Psychiatric Mental Health Nursing by Videbeck

(Nancy Kaufman) #1

10 ANGER, HOSTILITY, ANDAGGRESSION 201


NURSING CARE PLAN FOR AGGRESSIVE BEHAVIOR


Nursing Diagnosis


➤Risk for Other-Directed Violence
At risk for behaviors in which an individual demonstrates that he/she can be
physically, emotionally, and/or sexually harmful to others.

RISKFACTORS



  • Actual or potential physical acting out
    of violence

  • Destruction of property

  • Homicidal or suicidal ideation

  • Physical danger to self or others

  • History of assaultive behavior or
    arrests

  • Neurologic illness

  • Disordered thoughts

  • Agitation or restlessness

  • Lack of impulse control

  • Delusions, hallucinations, or other
    psychotic symptoms

  • Personality disorder or other psychi-
    atric symptoms

  • Manic behavior

  • Conduct disorder

  • Posttraumatic stress disorder

  • Substance use


EXPECTEDOUTCOMES


Immediate
The client will:


  • Not harm others or destroy property

  • Be free of self-inflicted harm

  • Decrease acting out behavior

  • Experience decreased restlessness
    or agitation

  • Experience decreased fear, anxiety,
    or hostility
    Stabilization
    The client will:

  • Demonstrate the ability to exercise
    internal control over his or her
    behavior

  • Be free of psychotic behavior

  • Identify ways to deal with tension
    and aggressive feelings in a non-
    destructive manner

  • Express feelings of anxiety, fear,
    anger, or hostility verbally or in a
    nondestructive manner

  • Verbalize an understanding of aggres-
    sive behavior, associated disorder(s),
    and medications, if any
    Community
    The client will:

  • Participate in therapy for underlying
    or associated psychiatric problems

  • Demonstrate internal control of
    behavior when confronted with stress
    or stressful life events


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