Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^) ● 8. Poverty of content 3. Obsessions 1. Hallucinations (Is the person experiencing unrealistic sen- 7. Phobi a s6. Religiosity 4. Paranoia/suspiciousness 5. Magical thinking^616 a. Is there evidence of irrational fears (of a specifi b. Questions motives of interviewer a. Continuously scans the environment a. Is the client speaking in a way that indicates his or her sory perceptions?) PERCEPTUAL DISTURBANCES a. Is little information conveyed by the client because of a. Is the person verbalizing about a persistent thought or a. Is the individual demonstrating obsession with religious c. Refuses to answer questions a. Auditory (Is the individual hearing voices or other sounds^ ●vagueness or stereotypical statements or clichés? consciousness? words or actions have power? (e.g., “If you step on a crack, ideas and behavior? a social situation)? feeling that he or she is unable to eliminate from their you break your mother’s back!”)^ APPENDIX M c object, or
2506_Appendix_M_610-617.indd 616 2506 _AppendixM 610 - 6 3. Depersonalization (altered perception of the self ) 4. Derealization (altered perception of the environment) 2. Illusions 17. a. Does the individual misperceive or misinterpret real d. Olfactory (Does the individual smell odors that do not e. Gustatory (Does the individual have a false perception of b. Visual (Is the individual seeing images that do not exist?) a. The individual verbalizes feeling “outside the body;” visu-i a. The individual verbalizes that the environment feels c. Tactile (Does the individual feel unrealistic sensations on ndd alizing him- or herself from afar. the skin?)exist?)“strange or unreal.” A feeling that the surroundings have changed. stimuli within the environment? (Sees something and thinks it is something else?) an unpleasant taste?) that do not exist?) 616 1 10/1/10 9:31:51 AM 0 / 1 / 10 9 : 31 : 51 AM