Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(Barré) #1

● 4. Client is able to verbalize choices available to her from which [Ignoring the child’s basic physiological needs][The inflRelated/Risk Factors (“related to”)guage, gross or fi ne motor skills.areas of social or self-regulatory behavior, or in cognitive, lan-Defi[Indifference to the child] 3. Client discusses life situation with primary nurse. 2. Client verbalizes assurance of her immediate safety.Outcome Criteria 1. Client has received immediate attention to physical injuries.[Ignoring the child’s presence] (^) occurring over an extended period of time]true empowerment comes only when she chooses to use that knowledge for her own benefialso must be respected. RISK FOR DELAYED DEVELOPMENTshe may receive assistance. decision is to return to the marriage and home, this choice serve to decrease the victim’s sense of powerlessness, but nition: iction by caretakers of physical or sexual abuse, usually At risk for delay of 25% or more in one or more of the Problems Related to Abuse or Neglect Knowledge of available choices can t.^ ●^317


2506_Ch17_310-319.indd Sec1:317 2506 Ch 17 310 - 319 .indd Goals/ObjectivesShort-term GoalClient will develop trusting relationship with nurse and report how evident injuries were sustained (time dimension to be indi-vidually determined).Long-term GoalClient will demonstrate behaviors consistent with age-appropriate growth and development.Interventions with [Ignoring the child’s social, educational, recreational, and devel- 1. Perform complete physical assessment of the child. Take par-Secopmental needs] 1 ticular note of bruises (in various stages of healing), lacera-overlook or discount the possibilit y of sexual abuse. Assess for nonverbal signs of abuse: aggressive conduct, excessive fears, tions, and client complaints of pain in specifiextreme hyperactivity, apathy, withdrawal, age-inappropriate : 317 Selected Rationales c areas. Do not 1 10/1/10 9:37:17 AM 0 / 1 / 10 9 : 37 : 17 AM
Free download pdf