Short-term Goal[Unable to delay gratifi 1. If client is hyperactive, make environment safe for continuous Interventions with appropriate, socially acceptable coping skills.DefiBy discharge from treatment, client will develop, and use, age-Inability to meet [age-appropriate] role expectationsInadequate problem solvingPoor concentrationRisk taking[Manipulation of others in the environment for purposes of ful-Long-term Goalfollow rules of the treatment setting.[Verbal hostility toward staff and peers][Hyperactivity, evidenced by excessive motor activity, easily dis-Within 7 days, client will demonstrate ability and willingness to^36 Goals/Objectives[Oppositional and defi 2. Provide large motor activities in which client may partici-^ fitracted, short attention span] lling own desires]to prevent injury. large-muscle movement. Rearrange furniture and other objects ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONClient physical safety is a nursing priority. Selected Rationales ant responses to adult requests or rules] cation]
2 2506_Ch02_014-053.indd Sec1:36 506 Ch 02 014 - 053 .ind 4. Identify for client the consequences of manipulative behavior. 5. Do not debate, argue, rationalize, or bargain with client. 3. Provide frequent, nutritious snacks that client may “eat on d and I will not tolerate these behaviors from you.” Take caution not to reinforce manipulative behaviors by providing desired attention.CLINICAL PEARL Say, “I Spate. Nurse may join in some of these activities Ignoring these attempts may work to decrease manipulative behaviors.relationship development. Tension is released safely and the run,” with benefiAll staff must follow through and be consistent. sive use of energy.try to play one staff member against another, so consistency is vital if intervention is to be successful. Aversive reinforce-ment may work to decrease unacceptable behaviors.ec 1 :^3 understand why you are saying these things (or doing these things) 6 to ensure adequate calories to offset client’s exces- t to client through physical activities.Set limits on manipulative behavior.^ to facilitate Client may 1 10/1/10 9:33:22 AM 0 / 1 / 10 9 : 33 : 22 AM