IV. Precipitating EventClient’s or family member’s understanding or description of VI. Adaptation Responses A. PsychosocialDescribe the situation or events that precipitated this illness/ V. Client’s Perception of the Stressorstressor/illness and expectations of hospitalization: hospitalization: 1. behaviors that apply):Hypervigilant Calm (hallucinations or delusions) Misinterpreting the environment Alert Anxiety level (circle level, and check the Cooperative Disoriented Withdrawn Confused “Jittery” Mild Moderate Severe Panic Perceives environment correctly Friendly Fearful Unable to concentrate Tremors Impaired attention Hyperventilating Passive Rapid speech (^)
- Mood/affect (circle as many as apply): 3. Happiness Sadness Elation Euphoria SuspiciousnessApathy (little emotional tone) Intellectualization Excessive hyperactivity Displacement Depersonalization Denial Undoing Suppression Compulsions Projection by client):Rationalization Ego defense mechanisms (describe how used Repression Somatic complaints Obsessions Dejection Other Anger/hostilityDespair^
8 ●^ THE FOUNDATION FOR PLANNING PSYCHIATRIC NURSING CARE
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