Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

Short-term Goals^250 1. Client will exhibit increased feelings of self-worth as evi-Long-term Goals 2. Client will verbalize things he or she likes about self within Self-negating verbalizationsEvaluation of self as unable to deal with events or situationsHesitant to try new things or situations [because of fear of 1. Client will discuss fear of failure with nurse within (realistic [Projection of blame or responsibility for problems][Rationalization of personal failures][Hypersensitivity to slight or criticism][Grandiosity]Lack of eye contact[Manipulation of one staff member against another in an 2. Client will exhibit increased feelings of self-worth by setting [Inability to form close, personal relationships][Degradation of others in an attempt to increase own feelings Goals/Objectivesof self-worth]failure]attempt to gain special privileges]time period).denced by verbal expression of positive aspects about self, past accomplishments, and future prospects.(realistic time period).^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION

2 2506_Ch13_236-255.indd Sec1:250 506 Ch 13 236 - 255 .ind 4. Help client identify positive aspects of self and to develop Interventions with 1. Ensure that goals are realistic. It is important for client to 2. Convey unconditional positive regard for the client. Promote 3. Spend time with the client, both on a one-to-one basis and in d Sative. human being. likely. recognizing their positive attributes. They may also lack problem-solving ability and require assistance to formulate a plan for implementing the desired changes.promote trust and increase client’s feelings of self-worth.realistic goals and trying to reach them, thereby demonstrat-ing a decrease in fear of failure. group activities.achieve something, so plan for activities in which success is is worth your time.understanding of your acceptance for him or her as a worthwhile plans for changing the characteristics he or she views as neg-ec 1 : 250 Individuals with low self-esteem often have diffiSuccess enhances self-esteem.Unconditional positive regard and acceptance This conveys to client that you feel he or she Selected Rationales culty 1 10/1/10 9:36:18 AM 0 / 1 / 10 9 : 36 : 18 AM