistance with solving problems. Posi-ways to change the characteristics that are socially unaccept-able. tive reinforcement enhances self-esteem and encourages repetition of desirable behaviors. 304 Individuals with low self-esteem often have diffiNegative feedback can be ex- culty 10/1/10 9:37:04 AM 10 / 1 / 10 9 : 37 : 04 AM