Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

7. Confront client’s use of manipulative behaviors and explore 6. Caution should be taken to avoid reinforcing manipulative 2. Client is able to express anger in a socially acceptable manner. 3. Client is able to verbalize alternative, socially acceptable, and^ 8. Encourage discussion of angry feelings. Help client identify 1. Client is able to delay gratifi 9. Explore with client alternative ways of handling frustration Outcome CriteriaDisorders Usually First Diagnosed in Infancy, Childhood, or Adolescence their damaging effects on interpersonal relationships. nipulation of others.ulative clients often deny responsibility for their behaviors.behaviors by providing desired attention. lifestyle-appropriate coping skills he or she plans to use in the true object of the hostility. positive reinforcement and encourages repetition of the honestly and directly will discourage displacement of the anger onto others.undesirable behavior.that would be most suited to his or her lifestyle. Provide sup-port and positive feedback to client as new coping strategies are tried. response to frustration. behaviors.Positive feedback encourages use of the acceptable (^) cation, without resorting to ma-Dealing with the feelings Attention provides Manip-●^37

2506_Ch02_014-053.indd Sec1:37 2506 Ch 02 014 - 053 .indd [Negative role models]Lack of approvalRepeated negative reinforcement[Unsatisfactory parent–child relationship][Disorganized or chaotic environments][Child abuse or neglect][Dysfunctional family system]DefiDefiLack of eye contactExaggerates negative feedback about selfExpressions of shame or guiltEvaluation of self as unable to deal with eventsRejects positive feedback about selfS●capabilities Possible Etiologies (“related to”)e^ c 1 LOW SELF-ESTEEM nition:: ning Characteristics (“evidenced by”) 37 Negative self-evaluating/feelings about self or self- 1 10/1/10 9:33:22 AM 0 / 1 / 10 9 : 33 : 22 AM