Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence 4. Obtain verbal or written contract from client agreeing not to 7. Remove all dangerous objects from client’s environment. 5. Help client to recognize when anger occurs and to accept those 6. Act as a role model for appropriate expression of angry feel- 8. Try to redirect violent behavior with physical outlets for Direct, closed-ended questions are appropriate in this in-stance. The client who has a usable plan is at higher risk than one who does not.ideation occurs. client’s anxiety (e.g., punching bag, jogging, volleyball). individual provides a degree of relief to client. A contract gets the subject out in the open and places some of the re-sponsibility for his or her safety with client. An attitude of acceptance of client as a worthwhile individual is conveyed.Client’s physical safety is a nursing priority.viewed as a result of anger turned inward on the self.book,” in which a record of anger experienced on a 24-hour basis is kept. Information regarding source of anger, behav-ioral response, and client’s perception of the situation should also be noted. Discuss entries with client, suggesting alterna-tive behavioral responses for those identificause suicide and other self-destructive behaviors are often harm self and agreeing to seek out staff in the event that such ings, and give positive reinforcement to client for attempting to conform. feelings as his or her own. Have client keep an “anger note-It is vital that client express angry feelings, be-Discussion of suicidal feelings with a trusted ed as maladaptive.●^31
2 2506_Ch02_014-053.indd Sec1:31 506 Ch 02 014 - 053 .indd 12. Administer tranquilizing medications as ordered by physi-^ 10. Staff should maintain and convey a calm attitude to client. 11. Have suffiS^ 9. Be available to stay with client as anxiety level and tensions^ ec 1 Anxiety is contagious and can be communicated from staff to client and vice versa. cian, or obtain an order if necessary. Monitor medication for effectiveness and for adverse side effects. :of antianxiety medications (e.g., chlordiazepoxide, alpra-zolam, lorazepam) provides relief from the immobilizing effects of anxiety and facilitates client’s cooperation with therapy.control and a feeling of security to client.to client in this manner.a feeling of security.Anxiety and tension can be relieved safely and with benefito client if it becomes necessary. begin to rise. evidence of control over the situation and provides some physical security for staff. 31 cient staff available to indicate a show of strength The presence of a trusted individual provides A calm attitude conveys a sense of This conveys to client an Short-term use t 1 10/1/10 9:33:21 AM 0 / 1 / 10 9 : 33 : 21 AM