Common Nursing Diagnoses and^16 (Interventions are applicable to various health care settings, such as RetardationInterventions for the Client with Mental inpatient and partial hospitalization, community outpatient clinic, 2. At the moderate level (IQ of 35–49), the individual can per- 4. The profoundly mentally retarded individual (IQ of less than 3. The severe level of mental retardation (IQ of 20–34) is charac-home health, and private practice.)^ supervision are required. No ability exists for academic or vo-Motor development may be limited to gross motor ability.Academic skill can be achieved to about the second-grade terized by the need for complete supervision. Systematic habit level. The individual may experience some limitation in have the ability for academic or vocational training. Verbal skills are minimal and psychomotor development is poor.form some activities independently but requires supervision. 20) has no capacity for independent living. Constant aid and speech communication and in interactions with others. cational training. There is a lack of ability for speech develop-ment, socialization skills, or fia structured, sheltered setting. Coordination may be slightly The individual requires constant supervision and care. affected.training may be accomplished, but the individual does not ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION ne or gross motor movements.
2506_Ch02_014-053.indd Sec1:16 2506 Ch 02 014 - 053 .indAltered physical mobilityGoals/ObjectivesShort-/Long-term GoalClient will not experience injury.Interventions with Defi 1. [Aggressive behavior]conditions interacting with the individual’s adaptive and defensive resourcesRelated/Risk Factors (“related to”)●d STo ensure client safety: a. Create a safe environment for client. Remove small items RISK FOR INJURYe nition:c 1 :from the area where client will be ambulating and move sharp items out of his or her reach. 16 At risk of injury as a result of environmental Selected Rationales 10/1/10 9:33:16 AM 10 / 1 / 10 9 : 33 : 16 AM
