[Physical and verbal hostility toward others when fulfiClient will interact appropriately with others, demonstrating 1. Develop therapeutic rapport with client. Establish trust by Interventions withDysfunctional interaction with others[Exploitation of others for the fulfineeds, by time of discharge from treatment.[Inability to develop satisfactory, enduring, intimate relation-concern for the needs of others as well as for his or her own 2. Offer to remain with client during initial interactions with Long-term Goal1 week.Goals/ObjectivesShort-term GoalClient will develop satisfactory relationship (no evidence of manipulation or exploitation) with nurse or therapist within^306 own desires is thwarted]ship with a sexual partner]but your others. ceptance promotes feelings of self-worth. Trust is the basis of person, separate from unacceptable behaviors (“It is not always being honest; keep all promises; convey acceptance of a therapeutic relationship.^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONPresence of a trusted individual increases feelings of behavior, that is unacceptable.”) Selected Rationales llment of own desires]An attitude of ac- llment of you,
2 2506_Ch16_275-309.indd 0306 506 Ch 16 275 - 309 .ind 3. Provide constructive criticism and positive reinforcement for 5. Act as a role model for client through appropriate interac-4. Confront client as soon as possible when interactions with^ 6. Provide group situations for client.^ d 0 security during uncomfortable situations.tions with him or her and with others. others are manipulative or exploitative. Establish con-powerful and effective form of learning.sequences for unacceptable behavior, and always follow through. ages repetition of desirable behaviors.group interactions with positive and negative feedback from his or her peers that client will learn socially accept-able behavior.efforts. havior, he or she should receive immediate feedback when behavior is unacceptable. Consistency in enforcing the con-sequences is essential if positive outcomes are to be achieved. Inconsistency creates confusion and encourages testing of limits. 306 Positive feedback enhances self-esteem and encour-Because of the strong id infl uence on client’s be-It is through these Role-modeling is a 1 10/1/10 9:37:04 AM 0 / 1 / 10 9 : 37 : 04 AM